School Registration Form - Sudanese Community of Edmonton

Registration Year
Child / Student Information
Name*
First Last
Date Of Birth*
MM slash DD slash YYYY
Health Card #
Parent / Guardian Information
Name*
First Last
Phone
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact
Name
First Last
Phone
Relationship
Additional Information
Allergies
Release Child To
If you may not be picking up the child yourself, we can only release your child to people you specifically designate. Please indicate up to three (2) people, besides yourself, to whom we may release your child.
Release Child To Person 1
First Last
Release Child To Person 1 Phone
Release Child To Person 2
First Last
Release Child To Person 2 Phone
Consent Media
Consent for media
In accordance with the Freedom of Information and Protection of Privacy Act, Sunday Sudanese Community School requires parental consent for the release of your child's photograph, video clips or comments in activities that she/he may participate in Sudanese Community programs. The Sunday School, location or other pageants are examples of where this publication may occur. By selecting the box I give my consent for the publication of my child's photograph, video clip or comments for purposes consistent with the above. (Note: Names will not be used.)
Consent Email
I agree to receive emails from Sudanese Edmonton community
I would like to know about services and events that happen at Sudanese community
CAPTCHA

Child / Student Information