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                      REGISTRATION
 
*********************LORD SELKIRK SCHOOL DIVISION***********************
 
 ECOLE BONAVENTURE FRENCH IMMERSION
STUDENT REGISTRATION FORM
 Date ________________________
 
Given Names Date of Birth (yr/m/d)
____________________________________________________________________________
Parents' or Guardians' Surname Mother Father Phone
____________________________________________________________________________
Mailing Address Postal Code
____________________________________________________________________________
Location of Residence (Road, Township, Section, Range)
 
Are you a non-resident of the Lord Selkirk School Division? Yes ( ) No ( )
Are you a new resident of the Lord Selkirk School Division? Yes ( ) No ( )
OTHER CHILDREN PRESENTLY ATTENDING SCHOOL IN DIVISION BIRTHDATE GRADE
______________________________________________________|______________|_______
______________________________________________________|______________|_______
______________________________________________________|______________|_______
Are there any pre-school children at home? If so , please list below. This information will assist the school in future planning.
 CHILDREN'S NAMES BIRTHDATE (yr/m/d) ______________________________________________________ |_________________
______________________________________________________ | ________________
______________________________________________________ | ________________
REGISTRATION INFORMATION:
Kindergarten - 5 years of age by December 31st
Grade 1 - 6 years of age by December 31st
Proof of child's age must be provided when registering a child for the first time. Registration of a child is not complete until a medical report is attached which indicates the child's physical health, hearing and vision have been tested by qualified personnel.
N.B. Parents should notify the school of any medical or physical problem which will limit their child's participation in school activities or which needs special care from school staff.
***********************************************************************************************
OFFICE USE: Medical Report ( ) School assigned to ________________________
Proof of Age ( ) Grade ____________
Authorizing Signature _____________________________

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