CONNECT ENROLLMENT

Connect Middle School Enrollment - 2025-2026

"*" indicates required fields

Step 1 of 13 - Introduction

Welcome!

You are about to start the Connect Middle School enrollment form for CHEK ABC's online learning program. We will guide you through this process step by step. If you need to navigate back and forth between pages on the form please be sure to use the "previous" and "next" buttons at the bottom of the pages so that any information entered remains saved.

Please include the following with your application. These documents are necessary for the enrollment process: Your child will not be considered for enrollment until we receive these documents.

- Student Birth Certificate or Passport

- BC Services Card or BC Health Care Card (front and back)

- Copy of recent Report Card

- Immigration documents (if applicable, please include parents work permit and birth certificate/passport)

- Ordinarily resident form completed and signed if family will be outside of BC for 6 weeks or more of the year.

- Records Request Form for the 2025-2026 school year printed and signed

There will be a space to upload these files at the end of the application.

Please note that if you withdraw your child(ren) prior to September 30, there will be a $50 withdrawal fee per child.

If you have any questions about completing this form please call us at 250-352-0526 or email admissions@chekabc.ca.

Today's Date*

MM slash DD slash YYYY

Parent / Guardian / Other details

Please enter parent name and contact details.

First Name*

Last Name*

Relationship to Student*

For other, please specify details*

Email*

Primary Phone Number*

Cell Phone

Landline

Please enter cell phone number*

Please enter landline phone number*

Secondary Phone Number*

Cell Phone

Landline

No Secondary Phone Number

Please enter cell phone number*

Please enter landline phone number*

Is The Student Currently Living With Both Parents?

Yes

Provide Details Of Second Parent

First Name

Last Name

Relationship to Student

For other, please specify details*

Primary Contact Number

What Is Your Citizenship Status In Canada?

Please Select*

Are You Currently A Resident Of British Columbia?

Yes

If not, please explain

Do you plan to travel outside of BC for 6 weeks or longer during the school year?*

Yes

If yes, please describe.*

Please complete the Ordinarily Resident form and submit it with your other documents.

Provide Your Home Address

Street Address City Province Postal Code

Provide Your Mailing Address

Shipping Address - Please provide the address where school resources such as textbooks and report cards should be mailed to.

The same as Home Address

Street Address City Province Postal Code

How Did You Hear About Us? (optional)

Please Select

Which Church Do You Attend? (optional)

Church Name

City

Society Membership

Would you like to become a member of the Nelson Christian School Society?*

Yes

Thank you for your willingness to support Nelson Christian School Society and to further Christian education across BC! There is a $25.00 fee to become a member of the Nelson Christian School Society. Unless you indicate differently, this will be deducted from your family's school based funds. The Society Constitution and Bylaws are attached for your late night reading enjoyment!

Student Details

Legal Name*

Legal First Legal Last

Middle Name

Middle

Preferred Name

Preferred First Name Preferred Last Name

Enrollment Year and Grade

Please select the school year and grade you are enrolling the student in.

School Year*

Grade*

Please Provide Student's PEN (if known)

Student PEN (Personal Education Number)

Additional Student Information

Date Of Birth*

MM slash DD slash YYYY

Gender*

Citizenship*

Aboriginal Ancestry*

Yes

Please Select

Inuit

Metis

Non-Status

Status - Off Reserve

Status - On Reserve

Status Card #

Band of Origin

Status Card #

Band of Origin

Band of Residence

Student's Previous School

School Name Town/City Province

Student History

Comment on your child's academic progress

Has your child ever been assessed for and/or diagnosed with a condition that results in learning disabilities?*

Yes

Please explain and provide a copy of the most recent assessment with your documentation.*

Has your child ever been involved in unlawful and/or violent behavior?*

Yes

If yes, please explain

Emergency Contact Person (other than parent)

Name Email Address Phone Relationship to student

Medical Information

BC Medical Number*

I don't have

I don't have a BC Medical Number

Have you recently applied for a BC medical number?

Yes

Provide medical number for previous province

Are there any allergies or medical concerns?*

Yes

If yes, please explain

Student's Family Doctor

Provide family doctor's information

Family Doctor's name Family Doctor's phone/email

Additional Info

Will you be enrolling a second student?*

Yes

Student Details

Legal Name*

Legal First Legal Last

Middle Name

Middle

Preferred Name

Preferred First Name Preferred Last Name

Enrollment Year and Grade

Please select the school year and grade that you are enrolling the student in.

