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Registration Form
Registration Form
Please complete the form below. Required fields marked with an asterisk *
Date
*
Answer Required
Last Name
*
Answer Required
Legal Last Name If Different
Answer Required
First Name
*
Answer Required
Middle Name
Answer Required
Gender
*
Answer Required
M
F
U
Name of who you live with
Answer Required
Student's Birthdate
*
Answer Required
Student Age
*
Answer Required
Address - Street Number and Name
*
Answer Required
Address - City
*
Answer Required
Address - Postal Code
*
Answer Required
Parent Phone #
Answer Required
Student's Cell
Answer Required
Student's Email
Answer Required
Father's Name
Answer Required
Father's Cell
Answer Required
Father's Work Phone
Answer Required
Father's Email Address
Answer Required
Mother's Name
Answer Required
Mother's Cell
Answer Required
Mother's Work Phone
Answer Required
Mother's Email Address
Answer Required
Emergency Contact Person Relationship to Student
Answer Required
Emergency Contact Person Name
Answer Required
Emergency Contact Person Phone Number
Answer Required
School Previously Attended
Answer Required
Sending School
Answer Required
Medical/Physical/Behavioural Conditions
Answer Required
Special Dietary Needs
Answer Required
First Language Spoken
Answer Required
Rural Student
Answer Required
Yes
No
If "Yes" to Rural Student please provide billet information
Answer Required
Religion
Answer Required
Parish
Answer Required
Optional Self Declaration
Answer Required
Inuit
Non-Status Indian
Metis
Treaty / Registered
None
Confirmation Email
Confirmation Email
Email Required