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?*

YesNo
Is this student registering for the Functional Integrated Program for students with intensive needs?

YesNo
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

My Program
ENGLISH Program - All Grade 9 students must take: (choose one)

English Language Arts 9 (both semesters) or* English Language Arts 9 Learning Resource (both semesters)
AND (choose one)

Math 9 (both semesters) or* Math 9 Learning Resource (both semesters)
* 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:

PAA Survey 9 (Food Studies/Industrial Arts/Robotics)EAL 9 (English as an Additional Language) (R)* TUTORIAL - a daily scheduled period in one semester (in place of an elective) designed for students requiring intensive academic support. (R)
* If considering a Tutorial period, first discuss with your child's Gr. 8 teacher.
(R) - Restricted Entry
French Immersion Program
FRENCH PROGRAM

My Program
FRENCH Program - All Grade 9 students must take: (choose one)

English Language Arts 9 (both semesters) or* English Language Arts 9 Learning Resource (both semesters)
* 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
* TUTORIAL - a daily scheduled period in one semester (in place of Arts Education or Phys. Ed/Health) designed for students requiring intensive academic support.
* 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.

Choral 9 (both semesters) (twice/week)Vocal Jazz 9 (both semesters) (twice/week)Band 9 (both semesters) (twice/week)Instrumental Jazz 9 (both semesters) (once/week)
Band Experience
Number of Years
Instrument
Learning Resource
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.
Has your child had support from a Learning Resource teacher in the past?

YesNo
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*
Grade Level*
Previous School (include address if out of Saskatchewan)*
Student's Cell Phone #
Address
Please select:*
Number*
Street Address

P.O. Box #

CityProvince

Postal Code
Home Phone *
Property Tax Support*

Home OwnerRenter
If home owner, please indicate property tax support*

SeparatePublicSplit
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?

YesNo
If yes, please indicate

First Nations (Registered/Treaty/Status)First Nations (Non-Registered/Non-StatusMétisInuit
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*

CanadaOther
Student's Country of Origin (last country of residence)*

CanadaOther
Student's Citizenship*

CanadaOther
First Language Spoken at Home*

EnglishFrenchOther
Second Language Spoken at Home*

EnglishFrenchOther
Is one or more parent a Canadian Citizen?*

YesNo
Regina Catholic Schools personnel will contact you to discuss further documentation needed
Is one or more parent a Permanent Resident?*

YesNo
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?

YesNo
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?*

YesNo
HEALTH INFORMATION
Medical Notes
PRIMARY CONTACT INFORMATION
Title*
Name*

First NameLast Name
Lives with student
Relationship*

FatherMotherStepfatherStepmotherGrandparentGuardian
Work Phone
Cell Phone
Home Phone (if different than student)
Address (if different than student)

Street Address

P.O. Box #

CityProvince

Postal Code
Mail to:*

YesNo
Email*
example@example.com
ADDITIONAL PRIMARY CONTACT INFORMATION
Title
Name

First NameLast Name
Lives with student
Relationship

FatherMotherStepfatherStepmotherGrandparentGuardian
Work Phone
Cell Phone
Home Phone (if different than student)
Address (if different than student)

Street Address

Street Address Line 2

CityProvince

Postal Code
Mail to

YesNo
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
Cell Phone
Business Phone
Emergency Contact Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Sibling 1
Attends this school

YesNo
Sibling 2
Attends this school

YesNo
Sibling 3
Attends this school

YesNo
Sibling 4
Attends this school

YesNo
TO BE COMPLETED BY PARENT/GUARDIAN*

I agree to the course selections outlined above for my child.I grant permission to release all educational records and applicable information from previous schools.
Student's Name

First NameLast Name
Parent/Guardian's Signature*

Clear
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