CGS Application for Admission OLD

Application for Admission
Today's Date

DayMonthYear
2 digit month, 2 digit day, 4 digit yearDate
Child's Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Gender
Year of Entry
Applying for entry into:
Early Start Preschool Program Options (REQUIRED for EARLY START applicants ONLY )

Do you require Extended Care?

Rows	No	Yes	Undecided
Before Care (available to students JK through Grade 4 only)
After Care (available to students in all grade levels)

Current School / Daycare
Current School / Daycare Phone
Format: (000) 000-0000.
How did you hear about CGS? Please be specific.
Parent / Guardian Information
Parent / Guardian 1

First NameLast Name
Home Address

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Preferred E-mail
Preferred Phone
Format: (000) 000-0000.
Alternate Phone
Format: (000) 000-0000.
Employer
Job Title
Parent / Guardian 2

First NameLast Name
Home Address (if different from above)

Street Address

Street Address Line 2

City Province

Postal CodeCountry
Preferred E-mail
Preferred Phone
Format: (000) 000-0000.
Alternate Phone
Format: (000) 000-0000.
Employer
Job Title
Correspondence regarding this application should be sent to:
Please describe your child's living arrangements (family members in the home).
Please help us understand your child better
How would you describe your child’s personality?
What activities, interests, and hobbies does your child enjoy?
What are your expectations for this school year?
Please upload a copy of your child’s most current grade report. (JK through Grade 4 applicants only)

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Has your child ever had a psycho-educational assessment?
If yes, please upload your child's psycho-educational assessment here.

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Has your child been involved in any special education programs? If yes, please provide details.
Do you have any concerns regarding your child's behaviour that we should be aware of?
If yes, please provide details.
Describe your child’s overall health. Include history of communicable diseases.
Does your child have allergies or any other medical conditions we should be aware of?
Any special requirements for diet, rest or exercise?
Application Fee and Signatures

My Products

CGS Application Fee$100.00 CAD

Total $0.00 CAD

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

We, the undersigned, are aware that all information in this Application for Admission to CGS will remain strictly confidential. We grant CGS the permission to request and receive confidential information regarding our child and to retain such information in our child’s OSR (Ontario Student Record) file for future reference.
Parent / Guardian 1 Signature
Parent / Guardian 2 Signature
Should be Empty:

Application for Admission

Parent / Guardian Information

Please help us understand your child better

Application Fee and Signatures

My Products