W̱LSS Registration

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SCHOOL INFORMATION

Grade Entering Now*

Last Grade Completed*

**Please note that your child must be 4 years old by December 31 of this year to register for preschool.

Last School Attended*

SCHOOL PROGRAMS

W̱SÁNEĆ School Board offers students two provincially certified curriculum pathways:

1. SENĆOŦEN Immersion
- A full SENĆOŦEN immersion program
- Available from Preschool to Grade 12
2. Exposure (SENĆOŦEN & English)

Instruction in both SENĆOŦEN and English
Available from Preschool to Grade 12

Select Your Program*

STUDENT INFORMATION

Legal First Name*

Middle Name*

Legal Last Name*

Preferred Name (if applicable)

Gender assigned at birth*

Gender Identity*

Date of Birth*

Month

Day

Year

Current Age*

STUDENT ADDRESS

Street Address*

City*

Province*

Postal Code*

NATION INFORMATION

Indigenous Status*

Status

Non-Status

Non-Indigenous

Student has a Status Number?*

Yes

Status Number*

Upload photo of Status Card

Max. file size: 80 MB.

Band/Community of Origin*

Please specify (Other):*

Band/Community of Residence*

Please specify (Other):*

PARENT/GUARDIAN INFORMATION

Parent / Guardian 1*

FIRST Name LAST Name

Relationship to Child*

Mother

Father

Legal Guardian

Mailing Address*

Same as Child

Different from Child

Address*

Street Address City Province Postal Code

Home Phone

Cell Phone*

Work Phone

Email*

Parent / Guardian 2

FIRST Name LAST Name

Relationship to Child

Mother

Father

Legal Guardian

Mailing Address

Same as Child

Different from Child

Address

Street Address City Province Postal Code

Home Phone

Cell Phone

Work Phone

CUSTODY INFORMATION

Child lives with:*

Both Parents

Mother Only

Father Only

Guardian

Shared Custody

Other

Please Specify:

Legal Information - Copies Required

Shared Living Arragements

Court Order

Child in Care of MCFD

None

Upload Legal Document(s)

Max. file size: 80 MB.

EMERGENCY CONTACTS

Provide THREE contacts. If parent/guardian cannot be reached, school will call in ORDER listed below.

EMERGENCY CONTACTS

Emergency Contact Name	Relationship to Child	Actions

There are no Emergency Contacts.

Maximum number of emergency contacts reached.

LEARNING SUPPORT INFORMATION

Previous Individual Educational Plan (IEP):*

Yes

English Language Support Required:*

Yes

Other Learning Considerations:

HEALTH INFORMATION

BC Services Card Number*

Upload photo of Health Card

Max. file size: 80 MB.

Health Factors*

Select if applicable:

No health considerations

Anaphylactic

Requires Epipen

Allergies

Asthma

Diabetes

Epilepsy

Other

Please specify:

Are any of these conditions LIFE THREATENING?*

Yes

Please specify:

Additional Health Factor Information:

REQUIRED POLICY CONSENT

Consent for the Release of Student Information from Previous School(s)

Release of Student Information Consent	Actions

There are no Entries.

Maximum number of entries reached.

INTERNET USE POLICY

I agree to the following policy:	Actions

There are no Consents Added.