St. Michael Registration

St. Michael School Student Registration Form

Please complete the form below. Required fields marked with an

asterisk *

St.MichaelKnights

Student Information

Student is registering for which grade?*

Answer Required

Last Name*

Answer Required

First Name*

Answer Required

Middle Name*

Answer Required

Gender*

Answer Required

Female

Male

Unspecified

Date of Birth*

Answer Required

Student's Birth Country*

Answer Required

Address Information

Physical Home Address: (Rural: include land description)*

Answer Required

Mailing Address*

Answer Required

City*

Answer Required

Postal Code*

Answer Required

Primary Phone*

Number Required

Academic Information

Has student ever before attended any HTCSD school?*

Answer Required

Yes

Please select name of HTCSD school attended.

Answer Required

If not HTCSD, name of previous school

Answer Required

Address & phone number of previous school

Answer Required

Parent/Guardian #1 Information

Last Name*

Answer Required

First Name*

Answer Required

Address*

Answer Required

Same as Student

Other:

Primary Phone*

Number Required

Work/Other Phone

Number Required

Email*

Answer Required

Parent/Guardian #2 Information

Last Name*

Answer Required

First Name*

Answer Required

Address*

Answer Required

Same as Student

Other:

Primary Phone*

Number Required

Work/Other Phone

Number Required

Email *

Answer Required

Special Considerations

List any medical/allergy situations:

Answer Required

Student resides with*

Answer Required

Mother

Father

Both

Other:

Languages Spoken*

Answer Required

How long has the student been exposed to English?*

Answer Required

1-3 years

3+ years

Always

Has the student required outside agency support: (ex: speech, PT/OT)*

Answer Required

Voluntary Declaration

Answer Required

First Nations

Métis

First Country of Citizenship:*

Answer Required

Second Country of Citizenship:

Answer Required

Resident Type*

Answer Required

Canadian Citizen

Refugee

Permanent Resident

Temporary Resident

Student/Visitor Visa

Child Care Provider

Name

Answer Required

Address

Answer Required

Primary Phone

Number Required

Other Phone

Number Required

Emergency Contact

Name of Emergency Contact #1 *

Answer Required

Relationship to Student*

Answer Required

Primary Phone*

Number Required

Name of Emergency Contact #2

Answer Required

Relationship to Student

Answer Required

Primary Phone*

Number Required

Sibling Information (Optional)

Do you have other children attending or will be attending Holy Trinity Catholic School Division?

Answer Required

Yes

Siblings name(s) and age(s):

Answer Required

Religion

Who is Catholic?*

Answer Required

Mother

Father

Student

None of the above

Student has been:*

Answer Required

Baptized

1st Communion

Confirmed

None of the above

If Religion is other than the Catholic Faith please sign the following acknowledgement: In accordance with Administrative Procedure 300: Admission of Students, I wish to have my child/children attend a Catholic school. My child is not Catholic but an important reason why I am choosing a Catholic school is to have my child/children participate in the spiritual formation and atmosphere that Catholic schools provide. I agree to comply with and support, to the best of my ability, the vision, mission, and covenant of shared values of the school division, the Religious Education program, and the religious celebrations of the Catholic school, excluding reception of the sacraments.

I agree with the above statement.*

Answer Required

Yes

Religion is Catholic

Today's Date*

Answer Required

Please fix the highlighted areas below before submitting.

St. Michael Registration