Student Registration Information - Gr 10-12 | Vanier Collegiate Institute

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

Sask Learning ID # (Office fills in)

Grade*

Answer required for "Grade"

Last Name*

Answer required for "Last Name"

First Name*

Answer required for "First Name"

Middle Name*

Answer required for "Middle Name"

Gender*

Answer required for "Gender"

Female

Male

Unspecified

Resides with:*

Answer required for "Resides with:"

Father

Mother

Both

Other

Date of Birth*

Answer required for "Date of Birth"

Province/Country of Origin*

Answer required for "Province/Country of Origin"

First Language Spoken*

Answer required for "First Language Spoken"

Second Language Spoken

Answer required for "Second Language Spoken"

Citizen/Resident Status:*

Answer required for "Citizen/Resident Status:"

Canadian Citizen

Permanent Resident

Refugee

Student/Visitor Visa

Temporary Resident

Address

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

Answer required for "Street/Physical Address (include land location if rural)"

City*

Answer required for "City"

Postal Code*

Answer required for "Postal Code"

Mailing address if different than above.

Answer required for "Mailing address if different than above."

City

Answer required for "City"

Postal Code

Answer required for "Postal Code"

Primary Phone Number Student*

Number Required

Is student a hockey player? If yes, provide billet name, address and primary phone number

Answer required for "Is student a hockey player? If yes, provide billet name, address and primary phone number"

Parent/Guardian Information

Parent/Guardian 1

Relationship to Student

Answer required for "Relationship to Student"

Mother

Father

Step Mother

Step Father

Guardian

Last Name*

Answer required for "Last Name"

First Name*

Answer required for "First Name"

Email 1*

Answer required for "Email 1"

Mobile Phone*

Number Required

Work Phone

Number Required

Address*

Answer required for "Address"

Same as Student

Other:

Parent/Guardian 2

Relationship to Student

Answer required for "Relationship to Student"

Mother

Father

Step Mother

Step Father

Guardian

Last Name

Answer required for "Last Name"

First Name

Answer required for "First Name"

Email 1

Answer required for "Email 1"

Mobile Phone

Number Required

Work Phone

Number Required

Address

Answer required for "Address"

Same as Student

Other:

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

Answer required for "School(s) previously attended. Please include phone number and address."

Emergency Contact Information

Last Name*

Answer required for "Last Name"

First Name*

Answer required for "First Name"

Primary Phone*

Number Required

Optional Information

Medical Information (allergies, conditions, etc.)

Answer required for "Medical Information (allergies, conditions, etc.)"

Religion

Answer required for "Religion"

Parish

Answer required for "Parish"

Voluntary Declaration

Answer required for "Voluntary Declaration"

First Nations

Metis

Please fix the highlighted areas below before submitting.

Student Registration Information - Gr 10-12