2019-2020 Online Learning Centre Registration Form for SPS Students
Email address *
Last Name *
Your LEGAL Last Name
Your answer
First Name *
Your LEGAL First Name
Your answer
Usual First
The name you like to be called by.
Your answer
Birthdate *
in MMDD format
Your answer
YOB *
in YYYY format
Your answer
Age *
Your answer
Gender *
Grade *
Student Email *
The email the student will use for the course. Can be the same as above.
Your answer
Student Phone *
Your family's home phone number in 306-555-1212 format
Your answer
Student Cell
Your student's cell phone number in 306-555-1212 format
Your answer
Parent First *
First name of the parent or guardian we will be in contact with.
Your answer
Parent Last *
Last name of the parent or guardian we will be in contact with.
Your answer
Parent Email *
Email address of the parent or guardian we will be in contact with.
Your answer
Parent Cell
Cell Number of the parent or guardian we will be in contact with in 306-555-1212 format
Your answer
School Name *
The school you currently attend.
School Contact Name *
Your school counselor
Course Name *
Please choose your one course. Note: Photo20, Journalism 20, and Physical Sci 20 are September starts only. Calculus 30 & German 10/20/30 are February starts only.
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