STUDENT REGISTRATION AND APPLICATION FOR ADMISSION 2025/26
Student Information
*
Student's Legal First Name
Student's Legal Last Name
Student's Residential Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student's Mailing Address (If different from the student's residential address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
STUDENT'S CITIZENSHIP STATUS
*
Canadian Citizen
Permanent Residency
Protected Persons Status
LEGAL VERIFICATION the following documents are required to complete the registration.
*
Please Select
Birth Certificate
Health Card
Immunization Document
Custody Document (if available)
Supportive documents required for students that are born outside of Canada
Please Select
Passport
Permanent Residency
Student/Work Visa
Father's Information
*
First Name
Last Name
Father's Address (If different from the student's)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Father's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Father's Email
example@example.com
Mother's Information
*
First Name
Last Name
Mother's Address (If different from the student's)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mother's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Mother's Email
example@example.com
Emergency Contact (an "emergency contact" is someone other than the student's parent or guardian) Emergency Contact #1
*
First Name
Last Name
Emergency Contact #1's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact #1's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact (an "emergency contact" is someone other than the student's parent or guardian) Emergency Contact #2
First Name
Last Name
Emergency Contact #2's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact #2's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
FAMILY CIRCUMSTANCES ( Are there any special family circumstances we should be aware of)
MEDICAL INFORMATION does the student have any health conditions, allergies, life threatening allergies that ACT should know about? If "Yes" Please specify in details and provide relevant documents.
EDUCATIONAL HISTORY does you child have any special learning needs? does your child have an IPP or a modified instructional program plan? If "Yes" Please specify in details and provide relevant documents.
Student's Birth Certificate, Permanent Residency or Passport
*
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Student's Health Card
*
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Father's Permanent Residency or Passport
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Father's Drivers License
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Mother's Permanent Residency or Passport
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Mother's Drivers License
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Other Relevant Documents if any.
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Parent's/Guardian's Name
*
First Name
Last Name
Signature
*
Date
*
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Month
-
Day
Year
Date
Submit
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