Student Registration Form
SECTION 1: STUDENT/ENROLMENT INFORMATION
Date of Application:
School Receiving Application:
Entry Date to this School:
Grade:
Is English the only language spoken at home?
Are there any medical restrictions that your child faces?
Do you require bus transportation?
If Yes,
Student's Legal Name:
Name Used (if different from legal name):
Date of Birth:
Gender:
Home Phone:
Student's Cell Phone:
Student's Email:
Mailing Address:
Physical Address: (where student currently lives - if different from mailing address)
If living on an acreage or farm, please provide land location:
Permanent Address: (If different from mailing and physical address)
Origin School (Last School Attended):
City:
Province:
Country (if not Canada):
Are you an exchange student?
If yes, provide name of Exchange Program:
For high school only: Are you here for hockey?
If yes, provide Team Name:
SECTION 2: COMMUNICATION
SchoolMessenger is an automated notification service which quickly delivers announcements and school or division-wide messages to students, parents, staff and school groups. Messages that may be sent out include bus cancellations, emergency situations such as a lockdown, daily attendance, etc.
SchoolMessenger messages will be directed to the Home Phone number stated in Section 1. If you prefer to be contacted at a different number, please indicate the phone number here:
IF your child’s school sends school correspondence electronically, would you like to receive them through email?
If yes, provide the email address(es) below:
Name:
Email:
Name:
Email:
SECTION 3: PARENT/GUARDIAN INFORMATION
Student is living with:
Is there a custody order in place? (If yes, please provide a copy to the school)
Relationship to student:
Other:
Name:
Home Phone:
Work Phone:
Cell Phone:
Emergency contact:(contact preference order)
School closure contact:
Home Address:
Relationship to student:
Other:
Name:
Home Phone:
Work Phone:
Cell Phone:
Emergency contact:(contact preference order)
School closure contact:
Home Address:
Relationship to student:
Other:
Name:
Home Phone:
Work Phone:
Cell Phone:
Emergency contact:(contact preference order)
School closure contact:
Home Address:
Relationship to student:
Other:
Name:
Home Phone:
Work Phone:
Cell Phone:
Emergency contact:(contact preference order)
School closure contact:
Home Address:
SIBLING INFORMATION
List all siblings / step-siblings who attend a school within GSSD:
Full legal name
First Name
Surname(if different from student)
School
Grade
Lives at the same address
SECTION 4: EMERGENCY CONTACTS & MEDICAL INFORMATION
Emergency Contact Name (other than Guardian):
Relationship to Student:
Phone #:
Cell Phone #:
Name of Childcare Provider:
Phone #:
Cell Phone #:
Does your child have a special need or severe or life threatening medical condition that the school should be aware of? 
(Allergies, Asthma, Epilepsy, etc.)

If Yes, please provide details or comments below regarding your child that would be helpful to the school:
BILLET INFORMATION
For rural bus students: (in case the buses do not run due to bad weather conditions, bus failure or an emergency, we require a billet home in town for your child)
Billet Name:
Home Phone #:
Work and/or Cell Phone #:
SECTION 5: RESIDENCY/ LANGUAGE/ CITIZENSHIP
SK Resident:
(A SK resident is someone who owns, rents or leases a residence in SK or resides with an immediate family member who is a SK resident)
Country of Birth:
Country of Citizenship (If not Canada):
Languages spoken at home:
IMMIGRATION STATUS (choose the student’s applicable status from the list below)
Canadian Citizen (born in Canada)
Date of entry into Canada:
Date of entry into Saskatchewan:
Naturalized Canadian Citizen (wasn’t born in Canada and is granted Canadian Citizenship)
Permanent Resident (granted permission to live and work in Canada without any time limit on the stay, not yet a Canadian Citizen)
Expiry Date:
Temporary Resident (Student accompanied by parent with work permit)
Expiry Date:
Student/Visitor Visa – Tuition paying student (Student who is lawfully in Canada for a temporary purpose such as work/study/visit & is not a Canadian citizen)
Expiry Date:
Refugee (seeking protection from former country)
SELF-DECLARATION INFORMATION
Aboriginal people are those who identify themselves to be First Nations (Registered/Treaty/Status Indian, Non-Status Indian), Métis, or Inuit/Inuk. Based on this definition, do you consider the student that you are registering to be an Aboriginal person?
Which group do you belong to:
Indian Registry No:
I reside:
IF On Reserve, provide Reserve of Residence:
SECTION 6: INFORMATION
Good Spirit School Division has an Administrative Procedures Manual in place designed to be the primary written source of administrative direction for the division. These procedures provide guidelines which the division, staff and students are to follow.

We would like to bring to your attention to three (3) specific Administrative Procedures that we would ask you to review with your child in an age-appropriate manner. As all students have access to both technology and transportation services, it is very important to ensure that procedures are in place, and followed, for the safety and efficient usage of these resources.
I hereby declare that I have read and understood the information contained in the above Administrative Procedures and that the information I have provided on this Registration Form is correct. I understand it is my responsibility to inform the school of any changes to the information contained on this form.
LOCAL AUTHORITY FREEDOM OF INFORMATION & PROTECTION OF PRIVACY
The personal information requested on this form as part of the school registration process is collected under the authority of Saskatchewan’s Local Authority Freedom of Information and Protection of Privacy Act (LAFOIP) for the establishment of a student record, determination of residency, to provide students with an education program that meets their needs, to provide a safe and secure school environment, for program placement, determination of eligibility and/or suitability for provincial or federal funding, to manage problems or emergencies, for reporting and providing statistics to the Minister of Education, and for other purposes that relate directly to and are necessary for the school's operating programs and activities. This information will be managed in accordance with the privacy protection provisions of the LAFOIP Act.
CONSENT TO SHARE STUDENT INFORMATION

We would like your consent to share information about your child.

The information that we would like your consent to share is:
  • student’s first and last name, grade level and age;
  • individual or group photos and video;
  • art work, writing samples or other student work.
We would like your consent to share information about your child.
  1. EDUCATION PURPOSES IN THE SCHOOL COMMUNITY
    • school calendar, newsletter or other school publications
    • honour roll, yearbook
    • displays of student work in the school division
    • sharing copies of photos and videos with classmates

  2. PUBLIC MEDIA INCLUDING THE INTERNET
    • school division website
    • congratulatory messages for graduation, academic or athletic achievement
    • media interviews
    • photos and video shared with the media
    • displays of student work outside the school division
If we share any student information we promise to:
  • check that we have your consent on file
  • consider the privacy interests of your child
  • balance the privacy interests of your child with the educational value for studentssharing the pride of their achievements.
Before we share any information that is not covered by this Consent, we will ask for your permission.

Please note that:
  • We are required by law to share personal information of students with the Ministry of Education; and,
  • in some cases we are allowed by law to share personal information of studentswith other agencies such as Health when it is in the best interest of the child.
I agree that the Good Spirit School Division may share the information of my child for the following purposes:
I understand that this consent only needs to be signed once and will cover my child for as long as my child is a student in the Good Spirit School Division.
I also understand that if I wish to withdraw my consent, I must contact the principal immediately.
Parent/Guardian Name:
Student Name:
Date: