Student Registration Form

Step 1 of 2

Which school is the student registering for?*
Student Information
Name*
First Middle Last
Preferred Name
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender
Preferred Pronoun
Traditional Name
Clan
First Nation Community
Address*
Street Address Address Line 2 City Province Postal Code
Parent/Guardian #1 Information
Parent/Guardian #1 Name*
First Middle Last
Parent/Guardian #1 - Home Phone
Parent/Guardian #1 - Cell Phone
Parent/Guardian #1 - Work Phone
Parent/Guardian #1 - Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent/Guardian #1 - Email
Enter Email Confirm Email
Parent/Guardian #1 - Live with Student
Parent/Guardian #2 Information
Parent/Guardian #2 - Name*
First Middle Last
Parent/Guardian #2 - Home Phone
Parent/Guardian #2 - Cell Phone
Parent/Guardian #2 - Work Phone
Parent/Guardian #2 - Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent/Guardian #2 - Email
Enter Email Confirm Email
Parent/Guardian #2 - Live with Student
Educational Information
Has this student attended school before?*
Last School Attended
Last Grade Attended
Last School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
First Entry into Elementary School
Date Format: MM slash DD slash YYYY
First Entry into High School
MM
DD
YYYY
Last Date Attended
Date Format: MM slash DD slash YYYY
Transfer Reason
Has your child received any Educational Supports and/or Special Education Assistance?
What Educational Support / Special Education Assistance has your child received?
Student has an IEP
Please upload your Student IEP
Accepted file types: pdf, doc, docx.

Name (First & Last)	Relationship to Student	Contact Phone Number

Student Registration Form

Step 1 of 2

Student Information

Parent/Guardian #1 Information

Parent/Guardian #2 Information

Educational Information

Medical Information