General Public Account Creation

Identity
Confirm



Please fill out the form below to create your student account.

Account Details
Use the form below to add some information
*Student Legal First Name:
*Student Legal Last Name:
OEN:

Must be 9 digits. 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
 click to select date
*Student Grade:
*Email:
Suite:
*Street Number:
*Street Name:
*City:
*Postal Code:

6-7 characters. Eg. A1C 2B3 or A1B2C3
*Phone Number:

Eg. 416-555-1212
Mobile Number:

Eg. 416-555-1212
Home School:
*Requires Classroom Support?:
*Student has an I.E.P?:
*Student has an Epi-Pen?:
Student has any Medical Condition?:
1st Emergency Contact for Student
*Emergency Contact Name:
*Relationship to the student:
*Home Phone:

Eg. 416-555-1212
*Mobile / Other Phone:

Eg. 416-555-1212
2nd Emergency Contact for Student
Emergency Contact Name:
Relationship to the student:
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:
*Verification Code:

Please enter the verification code on the right into this box.
captcha