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Email address *

A link to set a new password will be sent to your email address.

First name *

Last name *

Country / Region *Canada

Street address*

Apartment, suite, unit, etc.

Town / City*

Province *

Postal Code*

Phone*

ABOUT THIS ACCOUNT

This account is for:

A student (person taking the course)

A parent/guardian (person paying for someone else, but not taking a course themselves)

When registering as a student, the information in this form will be used as the student's registration information. If you register as a parent or guardian, when purchasing a course, you'll be asked to fill in a form with the student's details.

NOTE: This registration form will only create an account for you. To enrol in a course, you will need to purchase a course. You may also create an account during the checkout process.

ADDITIONAL STUDENT INFORMATION

Date of Birth*

School Attended in 2023-2024*

School Last Attended if different than above

Parent Guardian

First Name*

Last Name*

Daytime Phone*

Home Phone*

Emergency Information (Different from Guardian)

Please enter an emergency contact, that we can contact in case the parent or guardian is not avaialble.

Emergency Contact Name*

Relationship to student*

Emergency Phone*

Any concerns of medical information that you would like staff aware of?

This personal information is being collected under the authority of The Public Schools Act for School related purposes. It is protected by the Protection of privacy provisions of The Freedom of Information and Protection of Privacy Act and the Personal Health Information Act. If you have questions about the collection, please contact Summer School office.

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ABOUT THIS ACCOUNT

ADDITIONAL STUDENT INFORMATION