CONNECT RE ENROLLMENT

Connect Middle School Re-Enrollment - 2025-2026

"*" indicates required fields

Step 1 of 12 - Introduction

Welcome!

You are about to start the Connect Middle School re-enrollment form for CHEK ABC's distributed 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 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 ext. 222 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

cellphone_number*

landline_phone_number*

Secondary Phone Number*

Cell Phone

Landline

No Secondary Phone Number

cellphone_number*

landline_phone_number*

Is The Student Currently Living With Both Parents?

Is The Student Currently Living With Both Parents?*

Yes

Please provide details

Provide Details Of Second Parent

First Name

Last Name

Relationship to Student

For other, please specify details*

Primary Contact Number

Residency

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

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

Name

Middle

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*

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

Emergency Contact Person (other than parent)

Name Email Address Phone Relationship to student

Additional Info

Will you be re-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*

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

Additional Info

Will you be re-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*

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

Additional Info

Will you be re-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*

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

Additional Info

Will you be re-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*

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

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 online or in person with the teacher each month in all subjects.
• Participate in report card assessment visits with the teacher, either online or in person.

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.*

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

Re-enrollment will be finalized when:

- 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 re-enrollment process. Please ensure that you have filled out the information accurately, and submitted all necessary documentation. We will contact you to confirm re-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.

Phone

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