2023-2024 Registration Form

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Welcome to Quebec Online School - Please take the time to complete this form as accurately as possible and we will be in touch with you shortly in order to complete the enrollment process.

Please complete 1 form per child and don't forget to pay the registration fee for each child as well.

1st Parent's full name *

1st Parent's e-mail *

2nd parent's full name

2nd parent's e-mail

Child's full name as it appears on government ID *

Child's date of birth (month, day, year) *

YYYY

Grade in September 2023 *

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7 (Secondary 1)

Grade 8 (Secondary 2)

Grade 9 (Secondary 3)

Grade 10 (Secondary 4)

Grade 11 (Secondary 5)

Other:

Are there any learning difficulties that should be noted? *

Is there anything else we should know about your child? *

Does your child have an IEP? *

Yes

Will you require a payment plan ($150 surcharge)? *

Yes

Home address including apartment number and postal code. *

Best phone number to reach you *

Have you paid the $250 registration fee? *

Yes

Do you have a coupon code? If so, enter it here

Submit

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