Riverbend Day School Application Form

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Please fill out the application form. Once we’ve reviewed it we will set up a visit.The application fee is $125. You can pay this by e-transfer to info@riverbendschool.ca. This is only due on your visit day. We are so excited to meet you!

Email *

PLEASE NOTE: THIS APPLICATION DOES NOT COMMIT YOU TO THIS PROGRAM, NOR DOES IT GUARANTEE A SPOT.

Application Video - Please Watch

Parent's Full Name *

Student's Full Name *

Address *

Phone number *

Child's birth date and current grade *

Current School Your Child Attends *

How would you describe their academic abilities *

Does your child have any behavioural issues we should be aware of that would be disruptive to the learning environment? Please explain. Please note: kids with disruptive behaviours

or those requiring 1:1 support will not be accepted into the program as we don’t have enough staff to support them.

Are you looking for French or English Only *

French

English Only

Required

Does your child have any learning difficulties or diagnoses? Diagnosed or suspected. Please explain. *

Does your child have the ability to work independently? Please give details. *

Why are you interested in your child attending Riverbend Community School? What are you looking for in terms of a schooling experience for your child? *

Please give full name of a reference of a teacher or educator your child has had. Please include a contact phone number or email of this educator and explain the relationship to your child. *

Please include another personal reference including name, contact email or phone number, and relationship to the child. *

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