Application Form
Student Information
Application for Grade
*
7
8
9
10
11
12
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Language Code
Student First Name
*
Preferred Name
Student Last Name
*
Student Home Address
*
Start Date
*
Student Birthday
*
Student Present Grade
*
Student Gender
*
Male
Female
Other
Present School
School Name
*
School Address
*
Present School Years Attended
*
Present School Grade Level Completed
*
Previous School
Previous School Name
*
Previous School Address
*
Previous School Grade Level Completed
*
Previous School Years Attended
*
Parent/Guardian 1 Information
Parent/Guardian 1 E-mail
*
Parent/Guardian 1 First Name
*
Parent/Guardian 1 Preferred Name
Parent/Guardian 1 Last Name
*
Parent/Guardian 1 Home Address
*
Parent/Guardian 1 Postal Code
*
Parent/Guardian 1 Mobile Phone
*
Parent/Guardian 1 Home Phone
Parent/Guardian 1 Work Phone
Parent/Guardian 2 Information
Add Parent/Guardian 2 Information?
Yes
Parent/Guardian 2 E-mail
*
Parent/Guardian 2 First Name
*
Parent/Guardian 2 Preferred Name
Parent/Guardian 2 Last Name
*
Parent/Guardian 2 Home Address
*
Parent/Guardian 2 Postal Code
*
Parent/Guardian 2 Mobile Phone
*
Parent/Guardian 2 Home Phone
Parent/Guardian 2 Work Phone
Payment & Submission
All correspondence should be sent to
*
Parent/Guardian 1
Both
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Payment
*
Application Fee
CA$250
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