Course Registration

Student Information

Name*

First Last

Student Email*

Enter Email Confirm Email

We prefer that students use their personal email accounts. Please try and aviod using Hotmail. Hotmail often will deliver emails to the spam/junk mail folder. Google email works very well.

Student Cell Phone Number

Gender*

Male
Female

Grade*

Birthdate*

Medical Info

Please inform us of any medical conditions which we need to be aware of when working in the plant and mobile lab trailer. In the plant you will experience working at various heights.

Language*

Main language spoken in the home

Language 2

Second language spoken in the home

Birth Country*

Country of Origin*

Parent Name(s)

Parent Email*

This is your personal address. This is the address which the Ministry of Education uses. If you are a
Caronport student - this is NOT your residence address. Please use your actual physical location (where you and your parents live).

Do you have a box number?*

Yes
No

Box Number

Address*

Street Address Address Line 2 City Province Postal Code

Home Phone*

If you have a box number for an address you must fill in your land location.

Quarter Section

Section

Riverlot

Please enter a number from 1 to 73.

Township

Meridian

Does the student require supports in their current programming?*

Yes
No

Is the student EAL?*

Yes
No

EAL - English as an Additional Language

Student Cell

Online Registration 2018

Step 1 of 4

English

Mathematics

Practical & Applied Arts

Science

French

Social Science

Elective

Student Information

School & School Division Info