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Sports Newsletter for Week of February 6th has now been posted.

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 2012-2013
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 Envelope Number
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