SPECIAL EDUCATION RE-ENROLLMENT Form Page

Welcome!
You are about to start the re-enrollment form for the Special Education department for CHEK ABC's distributed learning program. We will guide you through this process step by step.

Please be sure to submit copies of these documents during the enrollment process:

- Authorization to Share Confidential Information printed and signed

Please note that if you withdraw your child(ren) prior to September 30, there will be a $100 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 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 Other Parent
First Name
Last Name
Relationship to Student
Are You Currently A Resident Of British Columbia?
- Yes
- No
If no, please explain*
Do you plan to travel outside of BC for 6 weeks or longer during the school year?*
- Yes
- No
If yes, please explain*

Please complete the Ordinarily Resident form found at the beginning or end of this form and submit it with your other documentation when sending in your application.
Provide Your Home Address
*
Street Address City Province Postal Code
Provide Your Mailing Address
Mailing 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!

Parental Permission
I permit my child's name and photo to be used in school publications (eg. School Pamphlets), both electronic and paper.*
- Yes
- No
I permit my child to be included in any media coverage of a school related 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
CHEK ABC 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.*

Attached Files
Please attach supporting documentation to your application
Please use this space to upload the following document:

- Authorization to Share Confidential Information printed and signed
Drop files here or

Accepted file types: jpg, pdf, docx, doc, Max. file size: 99 MB, Max. files: 20.

Tuition
For the 2021-2022 school year, there is a non-refundable tuition fee of $50 per student to enroll in our SPED program.

Please see payment options below.
Payment Options
- Credit Card
- e-Transfer: email accounting@chekabc.ca password: school
- Cheque: addressed and mailed to: Nelson Christian School Society 810 Tenth Street, Nelson, B.C. V1L 3C7
Please enter full amount

SPED Re-Enrollment Tuition
Price: $ 50.00 CAD
Total
$ 0.00 CAD
Credit Card
Card Details
Cardholder Name

Final Step
Enrollment will be finalized when:

- All documentation has been received

- Tuition has been paid

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

SPED Re-Enrollment Form 2021/22

Step 1 of 11 - Introduction

Welcome!

Parent/Guardian Details

Is The Student Currently Living With Both Parents?

Provide Details Of Other Parent

Are You Currently A Resident Of British Columbia?

Provide Your Home Address

Provide Your Mailing Address

Society Membership

Student Details

Enrollment Year & Grade

Additional Student Information

Emergency Contact Person (other than parent)

Medical Information

Additional Info

Student Details

Enrollment Year & Grade

Additional Student Information

Medical Information

Additional Info

Student Details

Enrollment Year & Grade

Additional Student Information

Medical Information

Parental Permission

Agreement

Covenant

Attached Files

Tuition

Final Step