2020-2021 LearnStar After School Student Registration
Registration form for the school year September 2020 - June 2021
Email *
School: *
Student Name: *
Date of Birth: *
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Age: *
School Grade for 2020-2021 School Year: *
Gender:
Requested Start date for your child
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MCP # *
MCP expiry *
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After school care required *
Required
If part-time, which days do you require after school care?
What program is your child enrolled in? *
Required
If "Other", please list your school name:
Please list here any medical conditions, allergies, health concerns, behavioral issues, etc (It is extremely important for the safety of your child, and other children to inform us of any past behavioural issues such as running away, aggression (biting, punching, kicking, etc), attention issues). Kindly tell us about any and all supports that your child receives in school i.e, IRT services, ESL services, Student Assistant services, or any other instructional accommodations. (supervised breaks, social stories, visuals, etc...)
Please inform us of any other information that you feel may be pertinent to us:
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