Summer School 2025 Registration Form

Summer School 2026

Student Registration Form
- Student Name
  
  Legal First NameLegal Last Name
- Preferred Name
- Personal Education Number (PEN)
  Nine-digit number
- Student E-mail
  Please enter a valid email.
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Status in Canada?
- Are you a CSS Student?
- Home School / District
- Counselor Name
- Counselor Email
  .
- Note:
  
  An email will be sent to your counselor to seek approval for your summer classes. Please ensure that you provide the correct email and inform them accordingly to reply to us. In the event that they do not receive the email, please bring the PDF attached to the email confirmation of your application with file name: Student Name Enrollment Approval and have them sign it, then submit the signed application to admissions@canadastarsecondary.ca
- Parent Name
  
  Legal First NameLegal Last Name
- Parent E-mail
  Please enter a valid email.
- Parent Phone Number
  Please enter a valid Canada phone number.Format: (000) 000-0000.
- Are you living in Canada with the student?
- Emergency Contact Name
  
  Legal First NameLegal Last Name
- Relationship to the Student
  i.e. father/mother/sibling
- Are you living with the student?
- Cell Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Home Telephone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Emergency Contact E-mail
  Please enter a valid email.