School Registration Form
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2
3R
F
EGISTRATION
ORM
School District No. 40
This form must be completed, and along with all documentation requested on page 3, be brought to the school office to complete registration.
Office Use Only:
Date of Registration (mm/dd/yyyy):
/
/
Current Grade:
Catchment school:
Preferred School:
Out of Catchment form completed:
Yes
No
Out of District
Out of District form completed:
Yes
No
Time of Registration (am/pm):
Start date (mm/dd/yyyy):
/
/
PEN:
Student Information
Legal Last Name:
Address:
Legal First Name:
City:
Legal Middle Name:
Province:
Postal Code:
Usual Name:
Home Phone #:
Birthdate (mm/dd/yyyy):
Gender:
F
M
Mobile Phone #:
Proof of Age Attached (birth certificate):
Yes
No
Proof of Address Attached (2 required):
1
2
Legal Alert:
Child in Care
Court Order
Other special considerations or comments:
First Language:
Student attended a StrongStart Centre:
Yes
No
Language at home:
English Language Learner:
Yes
No
Country/Province of Birth:
Citizen of:
Special Education Designation:
Yes
No
Category (if known):
I.E.P.:
Yes
No
Métis
Inuit
Status
Non-Status
Aboriginal Ancestry:
Yes
No
If yes:
Parent/Guardian Information
Name:
Name:
Relationship to student:
Relationship to student:
Living with student:
Yes
No
Living with student:
Yes
No
Address:
Address:
Home Phone #:
Home Phone #:
Mobile Phone #:
Work Phone:
Mobile Phone #:
Work Phone:
Email:
Email:
Funding Category: For office use only
Canadian Citizen
International Funding Not Eligible
Permanent Resident/Landed Immigrant
Out of Province Canadian Funding Not Eligible
Refugee – Convention or Claimant (circle one that applies)
International Funding Eligible
8/9/2017
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