Registration Form November 2021
Thank you for your interest in the St. Elizabeth Smart Start Program. Space in our program is limited and registration is on a first come, first served basis. Filling out this digital form DOES NOT guarantee acceptance into the program. Please note that the Program fee of $150.00 will be collected in two $75 installments (February 1st, and June 1st, 2022).

PLEASE NOTE: In order to be officially enrolled in the Smart Start Cohort, the Program Fee of $150 must be paid in full by June of 2022.

*An additional enhancement fee in Physical Education may apply next year. This course enhancement fee would be collected in the Physical Education course.
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Email *
Please fill in all the information requested below.
Purpose of contact *
Required
I understand that the Smart Start Program continues into Grade 10 with Religion, Media  Arts and Business. *
Required
Please explain why your child would like to be part of the Smart Start program. *
Student Last Name: *
Student First Name: *
Elementary School: *
Student's email address (K12 GMail Account) *
OEN# (This can be found on your child's report card)
Please indicate if any of the following apply to your child: *
Required
Parent/Guardian Name: *
Phone Number (s): *
Email Address of Parent/Guardian: *
Do you already own a device suitable for use in the program? (Chromebook, Laptop, Macbook) *
Required
Is there anything that you would like us to know about your child?
If you would like someone to contact you about the program, please provide the best number or email for us to reach you at.
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