eReg Account Creation Application

Useage
Use this form to create your new account, or add family members to your existing account.
An eReg account is required for registering for programs and courses online.

Creating a New Account
If you provide your email address, you will receive your Personal Bar Code and Family PIN quickly. Otherwise, you will receive them within 3-4 business days via mail. If you are under 18 years old, please include your birth date as some programs and courses have age requirements.

Adding Family Members to Your Account
Complete the second portion of this form.
Or, if you already have an account, you can also add family members immediately:

1. Login to eReg
2. Once logged in, click Update Account (near the top)
3. Click Add Client button

Required fields are marked with an asterisk {*}

Questions? Call 780-496-7946

1. Main Contact

*First Name

*Last Name

Date of Birth
(under 18 only)
YYYY MMM DD

*Age Range

Gender

*Address Line 1

Address Line 2

City

Prov/State

Postal Code

*Home Phone	e.g. (780)555-1234
Business Phone	e.g. (780)555-1234
Email Address	e.g. email@domain.ca
Contact me via	PhoneEmail
Would you like to be on our mailing list?

The personal information collected from you is collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act and will be used to administer program registrations, membership management and facility bookings for Community Services. Aggregate data will be used for program planning and evaluation. Questions about the collection of personal information should be directed to the Community Services FOIP Coordinator at (780) 496-4863.