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Application for Registration Grades K-9 ONLY
If you are registering for Grade 10-12 click here
This application is for the School Year 2008-09. 
For more information phone 250-542-0249.

Date:

*Required Field

Student Information

Name

 Legal Name (if different): 
First*
First

Middle
Middle

Last*

Last

Birthdate*: Month  Day   Year  

Birthplace*:  City  Province Country  

Citizenship*:  Canadian   Other Specify  

Check if you are a permanent resident of BC? 

Gender*:  Male    Female
Medical Alerts (allergies, conditions):

 

Parent/Guardian Contact Information
Information about Parent/Guardian(s) with whom student resides
Name(s) (include more than one if applicable)*
Relationship to student
Street Address*
City*
Province*
Postal Code*
Parent Email address*
Home Phone*
 (e.g.250-555-5555)
Cell
Parent work number

 

Student's Aboriginal Ancestry

Check here if you are of aboriginal ancestry: 

If you checked the above question answer the following 6 questions:

 1.  Check off which apply: Status Aboriginal Non-Status Inuit Metis

 2.  Do you belong to a native band? 

             If yes what band?   What is your band number?

 3.  Do you live on a reserve?

             If yes, which Reserve
 4.  Do you have a Treaty Number? 

             If yes, what number?

 5.  Do you belong to any Metis/Inuit Associations?

 6.  How long have you lived in Vernon?

 

Educational Information
Student is currently enrolled at another school
Current Grade
Name of Current or Most Recent School*   City and Province
Background Information - please indicate your reasons for applying for courses at vLearn:

 

To stop spammers we need you to type 4321 in this box. Thanks.

Submission of this form is the first step in the registration process. After this form has been received you will be sent a confirmation email from our registrar. Your application will be reviewed and a vLearn staff member will then contact you with further information.