New Student Registration Form - E.L. Crossley
Please complete the following form and email all required documents to Deirdre.Tremblay@dsbn.org ( Proof of Address, Birth Verification, Credit Couseling Summary, IEP - if applicable, Current Report Card and Custody and Access Agreement - if applicable)
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Intended Start Date: *
Student's Legal Last Name *
Student's Legal First Name *
Student's Middle Name
Preferred Last Name (If Applicable)
Preferred First Name (if applicable)
Student's Date of Birth *
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DD
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Identified Gender *
Parent/Guardian Contact Name *
Parent/Guardian Email *
Parent/Guardian Phone Number *
Current Home Address - Please send proof via email *
What was the last school that you attended? *
Grade Student in currently in for the 2022/2023 School Year *
Province/Territory Student was Born In *
Date of Birth Verification you will be providing (Please select one of the following and send proof via email *
Does your Student currently have an IEP (Individualized Education Plan) - Please send proof via email *
Please check if the student has any Prevalent Medical Health Conditions we should be aware of.
If "Other" was chosen, Please explain:
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