Orientation Workshop for Newcomers 2023 Participant Registration Form

The personal information you are about to enter in this online form shall remain confidential and will not be shared with any other person or organization. The information is intended solely for record keeping and reporting purposes.

"*" indicates required fields

Student's Name*

High School Name*

Name of School currently Attending*

Date of Birth*

Immigration # or Permanent Resident Number*

Address*

Home Phone*

Cell Phone*

Email*

Mother's Name*

Mother's Phone*

Father's Name*

Father's Phone*

Year of Arrival in Canada*

Language(s) Spoken*

Do you need an interpreter?*

Yes

Yes, Language*

Do you have any allergies or special diet needs/allergies/health condition?*

Yes

Describe*

Emergency Contact Name*

Relationship*

Emergency Contact Phone Number(s)*

PARENT / GUARDIAN CONSENT FORM

Parent/Guardian Name*

Date*

By submitting this form you consent to your child’s participation in the Program*

Orientation Workshop for Newcomers 2023 Participant Registration Form

PARENT / GUARDIAN CONSENT FORM

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