Holy Angels Learning Centre Student Registration
Holy Angels Continuing Education Centre
Student Registration Form
English
Inuit
Undisclosed
Science
Metis
Female
Geography
History
Other:
Math
First Nations
Other:
Catholic
Male
Date of Birth:
Date of Registration:
Preferred Last Name Input
Preferred First Name Input
Legal Last Name Input
Legal First Name Input
Preferred Last Name:
Preferred First Name:
Legal Last Name:
Legal First Name:
Name
Phone Number
City
Street Name
Number
(as it appears on I.D)
2.
1.
Health Issues/Alerts:
Religion of Student:
Emergency Contact:
Health Card:
Last School Attended:
Email Address:
Postal Code:
Province of Birth:
Home Address:
Phone Number:
Gender:
Emergency Contact Phone Number Input
Emergency Contact Phone Number Input
Phone Number Input
Signature Other Input
Indigenous Other Input
Indigenous Other Input
Health Issues 2 input
Course Code 5 Input
Course Code 4 Input
Course Code 2 Input
Course Code 1 Input
Health Issues 1 Input
Other Input
Health Card Input
Last School Attended Input
Email Address Input
Postal Code Input
Address City input
Address Street Input
Address Number Input
Address Number Input
VOLUNTARY SELF-IDENTIFICATION: All Indigenous students and their parents are encouraged to voluntarily self-identify so that the school boards may implement programs to better meet the needs of Indigenous students. Data will be treated in the same manner as the Ontario Student Record
Band:
Indigenous Ancestry:
This information is collected pursuant to the Board’s responsibilities as set out in the Education Act and its regulations. The information is
collected for education purposes and is within the guidelines set out in the Municipal Freedom of Information and Protection of Privacy Act,
1989. This information will become part of the Ontario Student Record and opportunities will be provided to update this information
annually. Any questions with respect to this information should be directed to the Principal of the school which you are applying/registered.
Signature :
(The following is for Office Use Only)
Date Registered
Teacher
Course Code
Date:
Submit
PLAR:
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