Child 1 Name: First Name Last Name DOB (dd/mm/yyyy) Date
Child 2 Name: First Name Last Name DOB (dd/mm/yyyy) Date
Child 3 Name: First Name Last Name DOB (dd/mm/yyyy) Date
If YES, a copy of your documentation is required. Please also indicate your scores obtained below.
The personal information that you provide is voluntary and confidential and will be used to assess your eligibility and suitability for our program. It is collected under the authority and regulations of the Manitoba Public Schools Act and the Educational Administration Act. The information will be used for the enhancement of educational programming, the completion of funding applications, and for the completion of periodic reports as required by the provincial authorities.