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CAPE School Admission Waiting List
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Email *
Child Full Legal Name *
Gender *
What Year Are You Wanting Your Child to Attend CAPE? *
Birthdate *
MM
/
DD
/
YYYY
Child's Street Address *
City and province *
Country *
Postal Code
 *
Current School *
Current Grade *
Language First Spoken *
Language Spoken at Home (If not English) *
Parent/Guardian Name *
Parent/Guardian Email
 *
Home Phone Number *
Work Phone Number
Cell Phone Number
Parent/Guardian Name *
Parent/Guardian Email *
Home Phone Number *
Work Phone Number
Cell Phone Number
In order to determine whether or not CAPE can provide the program necessary for your student, CAPE requires accurate information as to the services your student has accessed or currently accesses. This information is treated as private and confidential. Please select all that apply. *
Required
If you answered yes to any of the above, has your student been given any diagnosis based on the above assessments? If so, please indicate.
Has your student ever accessed the services of a: *
Does your student currently access or require the services of a: *
Does your student require extensive adaptations to the program and/or environment and/or specialized technologies and/or one-on-one support? If yes, please explain. *
Please note that the Special Education Program section 47 of the School Act does not apply to charter schools and that the CAPE charter clearly states that the CAPE program is not designed for students with severe or multiple special needs. As of Sept 1, 2015 the Severe Disability section on the proclaimed Education Act all apply to charter schools. Please indicate that you understand. *
Please provide and further information you may feel helpful to us in understanding the learning needs of your student. *
How did you hear about CAPE?  If you were referred by a CAPE family, please include their name here. *
As the Parent/Guardian do you give permission for an Administrator from CAPE to access program information from your student's current school? This information informs the decision-making process regarding availability of suitable programming. *
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