Enrolment Request for 2010/2011


Family Last Name
Family First Name(s)
ex. John and Marsha
Address
City
Province/State
2 Letters only
Postal Code/ZIP
Country
Legal Residency of Parent (whom is filling out this form)
Phone Number
Parent Email
FAX
CELL


**** YOU MAY NEED TO SCROLL TO THE RIGHT TO SEE MORE INFO ******* ----------------------->
Child 1 Child 2 Child 3 Child 4 Child 5 Child 6 Child 7 Child 8 Child 9
LEGAL SURNAME








LEGAL MIDDLE NAME








LEGAL FIRST NAME








USUAL SURNAME








USUAL FIRST NAME








BIRTHDATE (YYYYMMDD)








GENDER








CITIZENSHIP








GRADE ENTERING








PREVIOUS ANCHOR STUDENT








INDIAN BAND (IF APPLICABLE)








PEN # (if known)








PREFERED TEACHER








PROGRAM








PREVIOUS SCHOOL NAME








PREVIOUS SCHOOL PHONE#








PREVIOUS SCHOOL FAX#








CROSS ENROLLED SCHOOL (If applicable)









PARENTAL CONSENT AND DISCLOSURE

There are occasions when Anchor Academy personnel and other families request demographic information (name, address, phone, fax, email) of parents and children in Anchor Academy for educational, social, or safety purposes. We need your consent to provide them with this information. We will not release your personal information for business or commercial purposes to any outside group.
Yes I give my consent for the release of my home address and/or other contact information for purposes consistent with the above.
No, I do not permit the release of my home address and/or other contact information for purposes consistent with the above.

It is a tradition with Anchor Academy to allow Anchor staff, other parents, professional photographers, and the media to photograph individual students and groups of students to commemorate events, and to promote various educational, sports, and cultural events. Students' names, photographs, and comments may be published in the Anchor Log, in Anchor Academy yearbooks, on the school website, at curriculum fairs, or in the news media.
Yes I give my consent for the publication of my child/children's name, photograph(s), and comments for the purposes consistent of above.
No, I do not permit the publication of my child/children's name, photograph(s), and comments for the purposes consistent of above.