My School Cooperative Registration
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Email *
Student Name *
Student Date of Birth *
MM
/
DD
/
YYYY
Registration Status *
If alumni, please provide previous child's name and year attending
Preferred enrollment *
First choice
Second choice
Third choice
Fourth choice
Fifth choice
Sixth choice
2-day program
2-day w/ lunch & ext. hours
3-day program
​3-day w/ lunch & ext. hours
​5-day program
5-day w/ lunch & ext. hours
Primary Guardian Name *
Primary Guardian Address (include Street & Unit, City, Province, Postal Code) *
How did you hear about us? *
A copy of your responses will be emailed to the address you provided.
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