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Notre-Dame-du-Cap School
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Search
Search
Discover the school
Notre-Dame-du-Cap School
Our team
School Council
Communications
School calendar
Extracurricular activities
Francophone community organizations
Documentation
Code of Conduct
Development plan and annual reports
Contact us
Programs/Services
School Programs
Student Services
Culture and sport
School transport
Other services
Admission
Careers and Jobs
Français
X
Information Form (Student)
STUDENT INFORMATION
First and last name
*
First
Last
*
F (Female/Girl/Female)
M (male/boy/male)
X (non-binary or other gender identity)
NS (not specified/prefer not to say)
Date of birth:
*
DD slash MM slash YYYY
Place of birth:
*
Primary Address:
*
Other address if the child is in shared custody:
Grade level this year:
*
Siblings at school?
*
Yes
No
Sibling Information
Surname, first name:
Level:
School attended last year, if different (Name, School Board, Locality):
This field is hidden when viewing the form
First language spoken at home:
*
Second language spoken at home:
MEDICAL INFORMATION
ALLERGIES?
*
Yes
No
Allergies
Allergies to:
*
Symptoms of allergy:
*
Instructions to follow in case of allergy:
*
Drugs used:
*
Risks of anaphylactic shock:
*
Yes
No
In this case, please provide the school with the
Anaphylaxis Alert Threatening Allergies
document completed by a physician.
Asthma:
*
Yes
No
Asthma symptoms:
*
Instructions to follow in case of an asthma attack:
*
Drugs used:
*
This field is hidden when viewing the form
Other medical conditions to note:
*
Yes
No
Condition(s):
*
Symptoms:
*
Medications (if applicable):
OTHER USEFUL INFORMATION
Please inform us of any other situation or condition that you wish to bring to the attention of the school:
PARENT/GUARDIAN INFORMATION
Parent 1
First and last name
*
Telephone (cell)
*
Telephone (home)
Telephone (work)
Email
*
Parent/Guardian 2
First and last name
*
Telephone (cell)
*
Telephone (home)
Telephone (work)
Email
*
FORM SUBMISSION
Submitting the form acts as a signature to the document. If you have any questions, please contact us at: ecole-ndc@csfptnl.ca
Date of submission of the form:
*
MM slash DD slash YYYY
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