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Notre-Dame-du-Cap School
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X
Search
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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
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-ndc@csfptnl.ca
Date:
*
MM slash DD slash YYYY
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