Sacred Heart High School:
Demographics Update Form
Student Full Name
*
First Name
Middle Name
Last Name
Student Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Home/Primary Contact Phone Number
*
-
Area Code
Phone Number
Parent/Guardian 1 Full Name
*
First Name
Last Name
Parent/Guardian 1 Address
Street Address (If same as student, just put SAME in the first box)
Street Address Line 2
City
Province
Postal Code
Parent/Guardian 1 Home/Contact/Cell Phone Number
*
-
Area Code
Phone Number
Parent/Guardian 1 Work/Alternate Phone Number
-
Area Code
Phone Number
Preferred E-mail
*
example@example.com (This will be the email address used by the School for contacting you)
Parent/Guardian 2 Full Name
First Name
Last Name
Parent/Guardian 2 Address
Street Address (If same as student, just put SAME in the first box)
Street Address Line 2
City
Province
Postal Code
Parent/Guardian 2 Home/Contact/Cell Phone Number
-
Area Code
Phone Number
Parent/Guardian 2 Work/Alternate Phone Number
-
Area Code
Phone Number
Additional/Alternate E-mail
example@example.com (This will be the email address used by the School for contacting you)
Emergency Contact Full Name
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Student Lives With?
*
Please Select
Both Parents
Mother
Father
Other (please fill below)
Other (only required if other selected above)
Aboriginal Ancestry
*
No
Registered/Treaty/Status
Non-Status
Metis
Inuit
Legal Land Description (For rural bus use):
Submit
Should be Empty: