Applicant Receptions - Ajax & Surrounding Region Area Registration Form

Applicant Receptions

Welcome to the Ajax & Surrounding Region Reception Registration Page. Please complete the following so we can confirm your spot!

Tuesday, April 22, 2025 @ 6:00 pm
Ajax Community Centre - HMS Hall North Side
75 Centennial Road, Ajax, Ontario
L1S 4S4

First Name *

Last Name *

E-mail *

Phone Number *

Address *

Country *

Address 1 *

Address 2

City *

Province *

Postal code *

What is your primary program of interest?

How many guests will be joining you at our Applicant Reception? *