Discover the school
School Council
Communications
School calendar
Documentation
List of school materials
Information Guide for Families
Code of Conduct
Development plan and annual reports
School uniform
Extracurricular activities
Francophone community organizations
Contact us
Programs/Services
School Programs
Student Services
Culture and sport
School transport
Other services
Admission
Careers and Jobs
Français
X
Discover the school
School Council
Communications
School calendar
Documentation
List of school materials
Information Guide for Families
Code of Conduct
Development plan and annual reports
School uniform
Extracurricular activities
Francophone community organizations
Contact us
Programs/Services
School Programs
Student Services
Culture and sport
School transport
Other services
Admission
Careers and Jobs
Français
X
Intranet
Newsletter
Facebook
Search
Search
STUDENT INFORMATION FORM
STUDENT INFORMATION
Name:
*
Given name
Last name
*
F (female/girl/woman)
M (male/boy/man)
X (non-binary person or another gender identity)
NS (not specified/prefer not to say)
Date of birth :
*
MM slash DD slash YYYY
Place of birth :
*
Main address :
*
Other address if shared custody :
Grade this year :
*
Brothers or sisters at school ?
*
Yes
No
Information on sister(s) or brother(s)
Last name, Given name(s) :
Grade:
School attended last year : (Name, School Board, City)
This field is hidden when viewing the form
First language spoken at home:
*
Second language spoken at home:
MEDICAL INFORMATION
ALLERGIES?
*
YES
NO
Allergies
Allergy:
*
Symptoms:
*
Instructions in case of an allergic reaction :
*
Medication(s):
*
Does your child have anaphylaxis?
*
Yes
No
Please have the document
Anaphylaxis Alert Life Threatening Allergies
filled by a doctor and submit it to the school.
Asthma:
*
Yes
No
Symptoms:
*
Instructions in case of asthma:
*
Medication(s):
*
This field is hidden when viewing the form
DOES YOUR CHILD HAVE OTHER MEDICAL CONDITIONS?
*
Yes
No
Condition(s):
*
Symptoms:
*
Medication(s), if applicable:
OTHER USEFUL INFORMATION
Please provide details about any other condition or information of which the school should be aware:
PARENT OR GUARDIAN INFORMATION
Parent/guardian 1
Family name, Given Name :
*
Phone (cell)
*
Phone (home)
Phone (work)
E-mail
*
Parent/guardian 2
Family name, Given Name :
*
Phone (cell)
*
Phone (home)
Phone (work)
E-mail
*
SUBMISSION OF THE FORM
Submission of the form acts as a signature to the document. For any questions, please contact us at the following email: ecole-gv@csfptnl.ca
Date:
*
MM slash DD slash YYYY
CAPTCHA
This site is registered on
wpml.org
as a development site. Switch to a production site key to
remove this banner
.
