Before you fill out the Registration Form

  1. Are you a student in:
    • assisted assisted wellness
    • educational assistant
    • early learning & child care
    • child & youth care
    • community mental health
    • renewable energy & conservation
     
    If you are, please register for courses using My Lakeland. Registrations using this form won't be accepted.
  2.  
  3. Please use a desktop or laptop computer to fill in this form. It is not compatible with mobile platforms.
  4. You may have difficulties submitting the form if you use Internet Explorer as your browser. Chrome or Firefox are better options.
  5. If you are looking for the Music Lesson Registration form, please go to Music Lesson Registration Form.
 

Continuing Education Registration Form

Our online payment form is currently unavailable.
 
This form takes you up to the point of payment. At that time, you select how you will make the payment.
 
The instructions will be repeated in your confirmation email.
 
Sorry for the inconvenience, and thank you for your patience. We will return to a complete registration and payment form as soon as possible.
 

Course Information

Course Name & Number (example QPER 215 Introduction to AutoCAD)*
Course Start Date (dd/mm/yyyy)*
Course cost*

About You

Legal First Name (no shortened form or nickname)*
Middle Name If you dont have one fill in n/a*
Last Name*
Birthdate (yyyy/mmm/dd eg 1980/Jan/01
Email Address*
Street/Box/Rural Route*
Town/City/Municipality*
Province*
Postal Code*
Best Phone Number to Call:*
Best time to call:

Payment Options

Currently we are unable to take online payments. Please choose one of the options below.
   If you want to pay with a credit card, please call our toll-free number 1 800 661 6490 ext. 5712, or direct in Lloydminster at 780 871 5712.
   If you want to pay by cheque or money order, please mail the total to Attention: Continuing Education, Lakeland College 2602 59 Ave Lloydminster AB T9V 3N7
   If you want to arrange or pay for group training, go to con.ed. contact.
   If you are sponsored by a company or agency, have the company pay via credit card. Or, provide a sponsorship letter by email or fax 780 875 1813.
However you make your payment, your registration isn't complete until the fees are paid.

Declarations

You may have to consent up to 3 times in this section.
I agree to let my personal information, including my name, my image (still or video) and or comments be used by Lakeland College for promotional purposes.*
* If the applicant is under legal age, please provide the name of a parent or legal guardian, and indicate consent.
First Name:
Last name:
  I consent to use of the minors image.
If you wish to receive emails from Lakeland College, you must opt-in by checking the box. This form will not submit unless you provide an email address. You may unsubscribe at any time.*
 
Freedom of Information/Protection of Privacy: Lakeland College complies with the Freedom of Information and Protection of Privacy Act of Alberta. Information collected on this form is used in the normal course of college operations in accordance with this legislation. For details on how this information is used, please contact the Lakeland FOIP coordinator at FOIP@lakelandcollege.ca.