School Year*

Grade*

Please Provide Student's PEN (if known)

Student PEN (Personal Education Number)

Additional Student Information

Date Of Birth*

MM slash DD slash YYYY

Gender*

Citizenship*

Aboriginal Ancestry*

Yes

Please Select

Inuit

Metis

Non-Status

Status - Off Reserve

Status - On Reserve

Status Card #

Band of Origin

Status Card #

Band of Origin

Band of Residence

Student's Previous School

Same as first student

School Name Town/City Province

Student History

Comment on your child's academic progress

Has your child ever been assessed for and/or diagnosed with a condition that results in learning disabilities?*

Yes

Please explain and provide a copy of the most recent assessment with your documentation.*

Has your child ever been involved in unlawful and/or violent behavior?*

Yes

If yes, please explain

Medical Information

BC Medical Number*

I don't have a BC Medical Number

Have you recently applied for a BC medical number?

Yes

Provide medical number for previous province

Are there any allergies or medical concerns?*

Yes

If yes, please explain

Student's Family Doctor

Provide family doctor's information

Family Doctor's name Family Doctor's phone/email

same as 2

Same as first student

Additional Info

Will you be enrolling a third student?*

Yes

Student Details

Legal Name*

Legal First Legal Last

Middle Name

Middle

Preferred Name

Preferred First Name Preferred Last Name

Enrollment Year and Grade

Please select the school year and grade that you are enrolling the student in.

School Year*

Grade*

Please Provide Student's PEN (if known)

Student PEN (Personal Education Number)

Additional Student Information

Date Of Birth*

MM slash DD slash YYYY

Gender*

Citizenship*

Aboriginal Ancestry*

Yes

Please Select

Inuit

Metis

Non-Status

Status - Off Reserve

Status - On Reserve

Status Card #

Band of Origin

Status Card #

Band of Origin

Band of Residence

Student's Previous School

Same as first student

School Name Town/City Province

Student History

Comment on your child's academic progress

Has your child ever been assessed for and/or diagnosed with a condition that results in learning disabilities?*

Yes

Please explain and provide a copy of the most recent assessment with your documentation.*

Has your child ever been involved in unlawful and/or violent behavior?*

Yes

If yes, please explain

Medical Information

BC Medical Number*

I don't have a BC Medical Number

Have you recently applied for a BC medical number?

Yes

Provide medical number for previous province

Are there any allergies or medical concerns?*

Yes

If yes, please explain

Student's Family Doctor

Provide family doctor's information

Family Doctor's name Family Doctor's phone/email

same as 3

Same as first student

Additional Info

Will you be enrolling a fourth student?*

Yes

Student Details

Legal Name*

Legal First Legal Last

Middle Name

Middle

Preferred Name

Preferred First Name Preferred Last Name

Enrollment Year and Grade

Please select the school year and grade that you are enrolling the student in.

School Year*

Grade*

Please Provide Student's PEN (if known)

Student PEN (Personal Education Number)

Additional Student Information

Date Of Birth*

MM slash DD slash YYYY

Please Select*

Citizenship*

Aboriginal Ancestry*

Yes

Please Select

Inuit

Metis

Non-Status

Status - Off Reserve

Status - On Reserve

Status Card #

Band of Origin

Status Card #

Band of Origin

Band of Residence

Student's Previous School

Same as first student

School Name Town/City Province

Student History

Comment on your child's academic progress

Has your child ever been assessed for and/or diagnosed with a condition that results in learning disabilities?*

Yes

Please explain and provide a copy of the most recent assessment with your documentation.*

Has your child ever been involved in unlawful and/or violent behavior?*

Yes

If yes, please explain

Medical Information

BC Medical Number*

I don't have a BC Medical Number

Have you recently applied for a BC medical number?

Yes

Provide medical number for previous province

Are there any allergies or medical concerns?*

Yes

If yes, please explain

Student's Family Doctor

Provide family doctor's information

Family Doctor's name Family Doctor's phone/email

same as 4

Same as first student

Additional Info

Will you be enrolling a fifth student?*

Yes

Student Details

Legal Name*

Legal First Legal Last

Middle Name

Middle

Preferred Name

Preferred First Name Preferred Last Name

Enrollment Year and Grade

Please select the school year and grade that you are enrolling the student in.

School Year*

Grade*

Please Provide Student's PEN (if known)

Student PEN (Personal Education Number)

Additional Student Information

Date Of Birth*

MM slash DD slash YYYY

Gender*

Citizenship*

Aboriginal Ancestry*

Yes

Please Select

Inuit

Metis

Non-Status

Status - Off Reserve

Status - On Reserve

Status Card #

Band of Origin

Status Card #

Band of Origin

Band of Residence

Student's Previous School

Same as first student

School Name Town/City Province

Student History

Comment on your child's academic progress

Has your child ever been assessed for and/or diagnosed with a condition that results in learning disabilities?*

Yes

Please explain and provide a copy of the most recent assessment with your documentation.*

Has your child ever been involved in unlawful and/or violent behavior?*

Yes

If yes, please explain

Medical Information

BC Medical Number*

I don't have a BC Medical Number

Have you recently applied for a BC medical number?

