Student Registration Form

Personal details
Travel Details
  • Yes
  • No
  • Yes
  • No

Other Information

  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
  • Yes
  • No
Accommodation
  • Homestay (Private home)
  • Student residence
Payment
  • Direct Deposit at the Royal Bank - in Canada only
  • cheque Canadian and U.S. citizens only
  • email bank transfer
  • international wire transfer
  • www.PayPal.com to info@minervahomestay.com (all credit cards accepted) Add 4%
Price Estimation
- $