LTCHS New Student Intake Form

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In the interest of finding the best placement for your child within our school, please answer the following questions carefully. Any information shared on this form will be confidential and shared only with the Counsellor or Administrator for that Grade.

Please provide your email if you are a Parent or Guardian. If you are a student over the age of 18 years, please use your personal email.

Email *

Student Name (last, first) *

Last School Attended - City/Town, Province - School Contact Person, Phone number/Email (if known) *

Have you notified your student's previous school that you are withdrawing your student? *

Yes

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