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2022-2023 ECV Student Application Form
This form is to be filled out by every student looking to apply or reapply for admission at East Coast Varsity Private School. Families with siblings, please fill out for each child.
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* Indicates required question
Current or New Student
*
Current ECV Student
New ECV Student / Trial Day
Student - First Name
*
Your answer
Student - Middle Name
Your answer
Student - Last Name
*
Your answer
Address - Street Name
*
Your answer
Address - City
*
Your answer
Address - Province
*
Choose
NS
Address - Postal Code
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Grade (as of September 2022)
*
Choose
3 Year Old Program
Pre-Primary
Primary
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Provincial Health Card #
*
Your answer
Guardian 1 - First Name
*
Your answer
Guardian 1 - Last Name
*
Your answer
Guardian 1 - Email Address
*
Your answer
Guardian 1 - Cell Phone
*
Your answer
Guardian 1 - Mailing Address
(if differeent from student)
Your answer
Guardian 1 - Occupation
*
Your answer
Guardian 2 - First Name
Your answer
Guardian 2 - Last Name
Your answer
Guardian 2 - Email Address
Your answer
Guardian 2 - Cell Phone
Your answer
Guardian 2 - Mailing Address
(if different from Student)
Your answer
Guardian 2 - Occupation
Your answer
General Correspondence& Communication
*
Both
Guardian 1
Guardian 2
Other:
Required
Allergies?
Your answer
Currently on any medications?
Your answer
Any other health conditions that you feel we should know about?
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone
*
Your answer
Do you require Before or After School Care?
This year our school day for Pre-Primary / Elementary ran from 8:30AM-3PM
Before School Care ($100/mth)
After School Care ($290/mth - includes PD Days)
Who else can pick-up your student from After School? (Name & Contact Phone #)
Your answer
Commitment Fee
*
2022-2023 Commitment Fees are $1500 per student
Please pull my full fee(s) on July 15th
Please pull my full fee(s) on August 15th
Please spread my commitment fee(s) over the above dates (July 15, August 15)
PAD / Direct Deposit Setup
My PAD / Direct Deposit Info has not changed
Send me a new PAD / Direct Deposit Form (info change for current families or new student setup)
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