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Home
About
Board
Team
Resources
Resources For Employees
Resources For Employers
Employment Programs & Scholarships
Programs
Partnerships
Opportunities
Current Employment Opportunities
Current Training Opportunities
Contact
P-TECH Registration
Unama'ki P-TECH Early College High School Registration Form Registration 2019-2020
A. School Information
Program Name: Unama'ki P-TECH Early College High School
Grade
*
B. Student Information
Student's Name
*
First
Last
Known By
Date of Birth
*
Date Format: MM slash DD slash YYYY
Gender
*
Male
Female
Prefer Not To Say
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Phone
*
Community
*
Band Name and Band Number
*
Previous school attended
*
C. Parent/Guardian Information
Parent/Guardian 1
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Phone
Email
Parent/Guardian 2
Name
First
Last
Address
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Phone
Email
D. Emergency Contact Information (Person other than parent/guardian)
Name
*
First
Last
Relationship To Student
Phone
E. Medical Information
Emergency procedures: Should your child become ill during school hours, the school will notify the parent/guardian. In case of an emergency, your child will be taken to a hospital or clinic for emergency treatment. Should an ambulance be required, the parent/guardian of the child will be responsible for the ambulance service.
Please indicate any health care needs or conditions
*
Asthma
Diabetes
Allergy
None
Other
If other/allergy, please indicate
F. Student Bus Information
Bus Student
*
Yes
No
Lunch Student
*
Yes
No
Other Important Information to Know
G. Permission and Release of Information
Media Consent: I give permission for my child's personal information (i.e. photo, school work, etc.) to appear on webites, on the school's social media channels and in any school-related publications.
*
Yes
No
Consent to receive School Emails: Canada has implemented an anti-spam legislation which requires your consent to send emails related to activity such as school fundraisers, feild trips, student pictures, yearbook sales, etc. If you wish to receive these emails, please indicate here. You can withdraw at any time.
*
Yes
No
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