2025-2026 LeBoldus Grade 9 High School Application Form

Dr. Martin LeBoldus

Catholic High School

Grade 9 APPLICATION FORM
Select the school year you are applying for:
Did this student attend Regina Catholic Schools in Grade 8?
Is this student registering for the Functional Integrated Program for students with intensive needs?
The latest report card MUST be attached to the application

Cancelof
GRADE 9 PROGRAM (Choose either the English Program below or the French Program which follows)

Grade 9 at Dr. Martin LeBoldus Catholic High School operates on the semester system. Students will register for a full year of classes. These classes will be divided and timetabled into the two semesters.
English Program
ENGLISH PROGRAM
ENGLISH Program - All Grade 9 students must take: (choose one)
AND (choose one)
* Learning Resource ELA/Math - designed for students who currently require supports for Grade 8 ELA/Math content. If considering LR ELA/Math, first discuss with your child's Grade 8 teacher.
AND
- Social Studies 9
- Science 9
- Arts Education 9
- Catholic Studies 9
- Phys. Ed. Health 9
Elective Subjects - Select one of these:
* If considering a Tutorial period, first discuss with your child's Gr. 8 teacher.
(R) - Restricted Entry
French Immersion Program
FRENCH PROGRAM
FRENCH Program - All Grade 9 students must take: (choose one)
* Learning Resource ELA - designed for students who currently require supports for Grade 8 ELA content. If considering LR ELA, first discuss with your child's Grade 8 teacher.
AND:
- Mathématiques 9 (both semesters)
- Sciences Sociales 9
- Sciences Naturelles 9
- Arts Education 9
- Études catholiques 9
- Français 9
- Phys. Ed/Health 9
* If considering a Tutorial period, first discuss with your child's Grade 8 teacher.
All Students
All students may enrol in Choral and/or Band and audition for Vocal Jazz in addition to the other subjects they are taking.
Band Experience
Number of Years
Instrument
Learning Resource
Has your child had support from a Learning Resource teacher in the past?
Dr. Martin LeBoldus Catholic High School

Grade 9 REGISTRATION INFORMATION
Legal First Name
as it appears on Birth Certificate
Legal Middle Name
as it appears on Birth Certificate
Legal Last Name
as it appears on Birth Certificate
Name Used

First NameLast Name
Gender
Date of Birth
MM/DD/YY
Grade Level
Previous School (include address if out of Saskatchewan)
Student's Cell Phone #
Format: (000) 000-0000.
Address
Please select:
Number
Street Address

P.O. Box #

CityProvince

Postal Code
Home Phone
Format: (000) 000-0000.
Property Tax Support
If home owner, please indicate property tax support
Indigenous Self Declaration (voluntary):

An Indigenous person in Canada is a First Nations, a Métis or an Inuit person. First Nations “Registered Status” refers to an individual recognized by the Canadian federal government as being registered under the Indian Act. First Nations “Non-Status” refers to a First Nations person who is not registered under the Indian Act.
Based on the above definition do you self-declare as an Indigenous person?
If yes, please indicate
Heritage Information

The following information is collected for the Ministry of Education and disclosure is protected under The Local Authority Freedom of Information and Protection of Privacy Act, and all employees of Regina Catholic Schools must adhere to Administrative Application 5400.
Student's Country of Birth
Student's Country of Origin (last country of residence)
Student's Citizenship
First Language Spoken at Home
Second Language Spoken at Home
Is one or more parent a Canadian Citizen?
Regina Catholic Schools personnel will contact you to discuss further documentation needed
Is one or more parent a Permanent Resident?
Regina Catholic Schools personnel will contact you to discuss further documentation needed
Date of Arrival in Canada

MonthDayYear
Has your child had the support of an English as an Additional Language teacher in the past?
In what grade(s) was EAL support provided
EAL Students - CFR Level if known
Parent/Guardian 1 Religion/Spirituality
Parent/Guardian 2 Religion/Spirituality
Student Religion/Spirituality
Parish
Is the student baptized Catholic?
HEALTH INFORMATION
Medical Notes
PRIMARY CONTACT INFORMATION
Title
Name

First NameLast Name
Lives with student
Relationship
Work Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Home Phone (if different than student)
Format: (000) 000-0000.
Address (if different than student)

Street Address

P.O. Box #

CityProvince

Postal Code
Mail to:
Email
example@example.com
ADDITIONAL PRIMARY CONTACT INFORMATION
Title
Name

First NameLast Name
Lives with student
Relationship
Work Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Home Phone (if different than student)
Format: (000) 000-0000.
Address (if different than student)

Street Address

Street Address Line 2

CityProvince

Postal Code
Mail to
Email
example@example.com
EMERGENCY CONTACT INFORMATION

In the event the school cannot get in touch with a primary contact. (NOTE: This contact information is for someone other than the parents/guardians identified above).
Emergency Contact

First NameLast Name
Home Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Business Phone
Format: (000) 000-0000.
Emergency Contact Address

Street Address

Street Address Line 2

CityProvince

Postal Code
Sibling 1
Attends this school
Sibling 2
Attends this school
Sibling 3
Attends this school
Sibling 4
Attends this school
TO BE COMPLETED BY PARENT/GUARDIAN
Student's Name

First NameLast Name
Parent/Guardian's Signature
Date

MonthDayYear
Should be Empty:

GRADE 9 PROGRAM (Choose either the English Program below or the French Program which follows)

English Program

French Immersion Program

All Students

Learning Resource

HEALTH INFORMATION

PRIMARY CONTACT INFORMATION

ADDITIONAL PRIMARY CONTACT INFORMATION

EMERGENCY CONTACT INFORMATION