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*
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
MM slash DD slash YYYY
First Entry into High School
Month
Day
Year
Last Date Attended
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, Max. file size: 256 MB.

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