SRPSD Distance Learning Centre
2021-2022 Registration Form

- As the 2021 school year comes to an end information on next year will be sent out to the email addresses provided.
- If you are submitting a registration form AFTER June 25 you will not hear from the DLC until we return in the fall (last week of August).
Email *
Student's Legal Name
Last Name *
First Name *
Middle Name
Usual First Name
2021-2022 Grade *
Are you a current DLC student?
Clear selection
Date of Birth *
MM
/
DD
/
YYYY
Gender *
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