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HRH New Student Registration Form

New Student Registration Form

This form must be completed by the parent, legal guardian, or the student (if living independently)

(Typed name acts as a digital signature of consent)

The personal information collected in this form is part of the Division registration process and is collected, used, and disclosed in accordance with the Education Act and Section 4(c) of the Protection of Privacy Act (POPA). This information is protected under the Section 10 of POPA and used and shared as permitted by Sections 12 and 13. All personal information collected during the registration process and during the course of the school year will be used to provide an educational program and support process to provide a safe and secure school environment. If you have any questions regarding the collection or use of this information, please contact your school Principal or the Privacy Coordinator, Living Waters Catholic Separate School Division, Box 1949 Whitecourt, AB T7S 1P6 or phone 780-778-5666. .

For all other inquiries, Please contact your school

Documentation will be required to complete your registration. Your registration process will be fast and efficient if you already have the necessary documents scanned or photographed.

STUDENT INFORMATION

Please indicate the School Year you wish to enroll your student: *

Answer required for "Please indicate the School Year you wish to enroll your student: "

2025-2026 - current school year

2026-2027 - next school year

Please indicate the grade you wish to enroll your student:*

Answer required for "Please indicate the grade you wish to enroll your student:"

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

Please select the preferred program:*

Answer required for "Please select the preferred program:"

Regular

Co-Enrollment: Holy Redeemer and Across the Waters Outreach

Student Legal Last Name (a student's legal name is the name that appears on their Birth Certificate):*

Answer required for "Student Legal Last Name (a student's legal name is the name that appears on their Birth Certificate):"

Student Legal First Name:*

Answer required for "Student Legal First Name:"

Student Legal Middle Name:

Answer required for "Student Legal Middle Name:"

Preferred Last Name. Please enter a preferred name for this student for use on all records, reports, and formal written communications if it differs from the student's legal name.

Answer required for "Preferred Last Name. Please enter a preferred name for this student for use on all records, reports, and formal written communications if it differs from the student's legal name. "

Preferred First Name:

Answer required for "Preferred First Name:"

Date of Birth:*

Answer required for "Date of Birth:"

Gender:*

Answer required for "Gender:"

A copy of the student's Birth Certificate or Visa/Immigration documentation is required for all students new to Living Waters Catholic School Division. If you are a new student, please upload your birth certificate. You do not need to upload your student's Birth Certificate if you are a returning student and the school already has a copy.

Answer required for "A copy of the student's Birth Certificate or Visa/Immigration documentation is required for all students new to Living Waters Catholic School Division. If you are a new student, please upload your birth certificate. You do not need to upload your student's Birth Certificate if you are a returning student and the school already has a copy. "

Choose a file or drag it here.

Mailing Address: *

Answer required for "Mailing Address: "

City:*

Answer required for "City:"

Postal Code:*

Answer required for "Postal Code:"

Municipal Address (Physical Residential Address or Town/Rural Blue Sign Address) Required for Bussing:

Answer required for "Municipal Address (Physical Residential Address or Town/Rural Blue Sign Address) Required for Bussing:"

City:

Answer required for "City:"

Postal Code:

Answer required for "Postal Code: "

Lives With (collected to enable schools to direct communications to an appropriate address):*

Answer required for "Lives With (collected to enable schools to direct communications to an appropriate address):"

Parent(s)

Guardian(s)

Independent Student

Other

Home Phone: *

Number Required

Does the Student have any Siblings attending any Living Waters Schools? Please provide the sibling Last Name, First Name, School Attending, and Grade:

Answer required for "Does the Student have any Siblings attending any Living Waters Schools? Please provide the sibling Last Name, First Name, School Attending, and Grade:"

CITIZENSHIP / IMMIGRATION STATUS

A copy of the student's Birth Certificate, Passport, or Visa/Immigration Documentation is required.

