Canadian Student School Registration Form

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DOCUMENTS REQUIRED FOR REGISTRATION
at time of registration
(ORIGINAL documents must be shown
):
PARENT DOCUMENTATION:
STUDENT DOCUMENTATION:
Proof of Citizenship (ONE of the following):
Proof of Citizenship (ONE of the following):
Canadian birth certificate
____, or,
Canadian birth certificate
____, or,
Enhanced Driver’s Licence/ID card
____, or,
Landed Immigrant
____, or,
Permanent Resident card
____, or,
Permanent Resident card
____, or,
Canadian Citizenship card
____, or,
Canadian Citizenship card
____, or,
Canadian Passport
____
Canadian Passport
____
Proof of Residency (a recent bill from ONE of the following):
Proof of Birth date (ONE of the following):
Purchase/Rental agreement
____
Birth certificate
____, or,
Cable/Hydro/Gas - recent bill
____
Passport
____
Proof of Guardianship: (ONE of the following):
Parent name(s) shown on child’s birth certificate ____, or
BC Care Card # _____________________________________
Landed Immigration papers
____, or,
Guardianship order
____, or,
KINDERGARTEN only: Health Immunization record
____
Extended Health Benefit (ie Pacific Blue Cross)
____, or,
Dental Benefit card (ie Pacific Blue Cross)
____, or,
Gr1-7 only: most recent Report Card from previous school
____
Revenue Canada Document
____
If Aboriginal Ancestry indicated below (info pkg for parents) ____
STUDENT INFORMATION:
Legal Surname: ____________________________________
Grade: ______
First Name:
____________________________________
Male ____ Female ____
Middle Name(s): ____________________________________
Date of Birth: _____________________
Called name(
):______________________
Province of Birth: _________________
if different than first name
Address:
____________________________________
Country of Birth: _________________
Postal Code:
____________________________
Date entered Canada: _______________
Home Phone:
______________ Do you use your cell phone as your home phone? Yes___ No___
Parent(s) /Guardian(s): _______________________________ & _______________________________
First name(s)
Last name(s)
First name(s)
Last name(s)
Child lives with:
(PLEASE CIRCLE) (mother/father, mother, father, mother/stepfather, father/stepmother, other: ________________)
Custody Alert? _______________________________________________________________________
ABORIGINAL ANCESTRY
Y__ N__
(Status on reserve, Status off reserve, Non-Status, Metis, Inuit, First Nations):
Band of Residence _______________________________________ DIA# __________________
LANGUAGES: What language do you use to speak to your child? ____________-________________
What other languages does your child speak?
________________________________
PREVIOUS SCHOOL: ________________________________ City: ________________ Prov: ______
Has your child ever attended a STRONG START PROGRAM anywhere in BC? Yes____ No ____
Please indicate any special learning circumstances or disabilities which may affect your child’s education:
(ie English Language Learner, Learning Disability, difficulty concentrating, etc) ___________________
____________________________________________________________________________________
Indicate any extra support that your child is receiving (ie ESL support, LST support):
_____________________________________________________________________________________
_____________________________________________________________________________________

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