Canadian Art History Registration
Name
Name
*
First
Last
Student Number
*
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characters allowed.
Currently Entered:
0
characters.
Begins with 100xxxxxx
Ontario Tech Email
*
Primary Contact Number
Primary Contact Number
*
-
###
-
###
####
Secondary Contact Number
Secondary Contact Number
*
-
###
-
###
####
Have you read and signed the Risk Form for this course. If no, Read and sign the form before proceeding
*
Have you read and signed the Risk Form for this course. If no, Read and sign the form before proceeding
Yes
No
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