Child in Mind R.I.S.E. Course Registration Form 24-25

Child in Mind R.I.S.E. Course Registration Form 24-25
Student Registration Form

Fill out the form carefully for registration
Student Legal Name

First NameLast Name
Birth Date

MonthDayYear
Status in Canada
Gender
Please upload proof of age

Copy of birth certificate or passport
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Home Address

Street Address

Street Address Line 2

CityProvince

Postal Code
Students Mobile Number
Format: (000) 000-0000.
Student E-mail
example@example.com
Students OEN
Ontario Education Number (can be found on report card)Format: 000-000-000.
Home School
Home School Address

Street Address

Street Address Line 2

CityProvince

Postal Code
Parent / Guardian Name

First NameLast Name
Parents / Guardian E-mail
example@example.com
Parents / Guardian Mobile Number
Format: (000) 000-0000.
Parent / Guardian Name

First NameLast Name
Parents / Guardian E-mail
example@example.com
Parents / Guardian Mobile Number
Format: (000) 000-0000.
Course Options
Please upload a copy of your transcript or credit counselling summary.

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Grade 8 Reach Ahead - please fill out this application and and upload it here along with your child's most recent copy of a report card. shorturl.at/lIOY8

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Is there any information that you believe the facilitator needs to know about you. Do you have an IEP? Anything you would like to share?
How did you hear about R.I.S.E.?
Should be Empty:

Student Registration Form