Montreal Level 1B 2020

A formation experience for adults working with children aged 3-6 years in a parish or school setting.

Location: St. Ignatius of Loyola Parish
4455 West Broadway
Montreal, QC

Session 2, Weekend 1: Feb. 1-2, 2020

Time: 8:30 a.m.- 5 p.m

Session 2, Weekend 2: May 15-18, 2020

May 15th: 7 p.m. - 9 p.m.

May 16th and 17th : 8:30 a.m.- 5 p.m.

May 18th: 8:30 a.m.- 3 p.m.

Instructions

1. Fields with a red star (*) beside it are required. All other fields are optional.

2. For membership number questions, please contact membership@cgsac.ca

3. For all other questions, please contact Lucie McElligott at LMcElligott (at) diocesemontreal.org

Course Number

Part B - 2020.04.L1B.01

Parish or School Name

Denomination

Full Name - as you wish it to appear on your certificate *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email address

Confirmation Email example@example.com

Email Consent

Day Phone Number *

Other Phone Number

Register by: *

Cheque Credit Card

To become a member of CGSAC ($40/year), follow this link.

Register

CGSAC Member - Level 1 Part B (due Jan. 3, 2020) $ 350.00 CAD

Non Member Level 1 Part B (due Jan. 3, 2020) $ 425.00 CAD

CGS Level 1 Make-up Day or Refresher ($20/day)* $ 20.00 CAD

$20/day

Optional Lunch ($15/day)

Lunch date	Price	Quantity
Feb. 1	$ 15.00 CAD
Feb. 2	$ 15.00 CAD
May 16	$ 15.00 CAD
May 17	$ 15.00 CAD
May 18	$ 15.00 CAD

Item subtotal: $ 0.00 CAD

Total $ 0.00 CAD

Credit Card Information
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Sliders with calculated result

*CGS Refresher: Catechists who have already received a Level 2 certificate are welcome to audit the entire course at a reduced daily rate.

**Make-up Days: Individuals who missed days of a previous Level 2 course are welcome to make up those days at a reduced daily rate. Please consult with the formation team to determine which days to attend.

For those who chose the optional lunch ($15/day), please select the dates you require lunch

Feb. 1 Feb. 2 May 16 May 17 May 18

Previous Level 1 Course (for those registering for makeup or refresher days)

Course date and Location

CGSAC Member No.

Must be current

I require accommodation *

If you require accommodation: Check in and Check out dates?

Please click the Print button FIRST to retain a copy of the form.

If you are paying by cheque, you must print the form and mail with your cheque to the address below.

Please make cheque(s) payable to:

Catechesis of the Good Shepherd Association of Canada

Print this form by Jan. 3, 2020 and send along with the cheque(s) to:

Lucie McElligott, 2000 Sherbrooke St. West, Montreal, QC, H3H 1G4

You are registered when payment is received.

CGSAC Privacy Statement

The Catechesis of the Good Shepherd (the "CGSAC") is committed to preserving your right to privacy. We ensure that the confidentiality of your information is maintained and the collection, use and disclosure of your information is in compliance with the applicable Manitoba and Federal privacy laws and The Freedom of Information and Protection of Privacy Act (“FIPPA”). Your credit card information is not stored within the CGSAC and complies with the PCI DSS standard (https://squareup.com/ca/guides/pci-compliance).

The personal information collected by the this form is not distributed to any private organizations or used for commercial marketing. Any personal information you provide to the CGSAC via its website or this form is managed in accordance with FIPPA.

Catechesis of the of Good Shepherd