Elementary: 20-21 Enrollment Form for Returning Students.

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Please select whether your child will be attending the 20-21 virtual online program through Canadian Public Schools or the in person classes. NOTE* If you choose the virtual option your child will remain virtual for at least the full semester due to continuity of education.

New Students to the district need to enroll in person at the Elementary Office any Monday-Thursday between 9am-1pm.

Email *

List Student's LAST Name. *

List Student's FIRST Name. *

Student's Date of Birth. *

YYYY

My child will attend the VIRTUAL ONLINE Program with Canadian Elementary. (must attend one full semester) *

My child will attend IN PERSON class at Canadian Elementary for the 20-21 School year. *

Yes

If your child will be attending IN PERSON class for the 20-21 School year, what grade will he/she be in? *

Pre-Kindergarten

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Required

List your STREET address. *

List your MAILING address or type (same as street). *

Choose type of after school transportation. *

Bus Route

Parent Pick Up

Bus to Lakeside Learning Center (approval required)

Parent/Guardian and relation to student. *

Parent/Guardian Phone Number *

Emergency Contact Name and Phone Number. (other than parent) *

Is there anything you would like us to know upon enrollment?

Submit

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