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HRH New Student Registration Form

New Student Registration Form

2024-2025

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 information requested on this form is being collected pursuant to the Education Act (Student Record Regulation), the Freedom of Information and Protection of Privacy (FOIP) Act, and the Canadian Charter of Rights and Freedoms, Section 23. Information acquired through this form is kept secure and access is restricted. If you have any questions regarding the collection or use of this information, please contact your school Principal or the FOIP 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 grade you wish to enroll your student:*

Answer Required

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

Please select the preferred program:*

Answer Required

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

Student Legal First Name:*

Answer Required

Student Legal Middle Name:

Answer Required

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

Preferred First Name:

Answer Required

Date of Birth:*

Answer Required

Gender:*

Answer Required

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

Choose a file or drag it here.

Mailing Address: *

Answer Required

City:*

Answer Required

Postal Code:*

Answer Required

Municipal Address (if different from mailing address - required for bussing):

Answer Required

City:

Answer Required

Postal Code:

Answer Required

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

Answer Required

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

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

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

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

Yes. If Yes, please complete below

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

Answer Required

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

Parent/Guardian Information: (Consult the Family Law Act for Guardianship Information)

It is important to fill out information for each parent or 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.

#1 Parent or Guardian. Please select: *

Answer Required

Parent

Guardian

#1 Relationship to Student (please specify):*

Answer Required

#1 Religion:*

Answer Required

#1 Last Name:*

Answer Required

#1 First Name:*

Answer Required

#1 Home Phone:*

Number Required

#1 Cell Phone:*

Number Required

#1 Work Phone:

Number Required

#1 Email Address:*

Answer Required

#1 Mailing Address:*

Answer Required

#1 City:*

Answer Required

#1 Postal Code: *

Answer Required

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

Answer Required

#1 City:

Answer Required

#1 Postal Code:

Answer Required

#2 Parent or Guardian:

Answer Required

Parent

Guardian

#2 Relationship to Student (please specify):

Answer Required

#2 Religion:

Answer Required

#2 Last Name:

Answer Required

#2 First Name:

Answer Required

#2 Home Phone:

Number Required

#2 Cell Phone:

Number Required

#2 Work Phone:

Number Required

#2 Email Address:

Answer Required

#2 Mailing Address:

Answer Required

#2 City:

Answer Required

#2 Postal Code:

Answer Required

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

Answer Required

#2 City:

Answer Required

#2 Postal Code:

Answer Required

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

#1 Relationship to Student (please specify):

Answer Required

#1 Cell Phone:

Number Required

#1 Home Phone or Other Phone:

Number Required

#2 First and Last Name:

Answer Required

#2 Relationship to Student (please specify):

Answer Required

#2 Cell Phone:

Number Required

#2 Home Phone or Other Phone:

Number Required

#3 First and Last Name:

Answer Required

#3 Relationship to Student (please specify):

Answer Required

#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 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

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

SPECIAL EDUCATION / INCLUSIVE EDUCATION

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

Answer Required

Yes

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

Answer Required

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

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

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

Yes

If Yes, do you wish to exercise these rights?

Answer Required

Yes

ENGLISH AS A SECOND LANGUAGE (English Language Learner)

A student may be eligible for ELL support when the primary language spoken at home is a language other than English.

Is your student's primary language English:*

Answer Required

Yes

If No, my student's primary spoken language is:

Answer Required

The language spoken at home is:

Answer Required

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.

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

Confirmation Email

Confirmation Email *

Email Required

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