Online Student Registration Form
Students can register for school by filling out and submitting this form. After you have done that please come to the school to meet a staff member and have a tour and discuss your situation. We accept students between the ages 15 and 19. If you are older than that, we have to discuss your situation and goals. Inner City High School is located at 11205 101 St. NW, Edmonton. You can also email us at info@innercity.ca or call (780) 424-9425.
Student Information
Legal Name
*
First Name
Middle Name
Last Name
Prefered First Name
Prefered Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Other
Pronoun Reference
He/Him
Her/She
They/Them
Address
Street Address
Street Address Line 2
City
Province
Postal Code
Student Email
*
What is the best email address to contact you at?
Phone 1 (cell)
Phone 2
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Registration Period
What school term are you registering for?
*
For semester 2A: February 6 – April 20, 2023
For semester 2B: April 24 – June 28, 2023
For Semester 1A (2023-24): August 28 – Nov. 8, 2023
Type a question
For semester 2A: February 6 – April 20, 2023
For semester 2B: April 24 – June 28, 2023
For Semester 1A (2023-24): August 28 – Nov. 8, 2023
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Contact Info
What is the best ways for us to contact you outside of school?
Select
List
Social Media - Facebook (List username)
Social Media - Instagram (List username)
Social Media - SnapChat (List username)
Cell Phone/Text
Email
Home Phone
Other (Explain in List)
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Aboriginal Self Identification
Select those that apply.
I am Inuit
I am Metis
I have a Treaty Number (I have a 10 digit registration number)
I am Non-Treaty (I do not have a 10 digit registration number but I am Indigenous)
Treaty Status Number (Optional)
First Nation/Band Name (Optional)
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Guardianship
I declare that I am an Independent Student, because:
Please Select
I am 18 years of age or older
I declare that I am an Independent Student, because I am 16 or 17 years old:
and I do not live with my legal guardian(s) and I do not have a guardianship order (i.e., PGO) with a Social Worker
I declare that I am a Dependent Student, because:
I am 17 years of age, or under
If you are a Dependent Student, what is your legal guardian's name?
First Name
Last Name
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Collection and Use of Personal Information
We collect the personal information of students and parents for educational purposes and to protect the safety of students and staff. Consent is not required to gather and share this information. Below are some examples of how and where personal information may be used. This list is not intended to be all-inclusive: use of student's name and related contact information for absenteeism verification; use of student's name on artwork or other material to be displayed at the school; use of student's name on lists such as scholarships or other awards within the school; sharing information with Alberta Education. In accordance with the Personal Information Protection Act (PIPA), as an independent high school, Inner City High School is authorized and required under the provisions of the School Act and its regulations to collect, use and disclose personal information necessary to provide an educational program and ensure a safe and secure school environment for students. Please note: photos or videos of students attending or participating in school activities (e.g. , sports events, concerts, cultural programs, clubs, field trips, graduation or other ceremonies) that are open to the general public may be taken by the public-at-large, including the media, without consent. Inner City High School cannot control or prevent the further distribution or use of these photos, videos, images or other personal information. Please contact the school principal or executive director if you have any questions or concerns regarding the collection or intended uses of this information
Do you undertand that we gather and use this personal information as listed above?
Yes, I understand.
Media Consent
I consent to be interviewed, filmed or recorded by media or contractors invited by Inner City High School.
No I do not provide media consent.
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Final Declaration
To the best of my knowledge the information provided here is true, correct and complete. Further, I recognize that it is my responsibility to notify Inner City High School should the above information change.
Student's Name
*
First Name
Last Name
Date of Submission:
*
-
Month
-
Day
Year
Date
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Submit
Should be Empty: