RE-REGISTER WITH CHEK ABC

Welcome
You are about to start the re-registered student 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.

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 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*
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.
Shipping Address same as Home Address
- Same as Home Address
*
Street Address City Province Postal Code

Student Details
Legal Name*
Legal First Legal Last
Middle Name
Middle
Preferred Name*
Preferred First Name Preferred Last Name
Register Year and Grade
Please select the school year and grade that you are registering the student in.
School Year*
Grade*
Additional Student Information
Student Email Address
Student Phone Number
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 Information
Will you be registering a second student?*
- Yes
- No

Student Details
Legal Name*
Legal First Legal Last
Middle Name
Middle
Preferred Name*
Preferred First Name Preferred Last Name
Register Year and Grade
Please select the school year and grade that you are registering the student in.
School Year*
Grade*
Additional Student Information
Student Email Address
Student Phone Number
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 Information
Will you be registering a third student?*
- Yes
- No

Student Details
Legal Name*
Legal First Legal Last
Middle Name
Middle
Preferred Name*
Preferred First Name Preferred Last Name
Register Year and Grade
Please select the school year and grade that you are registering the student in.
School Year*
Grade*
Additional Student Information
Student Email Address
Student Phone Number
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 Information
Will you be registering a fourth student?*
- Yes
- No

Student Details
Legal Name*
Legal First Legal Last
Middle Name
Middle
Preferred Name*
Preferred First Name Preferred Last Name
Register Year and Grade
Please select the school year and grade that you are registering the student in.
School Year*
Grade*
Additional Student Information
Student Email Address
Student Phone Number
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 Information
Will you be registering a fifth student?*
- Yes
- No

Student Details
Legal Name*
Legal First Legal Last
Middle Name
Middle
Preferred Name*
Preferred First Name Preferred Last Name
Register Year and Grade
Please select the school year and grade that you are registering the student in.
School Year*
Grade*
Additional Student Information
Student Email Address
Student Phone Number
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

There is no fee to register your children with CHEK ABC prior to Sept 30th. After October 1st, we receive no funding for registered students so a charge of $25/student registration fee will be applied to offset administrative costs.
Payment Options
- Credit Card
- e-Transfer: email accounting@chekabc.ca password: school

Final Step
Re-registration will be finalized when:

- Administration has accepted placement
This is the final step in the online re-registration process. Please ensure that you have filled out the information accurately, and submitted all necessary documentation. We will contact you to confirm re-registry.

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

REGISTER WITH CHEK ABC