Student First Name * Student Last Name * Preferred First Name DOB * MM 01 02 03 04 05 06 07 08 09 10 11 12 DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 YYYY 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 Student Email * Student Cell Phone Number * Parent Email * Confirm Parent Email * Grade enrolled in for 2023/2024 * Student Address Box/Apt Number Street Address * City/Town * Province * Postal Code * Home Phone Number * School Attended in June 2024 * Choose A School VJ Maloney RS Fowler Legal School MCHS SACHS ESSMY Bellerose Paul Kane Sister Alphonse Academy Other Current GSACRD Student * Yes No Note: Student Authorization - subject to foreign fees. Please scan and upload the document of your choice. Alternately, you can drop off, or mail, a photocopy of the document in a sealed, labelled envelope, to GSACRD District Office at: 6 St. Vital Avenue St. Albert, Alberta, T8N 1K2. Options of Acceptable Documentation: Birth Certificate (Canadian),Valid Passport (Canadian), Alberta Government Identification Card Immigration Papers (including Refugee), Treaty Card (Number), Permanent Resident Card, Temporary Resident Papers, Legal Guardianship (Court Order), Valid Parent’s Work or Study Permit, Parent’s Citizenship. Student registration cannot be completed without a copy of a legal document from one of the above ten options that provides proof of legal name, age and citizenship or immigration status. Note: If a parenting order or any other legal document governing the access, custody, contact, protection or guardianship of your child exists, a copy must be provided for the student record. *Allowed file types for upload are pdf, pages, doc, docx, xls, xlsx, jpg, jpeg, or png. Document 1 Choose File No file chosen Document 2 Choose File No file chosen Document 3 Choose File No file chosen Document 4 Choose File No file chosen Add Another Document School Attended in June 2024 (if other) * Individualized Program Plan * Does the student have an Individualized Program Plan at their current school, identifying approved accommodations that they require in order to be successful? Yes No If you did not attend a GSACRD school last year, please scan and attach a birth certificate below, or mail a photocopy to 6 St. Vital Avenue St. Albert, Alberta T8N 1K2 Canada Birth Certificate Choose File No file chosen Parent/Guardian Contact Information Contact Name * Relationship * Home Phone * Work Phone Cell * Address (if different than student) City/Town Postal Code Student Resides With * Mother Father Both Medical/Emergency Information Please identify any serious medical concerns Is this student on any medications which school personnel should be made aware of? * Yes No If yes, please fill in the space above with Medical information. In the event of an Emergency, the school will contact the appropriate medical personnel Citizenship or Immigration Status Is the student a Canadian Citizen? * Yes No Please check one of the following Permanent Resident/Landed Immigrant Child of a Canadian Citizen Child or step-child of an individual lawfully admitted to Canada for permanent or temporary residence Student Authorization - study permit Visa Number: Expiry Date Course Requests Please check off the courses you wish to register for. Those students requesting a core course should limit their request to that single course. Those students requesting complementary courses should limit their request to 2 courses (Phys Ed, CALM, Religious Studies). If you finish your 2 courses with enough time to complete a third, please contact Summer School admin at that time and we can add a third. Online Courses - July 2nd - July 19th CALM 20 (Career & Life Management) Religious Studies 15 Religious Studies 25 Religious Studies 35 Non-GSACRD Registrants ONLY: I have let my school division know that I am taking a Religious Studies Course with Greater St. Albert Summer School. Phys Ed 10 Phys Ed 20 Phys Ed 30 All core courses will be on-site at SACHS - instructions will be given at the core course starter session on July 2nd. July 3rd to July 25th - You may only select one Core Course Biology 20 Biology 30 Chemistry 20 Chemistry 30 Physics 20 Physics 30 Science 20 Science 30 Science 24 Math 20-1 Math 20-2 Math 30-1 Math 30-2 Math 31 English 20-1 English 20-2 English 30-1 English 30-2 Social Studies 20-1 Social Studies 20-2 Social Studies 30-1 Social Studies 30-2 Classroom-Based Courses - July 2nd - July 25th Math 10C @ St. Albert Catholic High School Science 10 @ St. Albert Catholic High School Classroom-Based Courses - July 3rd - 10th PE 10 St. Albert @ St. Albert Catholic High School PE 10 Morinville @ Morinville Community High School Classroom-based courses will only run if there are enough students registered. How did you hear about Summer School? * Select A Source Summer School website Letter from school or school division Electronic signage Social media - Facebook Social media - Twitter Social media - other Newspaper advertisement Word of mouth Other (please specify) Please Specify As indicated by my typed signature below, I declare that I am the parent of the registered student, and that the information provided on this registration form, which is a legal document, is accurate and complete to the best of my knowledge and belief. I understand that the typing of my name in the box below is to act in exchange for a written signature. Please enter your full name to sign off. Date Leave Blank
