Prairie Land Online Academy Registration Form
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Student Surname *
Student Given Name(s) *
Student Preferred Name
Alberta Student Number
Date of Birth *
Grade (2021-2022) *
Parent Phone Number *
Student Email Address *
Parent Email Address *
Student Mailing Address *
*Please email a copy of one of the following to : Canadian birth certificate, Canadian passport, Permanent Resident Card, Canadian Citizenship papers. We are required by Alberta Education to have a copy of one of these in our student record. *
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