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LOCAL APPLICATION FORM
 
INT'L APPLICATION FORM

See you for the first day of School on Tuesday, September 7th!  Gym strip sales and School Bus registration will be taking place in the gym on this day.

After you have submitted your application form here, please fax or bring to the school the following:

Kindergarten: Baptism, Birth Certificate and immunization records

Grade 1 to 7: Baptism, Birth Certificate or permanent residents card (if not a Canadian Citizen), immunization records and last report card.

Phone Number is 604-596-6116
Immaculate Conception School
8840 119th Street
Delta, BC V4C 6M4
Phone: 604-596-6116
Fax: 604-596-4338

APPLICATION FOR ACCEPTANCE 2010-2011
FOR FAMILIES NEW TO THE SCHOOL

Legal Name Of Child (Surname first) Entering Grade
Address Postal Code
Phone Number Cell Phone Number
Father Work Phone Number Mother Work Phone Number


Date Of Birth (mm/dd/yyyy) Place Of Birth
Gender Citizenship
M    F
Birth Certificate Number Provincial Health Care Number
Primary Language
Religion Parish
Baptized First Confession
No    Yes No    Yes
First Communion Confirmed
No    Yes No    Yes
Last School Attended Last School Address
Last School Phone Number Last School Fax Number


Father's Name Father's Religion
Father's Address Father's Occupation
Father's Citizenship

Mother's Name Mother's Religion
Mother's Address Mother's Occupation
Mother's Citizenship