PSII Learner Registration Request Form 2024-25

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Please fill out this online form to be considered for registration at the Pacific School of Innovation and Inquiry for the 2024-2025 school year. Please note, submitting this form does not guarantee enrollment. Final placement decisions will be made as spaces are confirmed.

Learner Last Name (legal) *

Learner Preferred Last Name (if different from above)

Learner First Name (legal) *

Learner Preferred First Name (if different from above)

Learner Middle Name(s) (legal)

Learner Date of Birth *

YYYY

Does learner identify as indigenous?

Yes

Not Sure

Clear selection

Is learner AND AT LEAST ONE parent/guardian "normally resident" in BC? *

Yes

Street Address *

City/Town/Village *

Province *

Postal Code *

Learner's email address (we use this to set up some software and a portfolio account)

Clear form

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