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Self Identification
This section is
VOLUNTARY
– Parents / Guardians and / or students are encouraged to self-identify. By doing so, this enables the Department of Education and Early Childhood Development, Regional Centres for Education and CSAP to have a greater awareness of the diversity of the student population and the communities served and to better meet the educational needs of students.
INDIGENOUS – For the purpose of this form, Indigenous persons are those who consider themselves to be Mi'kmaw / other First Nations, Metis, or Inuit
YES – student is of Indigenous Ancestry
NO – student is not of Indigenous Ancestry
ANCESTRY
Please Indicate the ancestry with which the student most identifies. Select all that apply.
Acadian Descent
African Descent
Asian Descent
East Asia Descent
European Descent
Middle East Descent
Not Listed – Other
Ancestry – Please specify:
Programming Information
NOTE: Some programs, such as Early French Immersion are only offered at certain schools. Should you have questions on this section, please contact Central Office.
PLEASE REGISTER FOR YOUR CATCHEMENT SCHOOL. Not sure which school? Check out
Bus Planner Web here
Date of Enrollment
(Required)
MM slash DD slash YYYY
School Attended Last Year – if Different
Program
(Required)
PLEASE ENSURE YOU ARE SELECTING THE RIGHT PROGRAM.
Select One
Pre-Primary
English Program, Grades Primary to 12
Early French Immersion – Begins in Primary
Late French Immersion – Begins in Grade 7
Intensive French
When is your Child Starting School?
(Required)
Select One
Current School Year
September
When will your child be starting this school year?
(Required)
MM slash DD slash YYYY
Pre-Primary
Pre-Primary School
(Required)
Select School
Carleton
Clark's Harbour
Digby Elementary
Digby Neck Consolidated
Drumlin Heights
ERMES
Forest Ridge Academy
Hillcrest Academy
Islands Consolidated
Lockeport Elementary
Meadowfields
Plymouth
Port Maitland
Weymouth
Yarmouth Elementary
Will you be interested in exploring options for French Immersion in Primary?
(Required)
Yes
No
Regulated Childcare Disclosure
(Required)
Has your Child previously attended a Regulated (Licensed) Child Care Program?
Yes
No
Name of Centre
(Required)
Early Intervention Disclosure
(Required)
Has your child previously been supported by an early intervention program (ex: Nova Scotia Early Childhood Development Intervention Services (NSECDIS); Early Intervention Behavioural Intervention (EIBI); Nova Scotia Hearing and Speech, etc)?
Yes
No
Name of Program(s)
(Required)
English Program
English Program School
(Required)
Select School
Barrington High
Carleton
Clark’s Harbour
Digby Elementary
Digby Neck
Digby Regional High
Drumlin Heights
Evelyn Richardson
Forest Ridge
Hillcrest
Islands
Lockeport Elementary
Lockeport High
Maple Grove
Meadowfields
Plymouth
Port Maitland
Shelburne High
Saint Mary’s Bay
Weymouth
Yarmouth Elementary
Yarmouth High
English Program Grade
(Required)
Select Grade
Primary
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Early French Immersion
Early French Immersion begins in Grade Primary. If you are transferring from another Region, or out of province and your child is currently enrolled in French Immersion, you can transfer into our French Immersion program.
NOTE: If you are NOT in the catchment area of one of these schools YOU are responsible for your students transportation to the school or nearest bus stop. Please contact the school for further information.
Early Immersion School
(Required)
Select School
Digby Elementary
Digby Regional High
Drumlin Heights
Maple Grove
Meadowfields
Plymouth
Weymouth
Yarmouth Elementary
Yarmouth High School
Early Immersion Grade
(Required)
Select Grade
Primary
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Late French Immersion
Late French Immersion begins in Grade 7. If you are transferring from another Region, or out of province and your child is currently enrolled in a French Immersion program, you can transfer into our French Immersion Program.
NOTE: If you are NOT in the catchment area of one of these schools YOU are responsible for your students transportation to the school or nearest bus stop. Please contact the school for further information.
Late Immersion School
(Required)
Select School
Barrington High
Maple Grove
Yarmouth High
Drumlin Heights Consolidated
Late Immersion Grade
(Required)
Select Grade
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Intensive French
NOTE: If you are NOT in the catchment area of one of these schools YOU are responsible for your students transportation to the school or nearest bus stop. Please contact the school for further information.
Intensive French School
(Required)
Select School
Maple Grove
Intensive French Grade
(Required)
Select Grade
Grade 6
Student Information
Legal Name
(Required)
MUST match birth certificate, passport, immigration papers, legal name certificate, or adoption documents.
First
Middle
Last
Preferred First Name
This is the name by which your child will be addressed, and that will appear on school documents.
Date of Birth
(Required)
MM slash DD slash YYYY
Proof of Identity – Must be presented at Office
(Required)
Adoption Documents
Birth Certificate
Immigration Papers
Passport
Gender
(Required)
F (Female)
M (Male)
X (Non-Binary or another gender identity)
Civic Address
(Required)
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Mailing Address
(Required)
Same as Civic Address?
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Home Phone
(Required)
Student's Cell Phone
Language Comprehension
(Required)
English
French
Language most often used in the home
(Required)
Arabic
English
French
Gaelic
Mi’kmaw
Other
What is the other language most often spoken in the home?
(Required)
Technology
Does the student have access to internet at home?
(Required)
Yes
No
Is the Internet access in the home high speed internet?
(Required)
Yes
No
Does the student have access to an Internet connected device?
(Required)
Yes
No
Type of internet connected device (Select all that apply)
(Required)
Phone
Tablet
Desktop Computer
Laptop
Other
Custody Arrangements
Custody Arrangements must be completed annually and appropriate legal documents must be provided.
Are special custody arrangements requested for this student at school?
(Required)
Yes
No
Description
(Required)
Please include any special instructions.
Contacts
Parents, Guardians, and other persons to contact for purposes of school communication. You can enter up to five contacts in this section. Contact priority shall be ordered based on whom to call for school communications and in the case of an emergency and or school closure.
Contact 1
Contact 1 should be a parent or guardian of the child.
Name
(Required)
First
Last
Relationship
(Required)
Work Phone
Cell Phone
Home Phone
Email
Language Comprehension
(Required)
English
French
Neither
What language is most often spoken in the home?
(Required)
Civic Address
(Required)
Same as Childs Civic Address
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Add Contact 2
Yes
Contact 2
Name
(Required)
First
Last
Relationship
(Required)
Is this contact a Parent or Legal Guardian?
(Required)
Additional information is needed, Address and Email, for Parents and Guardians.
Yes
No
Is this contact an Emergency Contact?
(Required)
Emergency Contacts are only contacted if Parents or Guardians can not be reached.
Yes
No
Work Phone
Cell Phone
Home Phone
Language Comprehension
(Required)
English
French
Neither
What language is most often spoken in the home?
(Required)
Civic Address
(Required)
Same as Childs Civic Address
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Email
Maybe used for communication and for Parent Portal access.
Add Contact 3
Yes
Contact 3
Name
(Required)
First
Last
Relationship
(Required)
Is this contact a Parent or Legal Guardian?
(Required)
Additional information is needed, Address and Email, for Parents and Guardians.
Yes
No
Is this contact an Emergency Contact?
(Required)
Emergency Contacts are only contacted if Parents or Guardians can not be reached.
Yes
No
Work Phone
Cell Phone
Home Phone
Language Comprehension
(Required)
English
French
Neither
What language is most often spoken in the home?
(Required)
Civic Address
(Required)
Same as Childs Civic Address
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Email
Maybe used for communication and for Parent Portal access.
Add Contact 4
Yes
Contact 4
Name
(Required)
First
Last
Relationship
(Required)
Is this contact a Parent or Legal Guardian?
(Required)
Additional information is needed, Address and Email, for Parents and Guardians.
Yes
No
Is this contact an Emergency Contact?
(Required)
Emergency Contacts are only contacted if Parents or Guardians can not be reached.
Yes
No
Work Phone
Cell Phone
Home Phone
Language Comprehension
(Required)
English
French
Neither
What language is most often spoken in the home?
(Required)
Civic Address
(Required)
Same as Childs Civic Address
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Email
Maybe used for communication and for Parent Portal access.
Add Contact 5
Yes
Contact 5
Name
(Required)
First
Last
Relationship
(Required)
Is this contact a Parent or Legal Guardian?
(Required)
Additional information is needed, Address and Email, for Parents and Guardians.
Yes
No
Is this contact an Emergency Contact?
(Required)
Emergency Contacts are only contacted if Parents or Guardians can not be reached.
Yes
No
Work Phone
Cell Phone
Home Phone
Language Comprehension
(Required)
English
French
Neither
What language is most often spoken in the home?
(Required)
Civic Address
(Required)
Same as Childs Civic Address
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Email
Maybe used for communication and for Parent Portal access.
Medical Information
Medical Information must be completed annually.
Doctors Name
Doctors Phone
Health Card Number
(Required)
Health Card Expiry Date
(Required)
MM slash DD slash YYYY
Medic Alert Number (if applicable)
Health Care Needs / Medical Diagnosis(es)
If you answer “YES” to the following question, it will require further program-planning meetings and/or documentation (Health Plan of Care, Administration of Medical Forms, etc).
Does your child have a Health Care Need and / or a Medical Dignosis(es)?
(Required)
Yes
No
Please check all Health Care or Medical Diagnosis's that apply:
(Required)
Anaphylaxis/Life Threatening Allergy(ies)
Asthma
Seizures
Catheterization
Diabetes
Tube Feeding
Diagnosed Mental Illness
Administration of prescribed medication is required during the school day.
Other
Please specify other Health Care and / or Medical Diagnosis.
(Required)
Siblings
Please list children in your family who attend school.
Siblings
Name (First and Last)
Grade
School
Add
Remove
Transportation
Will your child require transportation to school?
(Required)
Yes
No
Unexpected Closure Instructions
In the event that school must close early, indicate alternative arrangements you want for your child.
International or Immigrant Student Information
Please select one of the following (documentation to verify status in Canada and proof of medical insurance to be provided at time of registration).
Is this child an International or Immigrant Student?
(Required)
Yes
No
Nova Scotia International Student Program (NSISP) Participant:
Short Term (less than 3 Months)
3 Months or more
Fee-paying Student (who is not part of the NSISP or an approved exchange program)
Has a study permit
Is studying for less than 6 months without a study permit
Exchange Student – Is participating in an excahnge through an approved student exchange program.
Permanent Resident
Study Permit Valid Until:
(Required)
MM slash DD slash YYYY
Dependant of a temporary resident
Parent has a work permit
Parent has a study permit
Refugee Claimant
Expiry Date of Work or Study permit
(Required)
MM slash DD slash YYYY
Citizenship
(Required)
Medical Insurance
Yes
No
French First Language Education Eligibility
One of the ways you may access the French first language education is under Section 23 of the Canadian Charter of Rights and Freedoms as an “entitled parent”. Under the the Nova Scotia Education Act, children of an entitled parent are entitled to be provided a French first language program. Clause 3(l)(h) of the Act defines “entitle parent” as follows:
i. Whose first language learned and still understood is French, or
ii. who received his or her primary school instruction in Canada in a French first language program, or
iii. of whom any child has received or is receiving primary or secondary school instruction in Canada in a French first language program.
As a parent, do YOU meet at least ONE of the above criteria?
Yes
No
Do not know
NOTE: French first language education is NOT a French Immersion Program.
You are advised that future children of your child may loose their right to an education in the French first language if your child does not attend a French first language school. In Nova Scotia, French first language education is only offered by the Francophone school board, the Conseil scolaire acadien provincial (CSAP). Representatives from CSAP are available to answer any questions you have regarding French first language education and to help you determine if you are an entitled parent.
You may also contact the CSAP at 902-471-0082, 902-769-5458, 1-888-533-2727, info@csap.ca, or visit the CSAP website at www.csap.ca.
Do you wish to have your name, home phone, and email address forwarded to the CSAP so that a representative can contact you with more information about French first language program?
Yes
No
Declaration of Information
Declaration of Information
(Required)
I / We certify that all of the information provided on this registration form is correct.
