Basic Student Information

First Name * Last Name *

Date of Birth *

Day School * Grade *

Gender * Language Stream *

Ontario Education Number *

Street Address * Apt or Unit Number

City * Postal Code *

Parent or Guardian Information

Full Name *

Cell Phone * Home Phone Work Phone

Email Address *

Emergency Contact First Name * Emergency Contact Last Name *

Emergency Contact Relation to Student * Emergency Contact Phone Number *

Student Health Information

Health Card Number

Does the student have any health conditions?

Does the student have any allergies?

Does the student require an EpiPen?

Media Release

By checking the boxes below, you agree and give permission for the Toronto District School Board and/or partners to record, film, photograph, audiotape or videotape your child's name, image, student work, and performance (hereinafter collectively referred to as 'Works') and to display, publish or distribute these Works for the purpose of publishing, posting on the TDSB website, posting in schools, posting on social media sites and/or for broadcasting on television or radio as determined by the TDSB.

You also waive any right to approve the use of these Works now or in the future, whether the use is known to you or unknown, and you waive any right to any royalties related to the use of these Works. You also acknowledge your understanding that the Works may appear in electronic form on the internet or in other publications outside of the TDSB's control. You agree that you will not hold the TDSB responsible for any harm that may arise from such unauthorized reproduction.

You also aknowledge your understanding that external media organizations may attend school events. You give permission for your child's name, image, student work, and performance to be photographed, filmed, audio-taped or videotaped for the purpose of being published and/or broadcast on-line, on television or radio.

Finally, you also give permission for your child's name, image, student work, and performance to be photographed, filmed, audio-taped or videotaped for the purpose of being published and/or broadcast by St. Sahag & St. Mesrob Armenian School on our social media platforms.

I agree to TDSB's media release conditions.

I agree to the media release conditions for organizations external to the TDSB.

I agree to the media release conditions for St. Sahag & St. Mesrob Armenian School.

Pickup Authorization

Name of person/people authorized to pick up student *

The student is allowed to go home alone

Parent or Guardian Signature

I declare that the information submitted in this form is true and complete to the best of my knowledge.

Signature *

Submitting this form saves your registration and takes you to the payment page. If anything goes wrong with the payment, your registration is still saved and the school can follow up with you.

Registration