Contact e-Registration

Please note: The fields marked * are mandatory.
First name*
Last Name*
Email Address*
Phone Number*
Additional Phone Number
Address*
Date of Birth*
Family PIN
Client Barcode
Inquiry*
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Privacy Statement

​The personal information on this form is collected under authority of the Municipal Act SO 2001, c. 25.  The information will be used to administer software access requests.  Questions about the collection of personal information should be directed to the Policy Advisor, Public Services, Business Services Office, 2 Wellington St W, Brampton, ON, L6Y 4R2, 905.874.2705.  Please review the City’s Privacy Statement for more information.