To receive our School prospectus and application booklet, please fill out and submit the inquiry form below. If you prefer to make a request by telephone, please call the Admissions Office at 705-732-4351. Either way, your package will be sent by the next business day.If you are having trouble completing this form, please contact our Admission Office at admissions@rlc.on.ca. Contact Information Select one Dr. Mr. Ms. Mrs. Miss. First Name * Last Name * Title * Address * Select one Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other City * Province/State * Postal Code/Zip Code * Select one Canada United States ------------ Andorra, Principality of United Arab Emirates Afghanistan, Islamic State of Antigua and Barbuda Anguilla Albania Armenia Netherlands Antilles Angola Antarctica Argentina American Samoa Austria Australia Aruba Azerbaidjan Bosnia-Herzegovina Barbados Bangladesh Belgium Burkina Faso Bulgaria Bahrain Burundi Benin Bermuda Brunei Darussalam Bolivia Brazil Bahamas Bhutan Bouvet Island Botswana Belarus Belize Cocos (Keeling) Islands Central African Republic Congo, The Democratic Republic of the Congo Switzerland Ivory Coast (Cote D'Ivoire) Cook Islands Chile Cameroon China Colombia Costa Rica Former Czechoslovakia Cuba Cape Verde Christmas Island Cyprus Czech Republic Germany Djibouti Denmark Dominica Dominican Republic Algeria Ecuador Estonia Egypt Western Sahara Eritrea Spain Ethiopia Finland Fiji Falkland Islands Micronesia Faroe Islands France France (European Territory) Gabon Great Britain Grenada Georgia French Guyana Ghana Gibraltar Greenland Gambia Guinea Guadeloupe (French) Equatorial Guinea Greece S. Georgia & S. Sandwich Isls. Guatemala Guam (USA) Guinea Bissau Guyana Hong Kong Heard and McDonald Islands Honduras Croatia Haiti Hungary Indonesia Ireland Israel India British Indian Ocean Territory Iraq Iran Iceland Italy Jamaica Jordan Japan Kenya Kyrgyz Republic (Kyrgyzstan) Cambodia, Kingdom of Kiribati Comoros Saint Kitts & Nevis Anguilla North Korea South Korea Kuwait Cayman Islands Kazakhstan Laos Lebanon Saint Lucia Liechtenstein Sri Lanka Liberia Lesotho Lithuania Luxembourg Latvia Libya Morocco Monaco Moldavia Madagascar Marshall Islands Macedonia Mali Myanmar Mongolia Macau Northern Mariana Islands Martinique (French) Mauritania Montserrat Malta Mauritius Maldives Malawi Mexico Malaysia Mozambique Namibia New Caledonia (French) Niger Norfolk Island Nigeria Nicaragua Netherlands Norway Nepal Nauru Neutral Zone Niue New Zealand Oman Panama Peru Polynesia (French) Papua New Guinea Philippines Pakistan Poland Saint Pierre and Miquelon Pitcairn Island Puerto Rico Portugal Palau Paraguay Qatar Reunion (French) Romania Russian Federation Rwanda Saudi Arabia Solomon Islands Seychelles Sudan Sweden Singapore Saint Helena Slovenia Svalbard and Jan Mayen Islands Slovak Republic Sierra Leone San Marino Senegal Somalia Suriname Saint Tome (Sao Tome) and Principe Former USSR El Salvador Syria Swaziland Turks and Caicos Islands Chad French Southern Territories Togo Thailand Tadjikistan Tokelau Turkmenistan Tunisia Tonga East Timor Turkey Trinidad and Tobago Tuvalu Taiwan Tanzania Ukraine Uganda United Kingdom USA Minor Outlying Islands Uruguay Uzbekistan Holy See (Vatican City State) Saint Vincent & Grenadines Venezuela Virgin Islands (British) Virgin Islands (USA) Vietnam Vanuatu Wallis and Futuna Islands Samoa Yemen Mayotte Yugoslavia South Africa Zambia Zaire Zimbabwe Select one Parent Guardian Consultant Agent Self Other Country * Email Address * Relationship * - - Phone (p.m.) * Phone (a.m.) Other * Student Information Select one Male Female First Name Last Name Gender DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 MM 1 2 3 4 5 6 7 8 9 10 11 12 YYYY 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Select one Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Not Known Select one 2008/2009 2009/2010 2010/2011 Date of Birth Entry Grade * Entry Year * Current School Academic Extracurricular Interests Student Email How did you hear about us? Advertisment Alumni Board Member CAIS Fair Consultant Current Family Current School Current Student Friends Internet Search Local Mailing Past Family Published Directory RLC Open House RLC Staff School Fair Word of Mouth Radio Advertisement Billboard Other Comments and Questions
