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Vanier - Gr 9 Student Registration Information

Vanier - Gr 9 Student Registration Information

Please complete the form below. Required fields marked with an asterisk *

Sask Learning ID # (Office fills in)

Grade*

Answer Required

Last Name*

Answer Required

First Name*

Answer Required

Middle Name*

Answer Required

Gender*

Answer Required

Female

Male

Unspecified

Resides with:*

Answer Required

Father

Mother

Both

Other

Date of Birth*

Answer Required

Province/Country of Origin*

Answer Required

First Language Spoken*

Answer Required

Second Language Spoken

Answer Required

Citizen/Resident Status:*

Answer Required

Canadian Citizen

Permanent Resident

Refugee

Student/Visitor Visa

Temporary Resident

Address

Street/Physical Address (include land location if rural)*

Answer Required

City*

Answer Required

Postal Code*

Answer Required

Mailing address if different than above.

Answer Required

City

Answer Required

Postal Code

Answer Required

Primary Phone Number Student*

Number Required

Is student a Hockey Player? If Yes, Please provide Billet Name, Address and Primary Phone Number

Answer Required

Parent/Guardian Information

Parent/Guardian 1

Last Name*

Answer Required

First Name*

Answer Required

Email 1*

Answer Required

Mobile Phone*

Number Required

Work Phone

Number Required

Address*

Answer Required

Same as Student

Other:

Parent/Guardian 2

Last Name

Answer Required

First Name

Answer Required

Email 1

Answer Required

Mobile Phone

Number Required

Work Phone

Number Required

Address

Answer Required

Same as Student

Other:

School(s) previously attended. Please include phone number and address.*

Answer Required

Emergency Contact Information

Last Name*

Answer Required

First Name*

Answer Required

Primary Phone*

Number Required

Optional Information

Medical Information (allergies, conditions, etc.)

Answer Required

Religion

Answer Required

Parish

Answer Required

Voluntary Declaration

Answer Required

First Nations

Metis

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Vanier Collegiate Institute

324 MacDonald Street West
Moose Jaw, SK S6H 2V4 Phone: 306-693-6744
Fax: 306-693-6830

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