CONNECT RE ENROLLMENT

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 Details
Please enter parent name and contact details.
First Name*
Last Name*
Relationship to Student*
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
- No
Provide Details Of Second Parent
First Name
Last Name
Relationship to Student
Primary Contact Number
Residency
Do you plan to travel outside of BC for 6 weeks or longer during the school year?*
- Yes
- No
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
- No
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
- No
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
- No

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
- No
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
- No

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
- No
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
- No

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
- No
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
- No

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
- No
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
- No
I permit my child to be included in any media coverage of a school event.*
- Yes
- No
Agreement
I/We are willing to support the school, the decisions of the Principal and the regulations passed by the school board.*
- Yes
- No
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.
- 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
Insert Blurb here
Please Select
- Connect Middle School Tuition - $425
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 - $425 Quantity
Price: $ 425.00 CAD
Total
$ 0.00 CAD
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.
Comments
This field is for validation purposes and should be left unchanged.

Connect Middle School Re-Enrollment - 2023-2024

Step 1 of 12 - Introduction

Welcome!

Parent/Guardian Details

Is The Student Currently Living With Both Parents?

Provide Details Of Second Parent

Residency

Provide Your Home Address

Provide Your Mailing Address

Society Membership

Student Details

Enrollment Year and Grade

Additional Student Information

Emergency Contact Person (other than parent)

Additional Info

Student Details

Enrollment Year and Grade

Additional Student Information

Additional Info

Student Details

Enrollment Year and Grade

Additional Student Information

Additional Info

Student Details

Enrollment Year and Grade

Additional Student Information

Additional Info

Student Details

Enrollment Year and Grade

Additional Student Information

Parental Permission

Agreement

Covenant

Tuition/Fees

Final Step