Citizenship/Immigration Status: Is your student a Canadian Citizen:*

Answer required for "Citizenship/Immigration Status: Is your student a Canadian Citizen:"

Yes

No. If No, please complete the section below:

If your student is not a Canadian Citizen, Please select the information that applies to your student.

Answer required for "If your student is not a Canadian Citizen, Please select the information that applies to your student."

Temporary Resident (student has a study permit and living under the care of a legal guardian). Non-Refundable registration fee and international fees apply. Please upload the Student Visa.

A child lawfully admitted to Canada for permanent residence must present a permanent residency card.

A child living in Canada, with a biological or adopted parent who is a Canadian Citizen.

A child living in Canada, with a biological or adopted parent who has Landed Immigrant Status or Study Permit or Work Visa. Proof of parent’s documentation and copy of child’s passport required.

A step-child of a Canadian; student presents passport and study permit. Biological or adopted parents provide a passport and proof of application for permanent residency and fee payment to Citizenship and Immigration Canada.

A step-child of a Temporary Foreign Worker; student presents passport and study permit. Biological or adopted parent provides passport; step-parent provides passport and work permit.

Exchange Student - involved in an approved reciprocal exchange program (does not include Rotary exchanges). A student from another province or territory in Canada

Exchange Student - involved in an approved reciprocal exchange program (does not include Rotary exchanges). A student from outside Canada.

Custody or Guardianship rights:

Guardians of the student must be identified to ensure the rights of each party are respected. A child may be designated as “Protected” if a court has issued an order under the Child Welfare Act, the Domestic Relations Act, the Divorce Act, the Protection Against Family Violence Act, or the Young Offenders Act, or is the subject of a custody or access order including but not limited to parenting order under the Child, Youth, and Family Enhancement Act that is a predecessor to or a substitute for any of the said Acts. If your child is subject to any such order or agreement, please indicate below and discuss this situation with the school administration. If an order exists affecting guardianship rights or custody or access rights, a copy of the order or agreement will be required for the student’s record.

Does a Custody or Guardianship Order or Agreement exist:*

Answer required for "Does a Custody or Guardianship Order or Agreement exist:"

Yes. If Yes, please complete below

Please upload documentation or any orders (please select all that apply):

Answer required for "Please upload documentation or any orders (please select all that apply):"

Access and/or Custody

Parenting

Guardianship

Protection

If this order affects communication regarding the student to anyone other than the first parent/guardian listed, please explain below:

Answer required for "If this order affects communication regarding the student to anyone other than the first parent/guardian listed, please explain below:"

Parent/Guardian Information:

It is important to fill out information for each parent or guardian who is legally appointed as guardian, whether or not they are living together. Information is collected to ensure communications are directed to the appropriate address. All communications regarding the student will be directed to the first parent/guardian listed, unless noted above. Email is used only for non-confidential information. Consult the Family Law Act for Guardianship Information.

#1 Parent or Guardian. Please select: *

Answer required for "#1 Parent or Guardian. Please select: "

Parent

Guardian

#1 Relationship to Student (please specify):*

Answer required for "#1 Relationship to Student (please specify):"

#1 Religion:*

Answer required for "#1 Religion:"

#1 Last Name:*

Answer required for "#1 Last Name:"

#1 First Name:*

Answer required for "#1 First Name:"

#1 Home Phone:*

Number Required

#1 Cell Phone:*

Number Required

#1 Work Phone:

Number Required

#1 Email Address:*

Answer required for "#1 Email Address:"

#1 Mailing Address:*

Answer required for "#1 Mailing Address:"

#1 City:*

Answer required for "#1 City:"

#1 Postal Code: *

Answer required for "#1 Postal Code: "

#1 Municipal Address (if different from mailing address):

Answer required for "#1 Municipal Address (if different from mailing address):"

#1 City:

Answer required for "#1 City:"

#1 Postal Code:

Answer required for "#1 Postal Code:"

#2 Parent or Guardian:

Answer required for "#2 Parent or Guardian:"

