| Account Details |
| Use the form below to add some information |
| *Student Legal First Name: | |
| *Student Legal Last Name: | |
OEN:
Must be 9 digits, and not be all zeroes. No spaces or dashes Eg. 123456789 | |
| *Gender: | |
*Date of Birth:
Date is in the format of yyyymmdd - 8 numbers all together - no dashes, Eg: 19820108 |
|
*Proof of Identity: (Upload file):
Elementary: Canadian Birth Certificate, Canadian Passport, Visa Document, Landed Immigrant Card, Study Permit, Permanent Residence or Canadian Citizenship Certificate
Secondary: Credit Counselling Summary or Transcript | |
| *Language the Student First Learned to Speak: | |
| *Student Grade: | |
*Email:
Student email or parent if student doesn't have one | |
| Suite: | |
| *Street Number: | |
| *Street Name: | |
| *City: | |
| Province/State: | |
*Postal Code:
7 characters. Eg. A1C 2B3 | |
*Phone Number:
Eg. 416-555-1212 | |
Mobile Number:
Eg. 416-555-1212 | |
*Home School Type:
If you are a YCDSB student please login directly HERE | |
| Home School: | |
| Public Home School: | |
| Private Home School: | |
| *Other Home School Name: | |
| *Citizenship / Immigration Status: | |
| *Requires Classroom Support?: | |
| *Student has an I.E.P?: | |
| *Student has an Epi-Pen?: | |
| Parent/Legal Guardian #1 Contact Information |
| *Parent/Legal Guardian First Name: | |
| *Parent/Legal Guardian Last Name: | |
| *Relationship to the student: | |
| *Address & Home Phone is the same as Student: | |
*Home Phone:
Eg. 416-555-1212 | |
*Mobile / Other Phone:
Eg. 416-555-1212 | |
| *Email Address: | |
| Suite: | |
| *Street Number: | |
| *Street Name: | |
| *City: | |
*Postal Code:
7 characters. Eg. A1C 2B3 | |
| Parent/Legal Guardian #2 Contact Information |
| Parent/Legal Guardian First Name: | |
| Parent/Legal Guardian Last Name: | |
| Relationship to the student: | |
| Address & Home Phone is the same as Student: | |
*Mobile / Other Phone:
Eg. 416-555-1212 | |
| Email Address: | |
| Suite: | |
| Street Number: | |
| Street Name: | |
| City: | |
Postal Code:
7 characters. Eg. A1C 2B3 | |
| Parent/Legal Guardian Contact |
| Parent/Guardian to be contacted first.: | |
| Special Custody Information: | |
| Emergency Information |
| *Emergency Contact First Name: | |
| *Emergency Contact Last Name: | |
| *Relationship to the student: | |
*Home Phone:
Eg. 416-555-1212 | |
Mobile / Other Phone:
Eg. 416-555-1212 | |
| Account Information |
*Username:
Please choose a username that is at least 8 characters long. | |
*Password:
Password must be at least 8 characters long and contain at least 1 capital letter and 1 number. | |
| *Confirm Password: | |
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