Sacred Heart Registration Form

Please complete the form below. Required fields marked with an asterisk *

Is this registration for:

Answer Required

Current School Year

Beginning of next school year (September)

Please choose from registration options below.

Answer Required

If you choose kindergarten, please mark your preference for school days. Please note, kindergarten is full day.

Answer Required

Monday/Wednesday and scheduled Fridays

Tuesday/Thursday and scheduled Fridays

No preference

If you chose Kindergarten, please complete the following question. Choose the one that best describes your child when it comes to toileting:

Answer Required

Previous School (if applicable)

Name of Previous School

Answer Required

Address of Previous School

Answer Required

Phone Number of Previous School

Number Required

Has student ever before attended any school within Holy Trinity Catholic School Division?*

Answer Required

Yes

Please select name of HTCSD school attended.

Answer Required

Student Information

Last name*

Answer Required

First Name*

Answer Required

Middle Name*

Answer Required

Gender*

Answer Required

Female

Male

Unspecified

Date of Birth*

Answer Required

Student's Birth Country*

Answer Required

Primary Phone:*

Number Required

Address

Mailing Address*

Answer Required

City*

Answer Required

Postal Code*

Answer Required

Physical Home Address:(Rural: include land description)*

Answer Required

Student resides with*

Answer Required

Mother

Father

Both

Other:

Parent/Guardian #1 Information (This is the person who will be the first contact for the school if they phone you)

Is there a custody agreement in place for your child?*

Answer Required

Yes

Last Name*

Answer Required

First Name*

Answer Required

If other is answered for above please specify relationship to child.

Answer Required

Address*

Answer Required

Same as Student

Other

Primary Phone*

Number Required

Work/Other Phone

Number Required

Email *

Answer Required

Parent/Guardian #2

Last Name

Answer Required

First Name

Answer Required

If other is answered for above please specify relationship to child.

Answer Required

Address

Answer Required

Same as Student

Other:

Primary Phone

Number Required

Work/Other Phone

Number Required

Answer Required

Parent/Guardian #3

Last Name

Answer Required

First Name

Answer Required

If you answered other to the previous question please specify relationship.

Answer Required

Address

Answer Required

Same as student

Other:

Primary Phone

Number Required

Work/Other Phone

Number Required

Email Address

Answer Required

Parent/Guardian #4

Last Name

Answer Required

First Name

Answer Required

If you answered other to the previous question please specify relationship.

Answer Required

Address

Answer Required

Same as student

Other:

Primary Phone

Number Required

Work/Other Phone

Number Required

Email Address

Answer Required

Special Situations

List any medical/allergy situations:

Answer Required

Languages spoken:*

Answer Required

How long has student been exposed to English?*

Answer Required

Voluntary Declaration:

Answer Required

First Nations

Métis

First Country of Citizenship:*

Answer Required

Second County of Citizenship:

Answer Required

Resident Type:*

Answer Required

Canadian Citizen

Refugee

Permanent Resident

Temporary Resident

Student/Visitor Visa

Child Care Provider

Name:

Answer Required

Address:

Answer Required

Primary Phone:

Number Required

Other Phone:

Number Required

Emergency Contact

This is someone who can come and pick up the child from school if the parent or guardian in unavailable.

Name of Emergency Contact #1:*

Answer Required

Relationship to Student:*

Answer Required

Primary Phone:*

Number Required

Name of Emergency Contact #2:*

Answer Required

Relationship to Student:*

Answer Required

Primary Phone:*

Number Required

Sibling Information (Optional)

Do you have other children attending or will be attending Holy Trinity Catholic School Division?

Answer Required

Yes

Siblings name(s) and age(s):

Answer Required

Religion

Who is Catholic?*

Answer Required

Mother

Father

Student

None of the above

Student has been:*

Answer Required

Baptized

Received 1st Communion

Confirmed

None of the above

If Religion is other than the Catholic Faith please sign the following acknowledgement: In accordance with Administrative Procedure 300: Admission of Students, I wish to have my child/children attend a Catholic school. My child is not Catholic but an important reason why I am choosing a Catholic school is to have my child/children participate in the spiritual formation and atmosphere that Catholic schools provide. I agree to comply with and support, to the best of my ability, the vision, mission, and covenant of shared values of the school division, the Religious Education program, and the religious celebrations of the Catholic school, excluding reception of the sacraments.

I agree with the above statement.*

Answer Required

Yes

Religion is Catholic

Today's Date*

Answer Required

After hitting submit, you will automatically be redirected to the Transportation Request Form.

Please fix the highlighted areas below before submitting.

Sacred Heart Registration Form