Parent

Guardian

#2 Relationship to Student (please specify):

Answer required for "#2 Relationship to Student (please specify):"

#2 Religion:

Answer required for "#2 Religion:"

#2 Last Name:

Answer required for "#2 Last Name:"

#2 First Name:

Answer required for "#2 First Name:"

#2 Home Phone:

Number Required

#2 Cell Phone:

Number Required

#2 Work Phone:

Number Required

#2 Email Address:

Answer required for "#2 Email Address:"

#2 Mailing Address:

Answer required for "#2 Mailing Address:"

#2 City:

Answer required for "#2 City:"

#2 Postal Code:

Answer required for "#2 Postal Code:"

#2 Municipal Address (if different from mailing address):

Answer required for "#2 Municipal Address (if different from mailing address):"

#2 City:

Answer required for "#2 City:"

#2 Postal Code:

Answer required for "#2 Postal Code:"

EMERGENCY CONTACT INFORMATION

Must be someone other than the student's parent/guardian. This person will only be contacted in the case of an emergency.

#1 First and Last Name:

Answer required for "#1 First and Last Name:"

#1 Relationship to Student (please specify):

Answer required for "#1 Relationship to Student (please specify):"

#1 Cell Phone:

Number Required

#1 Home Phone or Other Phone:

Number Required

#2 First and Last Name:

Answer required for "#2 First and Last Name:"

#2 Relationship to Student (please specify):

Answer required for "#2 Relationship to Student (please specify):"

#2 Cell Phone:

Number Required

#2 Home Phone or Other Phone:

Number Required

#3 First and Last Name:

Answer required for "#3 First and Last Name:"

#3 Relationship to Student (please specify):

Answer required for "#3 Relationship to Student (please specify):"

#3 Cell Phone:

Number Required

#3 Home Phone or Other Phone:

Number Required

MEDICAL INFORMATION

You are under no obligation to provide this information.

Please provide your student's ALBERTA HEALTH CARE CARD #. Students with a student Visa must register with the Alberta Health Care Insurance Plan within 3 months of arrival.

Answer required for "Please provide your student's ALBERTA HEALTH CARE CARD #. Students with a student Visa must register with the Alberta Health Care Insurance Plan within 3 months of arrival. "

For the benefit of your student, please identify any medical diagnosis, treatments, or personal concerns of which your student's Teacher and School Administration should be aware.

Answer required for "For the benefit of your student, please identify any medical diagnosis, treatments, or personal concerns of which your student's Teacher and School Administration should be aware. "

Physical Disabilities

Allergies

Medical Diagnosis

Medical Treatment

Mental Health Issues

Personal Issues

Family Issues

Other

Please provide details regarding the above selections. (i.e. List all Allergies, Reactions, Treatments).

Answer required for "Please provide details regarding the above selections. (i.e. List all Allergies, Reactions, Treatments). "

SPECIAL EDUCATION / INCLUSIVE EDUCATION

Has your student ever received a specialized education program (IPP - Individual Program or IEP - Individual Education Plan). *

Answer required for "Has your student ever received a specialized education program (IPP - Individual Program or IEP - Individual Education Plan). "

Yes

Please explain any specialized learning needs your student may have (learning disabilities, giftedness, emotional/behavioural, physical, medical, reading, mathematical).

Answer required for "Please explain any specialized learning needs your student may have (learning disabilities, giftedness, emotional/behavioural, physical, medical, reading, mathematical). "

FAITH

Is Your Student or the Parent/Guardian Catholic?

Note: All of the schools in this district are Catholic Separate Schools, the essential purpose of which is to fully permeate Catholic theology, philosophy, practices and beliefs, the principals of the Gospel and teachings of the Catholic Church, in all aspects of school life, including the curriculum of every subject taught, both in and outside of formal religion classes. Every course of study and educational program, all instruction and exercises will include subject matter that deals with religion. Students are expected to participate in all religious education activities. Please select all that apply.