Yes

Provide medical number for previous province

Are there any allergies or medical concerns?*

Yes

If yes, please explain

Student's Family Doctor

Provide family doctor's information

Family Doctor's name Family Doctor's phone/email

same as 5

Same as first student

Parental Permission

I permit my child's name and photo to be used in school publications (ie. school newsletters), both electronic and paper.*

Yes

I permit my child to be included in any media coverage of a school event.*

Yes

Agreement

I/We are willing to support the school, the decisions of the Principal and the regulations passed by the school board.*

Yes

Please type your full legal name to the above statement. In this instance, typed names suffice as a handwritten signature.*

Covenant

Family Covenant*

At CHEK ABC we believe that a successful home education occurs in partnership between home and school. We want to come along side families in a supportive way as they work towards the academic, personal, and discipleship goals of their child(ren). It is vital that parents play an important role in this partnership. The Family Covenant is an agreement that parents will join us in this process.

Please read the statements below and indicate your commitment to CHEK ABC and the schooling at home program.

1. I fully understand that I am making a commitment to educate my child(ren) at CHEK ABC

2. I will positively represent the school in my community

3. I am committed to supporting the policies of CHEK ABC

4. I will support the teachers and the administration of CHEK ABC

5. Should any concerns arise, I will direct them to the teacher as soon as possible

6. In my role as direct overseer of my child's educational program, I commit to:

• Choose the curriculum, in cooperation with the teacher that meets specific Ministry of Education learning standards.
• Acquire resources as approved by the teacher.
• Work with the teacher to coordinate a Student Learning Plan (SLP).
• Participate in and facilitate weekly contact between my child(ren) and the teacher and request assistance as needed.
• Supervise, encourage and motivate my child(ren) on a day-by-day basis, and ensure that sufficient time is given for school work.
• Ensure that my child's work is completed in a timely manner.
• Submit work samples for assessment visits with the teacher.
• Participate in report card assessment visits with the teacher.

7. I acknowledge that the Foundation Skills Assessment is required to be written by students in Grades 4 and 7 and will ensure that my child(ren) participates

8. I am committed to the school policy on responsible stewardship and will return any non-consumable resources to CHEK ABC to be shared with others in the school

9. I am committed to academic integrity and will always ensure that my child(ren) complete their own work and write quizzes and tests without assistance of any kind

10. If I withdraw my child(ren) prior to September 30th, I commit to cover the cost of any materials purchased by CHEK ABC and a per student withdrawal fee of $50.

I have read through each of the above statements and commit to upholding them so long as my family is a part of CHEK ABC.

Please type your full legal name to the above statement. In this instance, typed names suffice as a handwritten signature.*

Attached Files

Please attach supporting documentation to your application.

These documents are necessary for the enrollment process: Your child will not be considered for enrollment until we receive these documents.

*12 files allowed with a max file size of 2MB each. If your documents exceed the limit, please email all your documents to admissions@chekabc.ca*

Please use this space to upload any of the following documents:

- Student Birth Certificate or Passport

- Student Care Card

- Immigration documents (if applicable, please include parent's work permit and birth certificate/passport)

- Ordinarily resident form completed and signed if family will be outside of BC for 6 weeks or more of the year.

Copy of student's most recent assessment/diagnosis for learning disabilities, if applicable.

- Records Request Form for the 2025-2026 school year printed and signed

Drop files here or

Accepted file types: jpg, pdf, docx, doc, Max. file size: 2 MB, Max. files: 12.

Tuition/Fees

Please Select*

Connect Middle School Tuition - $430

Payment Options

Credit Card

e-Transfer: email accounting@chekabc.ca password: school

Please indicate on e-Transfer students name and program for which fee is for.

Please enter full amount

Once you have entered your credit card information, you must select the NEXT button to complete the final steps of the form.

Connect Middle School Tuition - $430 Quantity

Price: $ 430.00 CAD

Quantity

Total

Credit Card

Card Details

Cardholder Name

Final Step

Enrollment will be finalized when:

- All documentation has been received

- Tuition has been paid.
If you selected to pay your tuition by e-Transfer, that payment is due within 7 days of submitting this application. If payment is not received within 7 days your application will be withdrawn.

- Administration has accepted placement

This is the final step in the online enrollment process. Please ensure that you have filled out the information accurately, and submitted all necessary documentation. We will contact you to confirm enrollment.

If you are not able to upload any documents at this time you can email a copy of them to admissions@chekabc.ca or fax them to us at (250) 352-0546 ext. 222.

Comments

This field is for validation purposes and should be left unchanged.