Don Campbell Elementary School - Student Intention Form
Welcome to Don Campbell Elementary School. This is an exciting step as we start to register the first students who will be attending our school.

Completion of this student intention form will assist in planning and organizing for the opening of our new school in September 2017. Formal verification of student registration information will be completed by students across the district in April 2017. Further information will be provided at that time.

Student Information
Surname *
Your answer
First Name *
Your answer
Middle Name *
Your answer
Also Known As (if different from legal name)
Your answer
Date of Birth *
MM
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DD
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YYYY
Gender *
Grade *
School Last Attended *
Your answer
Do you require Before and/or After School Care? (Provided by Red Deer Child Care at the cost of families)
Parents and/or Guardian Information
Student Lives With *
Your answer
Relationship *
Your answer
Parent/Guardian 1 - Surname *
Your answer
Parent/Guardian 1 - First Name *
Your answer
Parent/Guardian 1 - Email
Your answer
Parent/Guardian 1 - Phone Number (Residence) *
Your answer
Parent/Guardian 1 - Phone Number (Alternate)
Your answer
Parent/Guardian 1 - Address *
Your answer
Parent/Guardian 1 - City *
Your answer
Parent/Guardian 1 - Postal Code *
Your answer
Parent/Guardian 2 - Surname *
Your answer
Parent/Guardian 2- First Name *
Your answer
Parent/Guardian 2- Email
Your answer
Parent/Guardian 2 - Phone Number (Residence) *
Your answer
Parent/Guardian 2 - Phone Number (Alternate)
Your answer
Parent/Guardian 2 - Address
Your answer
Parent/Guardian 2 - City
Your answer
Parent/Guardian 2 - Postal Code
Your answer
Other Information
Is there any other information or particular problems your child may be experiencing about which the school should be made aware of (family circumstances, siblings, etc.)?
If yes, please specify
Your answer
Declaration
I hereby certify that the information provided on this form is true, correct and complete to be best of my knowledge and belief. Parent/Guardian Signature (please type name) *
Your answer
Date *
MM
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DD
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YYYY
Submit
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