Answer required for "Is Your Student or the Parent/Guardian Catholic?"

Student or Parent is Catholic

Your Student has been Baptized in the Catholic Church. Please provide a copy of the Certificate of Baptism

Your Student has been Confirmed

Your Student received First Communion

Neither Student or Parent is Catholic

Has your child been Baptized in the Catholic Church? (Please provide a copy of the Certificate of Baptism)*

Answer required for "Has your child been Baptized in the Catholic Church? (Please provide a copy of the Certificate of Baptism)"

YES

Has your child received First Communion?*

Answer required for "Has your child received First Communion?"

YES

Has your Child been Confirmed?

Answer required for "Has your Child been Confirmed?"

YES

FRANCOPHONE ELIGIBILITY

According to the Education Act and Section 23 of the Canadian Charter of Rights and Freedoms, a parent who is a Canadian Citizen has the right to have all his/her children receive primary and secondary instruction in French if:

1. Either parent’s first language learned and still understood is French (mother or father’s native tongue is French) or,

2. Either parent received their primary school instruction in Canada at a Francophone school (K-12), or,

3. Any child in the same family has received or is receiving primary or secondary school instruction at a Francophone school in Canada.

4. This does not include French Immersion (programming offered by Living Waters Catholic Schools).

Note: Francophone eligibility rights are not multi-generational, and refer only to the native tongue of the parent(s).

Do you claim entitlement to a Francophone education under the terms of the Education Act?*

Answer required for "Do you claim entitlement to a Francophone education under the terms of the Education Act?"

Yes

If Yes, do you wish to exercise these rights?

Answer required for "If Yes, do you wish to exercise these rights?"

Yes

Language:

This information helps with program placement and communicating with the student in an emergency.

Is English your child's first language:*

Answer required for "Is English your child's first language:"

Yes

If No, what language is mainly spoken at home:

Answer required for "If No, what language is mainly spoken at home:"

ABORIGINAL STATUS

For further information, please refer to: www.education.alberta.ca/system-supports/results-reporting or contact Alberta Education at 780-427-8501.

If you have questions regarding the collection of student information by the school board, please contact Mr. Trevor Mitchell, Living Waters Deputy Superintendent at 780-778-5666.

If you wish to coluntarily declare that your child is an First Nations person, please select one:

Answer required for "If you wish to coluntarily declare that your child is an First Nations person, please select one: "

First Nation (Status)

First Name (Non-Status)

Metis

Inuit

Does this student have a Status Card?

Answer required for "Does this student have a Status Card?"

YES

If YES, please provide the Treaty #:

Answer required for "If YES, please provide the Treaty #:"

LAST SCHOOL ATTENDED:

Name of last school attended:

Answer required for "Name of last school attended: "

Address:

Answer required for "Address: "

Phone:

Answer required for "Phone: "

Fax:

Answer required for "Fax:"

Permission is given to contact the school for any transcripts, achievement and aptitude test scores, pertinent health information, and any psychological or other individual assessments. Parent Signature: (Typed name acts as a digital signature of consent):

Answer required for "Permission is given to contact the school for any transcripts, achievement and aptitude test scores, pertinent health information, and any psychological or other individual assessments. Parent Signature: (Typed name acts as a digital signature of consent): "

INDEPENDENT STUDENT STATUS:

The Education Act defines an independent student as someone who is 18 years of age or olders, or 16 years of age and living independently, or who is party to an agreement under 57.2 of the Child, Youth and Family Enhancement Act. Independent students may complete this form register without parental consent.

Are you claiming 'Independent Student' status as defined in the Education Act?*

Answer required for "Are you claiming 'Independent Student' status as defined in the Education Act?"

