Registration Form

Student Basic Information:

  • OEN:
  • Given (First) Name: *
  • Preferred First Name:
  • Family (Last) Name: *
  • Second Name :
  • Date of birth *:
  • Country of birth:
  • Gender: *

 

  • First Language* :
  • Resident Status * :
  • Attendance Type * :
  • Grade :
  • Home school * :
  • School Admission From:
  • Referral * :

Student Contact Information:

  • Street address: *
  • Town/City:
  • Province : *
  • Country: *
  • Zip Code: *
  • E-Mail Address:*
  • Phone:*

Parent Contact Information:

  • First Name: *
  • Last Name: *
  • E-Mail Address:*
  • Phone:*
  • Full Address:
  • Relationship :*
  • Guidance information different from parent information?

Guidance Contact Information:

  • First Name: *
  • Last Name: *
  • E-Mail Address:*

 

  • Phone:*
  • Full Address:
  • Relationship :*

Emergency Contact Information:

  • First Name: *
  • Last Name: *
  • E-Mail Address:*

 

  • Phone:*
  • Full Address:
  • Relationship :*

Note :