Testing

Schooling Information

Registering for grade:*

Catchment School:*

Requested Start Date:*

Name of Last School Attended:*

City of Last School Attended:*

Personal Information

Student's Legal Name:*

First Middle Last

Student's Usual Name:

First Last

Student's Address*

Street Address City Province Postal Code

Identification Uploads

Birth Certificate Image Upload*

Uploaded file can be a scanned picture or picture of the birth certificate taken on a camera/phone

Proof of Current Address Image Upload*

Acceptable proof of current address includes images of: BC Services Card, BC Driver's License, house purchase agreement, or current utility bill.

Language

First Language Spoken*

Language Most Used*

Indigenous Ancestry

Does your student have Indigenous Ancestry?*

Yes
No

Documentation is not required (self-identification). Indigenous Ancestry may be anywhere in your family tree.

Indigenous Group*

Metis
Inuit
First Nation

Name of Nation or home territory (if known)*

Parent/Guardian Information (1st)

Parent/Guardian Name:*

First Last

Parent/Guardian Email*

Parent/Guardian Home Phone:*

Parent/Guardian Work Phone:*

Parent/Guardian's Relationship to Student:*

Parent/Guardian's Place of Employment:*

Parent/Guardian's Preferences:

Can pick up student?
Willing to volunteer?
Receive email?
Lives with Student

Parent/Guardian's Address*

Street Address Address Line 2 City Province Postal Code

Add another Parent/Guardian?*

Yes
No

Parent/Guardian Information (2nd)

Parent/Guardian Name:*

First Last

Parent/Guardian Email*

Parent/Guardian Home Phone:*

Parent/Guardian Work Phone:*

Parent/Guardian's Relationship to Student:*

Parent/Guardian's Place of Employment:*

Parent/Guardian's Preferences:

Can pick up student?
Willing to volunteer?
Receive email?
Lives with Student

Parent/Guardian's Address*

Street Address Address Line 2 City Province Postal Code

Add another Parent/Guardian?*

Yes
No

Parent/Guardian Information (3rd)

Parent/Guardian Name:*

First Last

Parent/Guardian Email*

Parent/Guardian Home Phone:*

Parent/Guardian Work Phone:*

Parent/Guardian's Relationship to Student:*

Parent/Guardian's Place of Employment:*

Parent/Guardian's Preferences:

Can pick up student?
Willing to volunteer?
Receive email?
Lives with Student

Parent/Guardian's Address*

Street Address Address Line 2 City Province Postal Code

Add another Parent/Guardian?*

Yes
No

Parent/Guardian Information (4th)

Parent/Guardian Name:*

First Last

Parent/Guardian Email*

Parent/Guardian Home Phone:*

Parent/Guardian Work Phone:*

Parent/Guardian's Relationship to Student:*

Parent/Guardian's Place of Employment:*

Parent/Guardian's Preferences:

Can pick up student?
Willing to volunteer?
Receive email?
Lives with Student

Parent/Guardian's Address*

Street Address Address Line 2 City Province Postal Code

Parental Involvement in School

Our policy is to encourage involvement of a child’s parents in their education. It is the registering parent’s responsibility to ensure that the parent/guardian information section of the registration form is complete and accurate. If legal papers and/or court documents exist regarding custody, guardianship or limitations placed in the involvement of one parent please answer the questions below and the school will contact you for further information. If concerns exist regarding the involvement of a parent, please inform the administration.

Court order or other legal documents pertaining to custody in effect?*

Yes
No

Court order or other legal documents provided to school?*

Yes
No

Which parent has custody?*

Siblings

Do you want to add siblings?*

Yes
No

Sibling Information (1st)

Legal Name:*

First Last

Usual Name:

First Last

Date of Birth:*

Sibling's School:*

Add another sibling?*

Yes
No

Sibling Information (2nd)

Legal Name:*

First Last

Usual Name:

First Last

Date of Birth:*

Sibling's School:*

Add another sibling?*

Yes
No

Sibling Information (3rd)

Legal Name:*

First Last

Usual Name:

First Last

Date of Birth:*

Sibling's School:*

Add another sibling?*

Yes
No

Sibling Information (4th)

Legal Name:*

First Last

Usual Name:

First Last

Date of Birth:*

Sibling's School:*

Emergency Contact Information (1st)

Emergency Contact's Name:*

First Last

Emergency Contact's Relationship to Student:*

Emergency Contact's Home Phone:*

Emergency Contact's Work Phone:*

Add another Emergency Contact?*

Yes
No

Emergency Contact Information (2nd)

Emergency Contact's Name:*

First Last

Emergency Contact's Relationship to Student:*

Emergency Contact's Home Phone:*

Emergency Contact's Work Phone:*

Add another Emergency Contact?*

Yes
No

Emergency Contact Information (3rd)

Emergency Contact's Name:*

First Last

Emergency Contact's Relationship to Student:*

Emergency Contact's Home Phone:*

Emergency Contact's Work Phone:*

Add another Emergency Contact?*

Yes
No

Emergency Contact Information (4th)

Emergency Contact's Name:*

First Last

Emergency Contact's Relationship to Student:*

Emergency Contact's Home Phone:*

Emergency Contact's Work Phone:*

Medical Information

Care Card Number:*

Medical Alerts:*

Allergies, conditions, etc.

Learning Needs:*

Learning Assistance, Modified Program, etc.

Permissions:

By completing and submitting this registration form, you acknowledge that you have the educational rights to your child, and can register them with School District No. 71 (Comox Valley).*

I agree

Canada’s anti-spam legislation came into effect on July 1, 2014. As a result, School District No. 71 (Comox Valley) would like to ensure that we have your consent to send you newsletters, announcements and other electronic messages which may contain advertising or promotions including field trips, fundraising, yearbooks, student pictures, school activities, or similar events and offers that would be considered Commercial Electronic Messages under the legislation. More information can be found here:*

I agree

I consent to the release of student records (reports, letters, legal documents, Permanent Educational Records)*

I agree

I consent to the release of the student's Learning Assistance file (if applicable)*

I agree

I consent to the release of the Confidential File (e.g. Psychology Reports, Speech & Language Reports, Physiotherapy/Occupational Therapy reports, Dr.'s Letters, etc.) if applicable*

I agree

By checking this box and entering your name below, you certify that the information provided above is accurate*

I agree

Confirmation Information

User's Name:*

First Last

The name of the person completing this form (Parent/Guardian.)

User's Email*

This email will receive the email receipt upon completion of this form. (It should arrive within 15 minutes.)

Student Registration 2021

Schooling Information

Personal Information

Identification Uploads

Language

Indigenous Ancestry

Parent/Guardian Information (1st)

Parent/Guardian Information (2nd)

Parent/Guardian Information (3rd)

Parent/Guardian Information (4th)

Parental Involvement in School

Siblings

Sibling Information (1st)

Sibling Information (2nd)

Sibling Information (3rd)

Sibling Information (4th)

Emergency Contact Information (1st)

Emergency Contact Information (2nd)

Emergency Contact Information (3rd)

Emergency Contact Information (4th)

Medical Information

Permissions:

Confirmation Information

Comox Valley Schools