YES

School Division Use of Personal Information

Protection of Privacy: Living Waters Catholic Schools collects, uses, and discloses personal information of students and parents/guardians in accordance with the Education Act and Section 4(c) of the Protection of Privacy Act (POPA). This information is protected under Section 10 of POPA and used and shared as permitted by Sections 12 and 13. This consent will be used to promote the school community and the Division. Information collected may be transmitted to and stored on servers outside of Living Waters Catholic Schools, Alberta and Canada, and Living Waters Catholic Schools cannot guarantee protection against disclosures as a consequence of foreign laws. Living Waters Catholic Schools may use automated systems in processing this collection of personal information. Should you require further information about the collection, use, and disclosure of this collection of personal information, please contact your school principal.

Please read this list of activities carefully and complete the consent by signing in Section A or Section B:

Consent to Post or Publish Student Information

Living Waters Catholic Schools is requesting permission to use your child’s personal information (Image, grade, and/or name, etc.) outside of the school community.

YES, I consent to my child's personal information, which may include photos or videos of my child being share in the following ways.

1. Posting photos or videos to social media platforms such as Facebook, Instagram, YoutTube, or X for promoting the school and school programs such as concerts, plays, sports podcasts, and school or Division public events.

2. Using photos, videos, students work or presentations on the school/Division websites, other educational websites, or in external educational presentations.

3. Sharing photos or videos with parents, guardians, and students in the community for the purpose of sharing school-wide events (school concerts, track meets, assemblies, etc.) classroom activities, and field trips. The photos or videos may also be used in creating memory books, and slideshows.

This list does not include all the activities or programs that take place in a school. School personnel will contact parents/guardians for written consent if activities occur that are inconsistent with those listed above.

1. Photos/videos of school activities (i.e. athletic events, concerts, graduation, or other ceremonies) that are open to the general public may be taken and used for purposes within and outside the school. The school is not able to restrict such activity at public events.

2. Once a student's image, name, and other identifying information is released publicly, Living Waters Catholic Schools cannot control or prevent the further distribution or use of material by those who access the information.

3. Schools will ensure that email addresses are not used in a fashion that would make them available for public use. Student's full names will not be used with any social media or website posts, without direct parent/guardian consent.

4. Consent is voluntary. You can withdraw or change your consent by contacting your school.

YES, I have read and understand the uses that will be made of ALL the personal information as described in the consent list, and YES, hereby consent to the collection and use of this information as they relate to my child.

Signature of Parent/Guardian (typed name acts as a digital signature of consent):

Answer required for "Signature of Parent/Guardian (typed name acts as a digital signature of consent): "

Date:

Answer required for "Date: "

NO, I have read and understand that uses will be made of the personal information as described in the consent list, and NO, I do not consent to my child's personal information being used or disclosed for any of the stated purposes.

Signature of Parent/Guardian (typed name acts as a digital signature of consent):

Answer required for "Signature of Parent/Guardian (typed name acts as a digital signature of consent):"

Date:

Answer required for "Date: "

CASL LEGISLATION

I give consent to Holy Redeemer Catholic High School to send my email or text information relating to the activities or events related to my child's school. I also understand that I can unsubscribe from these messages at any time by contacting my school at (780) 723-7437 or email the school. *

Answer required for "I give consent to Holy Redeemer Catholic High School to send my email or text information relating to the activities or events related to my child's school. I also understand that I can unsubscribe from these messages at any time by contacting my school at (780) 723-7437 or email the school. "

YES

DECLARATION

The information provided in this document is true, correct, and complete. I have identified all parents and legal guardians for this student. The individuals identified in the 'Parent/Guardian' section have the right to view student information and make educational decisions for this child, unless otherwise indicated on this registration form and supported with legal documentation. Additionally, I confirm that I am currently residing in Alberta.

I further recognise that it is my responsibility to notify my child's school should the provided information change.

If any information provided on this form changes, please contact your Student's school immediately.

Student's Name: *

Answer required for "Student's Name: "

Date: *

Answer required for "Date: "

Parent/Guardian Signature: (Typed name acts as a digital signature of consent):*

Answer required for "Parent/Guardian Signature: (Typed name acts as a digital signature of consent):"

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"

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