REGISTER WITH CHEK ABC

Welcome
You are about to start the 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, we would love to hear from you. Email us at admissions@chekabc.ca.

Today's Date*
Date Format: 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*
Landline Phone Number
Cell 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*
Please Provide Student's PEN (if known)
Student PEN (Personal Education Number
Additional Student Information
Student Email Address
Student Phone Number
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
Citizenship*
Aboriginal Ancestry*
- Yes
- No
Student's Previous School
Previous School*
School Name City Province Phone
Medical Information
BC Medical Number*
No Medical Number
- I don't have a BC Medical Number
Have you recently applied for a BC Medical Number*
- Yes
- No
Provide medical number for previous province*
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*
Please Provide Student's PEN (if known)
Student PEN (Personal Education Number
Additional Student Information
Student Email Address
Student Phone Number
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
Citizenship*
Aboriginal Ancestry*
- Yes
- No
Student's Previous School
Previous School*
School Name City Province Phone
Medical Information
BC Medical Number*
No Medical Number
- I don't have a BC Medical Number
Have you recently applied for a BC Medical Number*
- Yes
- No
Provide medical number for previous province*
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*
Please Provide Student's PEN (if known)
Student PEN (Personal Education Number
Additional Student Information
Student Email Address
Student Phone Number
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
Citizenship*
Aboriginal Ancestry*
- Yes
- No
Student's Previous School
Previous School*
School Name City Province Phone
Medical Information
BC Medical Number*
No Medical Number
- I don't have a BC Medical Number
Have you recently applied for a BC Medical Number*
- Yes
- No
Provide medical number for previous province*
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*
Please Provide Student's PEN (if known)
Student PEN (Personal Education Number
Additional Student Information
Student Email Address
Student Phone Number
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
Citizenship*
Aboriginal Ancestry*
- Yes
- No
Student's Previous School
Previous School*
School Name City Province Phone
Medical Information
BC Medical Number*
No Medical Number
- I don't have a BC Medical Number
Have you recently applied for a BC Medical Number*
- Yes
- No
Provide medical number for previous province*
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*
Please Provide Student's PEN (if known)
Student PEN (Personal Education Number
Additional Student Information
Student Email Address
Student Phone Number
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
Citizenship*
Aboriginal Ancestry*
- Yes
- No
Student's Previous School
Previous School*
School Name City Province Phone
Medical Information
BC Medical Number*
No Medical Number
- I don't have a BC Medical Number
Have you recently applied for a BC Medical Number*
- Yes
- No
Provide medical number for previous province*

Final Step
This is the final step in the online form enrollment process. Please ensure that you have filled out the information accurately and if you have any questions please feel free to email us at admissions@chekabc.ca.

REGISTER WITH CHEK ABC

Registered Students

Step 1 of 8 - Welcome

Welcome

Parent/Guardian Details

Provide your Home Address

Provide your Mailing Address

Student Details

Register Year and Grade

Please Provide Student's PEN (if known)

Additional Student Information

Student's Previous School

Medical Information

Additional Information

Student Details

Register Year and Grade

Please Provide Student's PEN (if known)

Additional Student Information

Student's Previous School

Medical Information

Additional Information

Student Details

Register Year and Grade

Please Provide Student's PEN (if known)

Additional Student Information

Student's Previous School

Medical Information

Additional Information

Student Details

Register Year and Grade

Please Provide Student's PEN (if known)

Additional Student Information

Student's Previous School

Medical Information

Additional Information

Student Details

Register Year and Grade

Please Provide Student's PEN (if known)

Additional Student Information

Student's Previous School

Medical Information

Final Step