STUDENT REGISTRATION
2021-2022 SCHOOL YEAR




   

Please identify the school your child will be attending using our School Locator.

School:
*


Date of Enrollment:
   


School Attendend Last Year(if different):

PROGRAM INFORMATION * - Choose one of the following

* Note: If you need assistance with this process, please contact our Call Centre 902-464-2000 (press 1) or send your question(s) to registration@hrce.ca .

Required fields will be marked with red asterisks *

STUDENT INFORMATION

LEGAL NAME - Must match birth certificate, passport, immigration papers, legal name change certificate, or adoption documents
Last: *
First: *
Middle:
Preferred first name (the name by which your child will be addressed, and that will appear on school documents):
Date of birth:   *

Proof of identify: *  
(file types allowed: jpg, bmp, gif, pdf, doc, docx)

One of either birth certificate, passport, immigration papers, or legal adoption papers.


 Uploaded File:   
Gender: *
Grade level:   *
Civic address:

Street address:
*

Apartment number:


City / Community:
*

Province:
*

Postal Code:
*
Mailing address (if different from civic address):

Street address:


Apartment number:


City / Community:


Province:


Postal Code:

Proof of address: *  
A recently dated official government or utility document with your current address which includes your name and date. Examples are utility bills, tax receipt or mortgage contracts.
(file types allowed: jpg, bmp, gif, pdf, doc, docx)


  Uploaded File:  
Home phone:   *
Student's cell phone:  
Language Comprehension:

Language most often spoken in the home:






TECHNOLOGY

Does the student have access to internet in the home?    
Is the internet access in the home high speed internet?    
Does the student have access to an internet connected device?    
Type of internet connected device (select all that apply):

CUSTODY ARRANGEMENTS

Are special custody arrangements requested for this student at school?    
Families should contact HRCE to confirm transportation information as all residence addresses for your child must be bus eligible. Check your transportation eligibility by clicking here.
Description / details (include any special instructions)

CONTACT INFORMATION - Parents, guardians, and other persons to contact in case of emergency

You can enter up to five contacts in this section.
Contact priority shall be ordered based on whom to call for school communications and in the case of emergency and/or school closure.
CONTACT 1 (required)
Last Name:   *
First Name:   *
Relationship:  *
Phone Numbers: List numbers in order of priority (include any extensions)
Phone 1:   *
    *

Phone 2:  
   

Phone 3:  
   
Language Comprehension:



Check ALL applicable boxes
Student resides with contact
 

Parent Portal Access to Student record
   
School pickup permitted
 

Can receive automated notifications
 

Can receive report card information
 
Civic Address: Complete this section only if different from student's address
Street address:


Apartment number:


City / Community:


Province:


Postal Code:


Email Address: may be used for communication purposes, and is required for Parent Portal access
Email Address:  
CONTACT 2 (optional)
Last Name:  
First Name:  
Relationship: 
Is this contact and Emergency Contact only (if parent/guardian cannot be reached)
 
Phone Numbers: List numbers in order of priority (include any extensions)
Phone 1:  
   

Phone 2:  
   

Phone 3:  
   
Language Comprehension:



The below sections only need to be completed for parents/guardians
Check ALL applicable boxes
Student resides with contact
 

Parent Portal Access to Student record
   
School pickup permitted
 

Can receive automated notifications
 

Can receive report card information
 
Civic Address: Complete this section only if different from student's address
Street address:


Apartment number:


City / Community:


Province:


Postal Code:
Email Address: may be used for communication purposes, and is required for Parent Portal access
Email Address:  
CONTACT 3 (optional)
Last Name:  
First Name:  
Relationship: 
Is this contact and Emergency Contact only (if parent/guardian cannot be reached)
 
Phone Numbers: List numbers in order of priority (include any extensions)
Phone 1:  
   

Phone 2:  
   

Phone 3:  
   
Language Comprehension:



The below sections only need to be completed for parents/guardians
Check ALL applicable boxes
Student resides with contact
 

Parent Portal Access to Student record
   
School pickup permitted
 

Can receive automated notifications
 

Can receive report card information
 
Civic Address: Complete this section only if different from student's address
Street address:


Apartment number:


City / Community:


Province:


Postal Code:
Email Address: may be used for communication purposes, and is required for Parent Portal access
Email Address:  
CONTACT 4 (optional)
Last Name:  
First Name:  
Relationship: 
Is this contact and Emergency Contact only (if parent/guardian cannot be reached)
 
Phone Numbers: List numbers in order of priority (include any extensions)
Phone 1:  
   

Phone 2:  
   

Phone 3:  
   
Language Comprehension:



The below sections only need to be completed for parents/guardians
Check ALL applicable boxes
Student resides with contact
 

Parent Portal Access to Student record
   
School pickup permitted
 

Can receive automated notifications
 

Can receive report card information
 
Civic Address: Complete this section only if different from student's address
Street address:


Apartment number:


City / Community:


Province:


Postal Code:
Email Address: may be used for communication purposes, and is required for Parent Portal access
Email Address:  
CONTACT 5 (optional)
Last Name:  
First Name:  
Relationship: 
Is this contact and Emergency Contact only (if parent/guardian cannot be reached)
 
Phone Numbers: List numbers in order of priority (include any extensions)
Phone 1:  
   

Phone 2:  
   

Phone 3:  
   
Language Comprehension:



The below sections only need to be completed for parents/guardians
Check ALL applicable boxes
Student resides with contact
 

Parent Portal Access to Student record
   
School pickup permitted
 

Can receive automated notifications
 

Can receive report card information
 
Civic Address: Complete this section only if different from student's address
Street address:


Apartment number:


City / Community:


Province:


Postal Code:
Email Address: may be used for communication purposes, and is required for Parent Portal access
Email Address:  

MEDICAL INFORMATION

Doctor's name:  
Doctor's phone:  
Health Card number: *  
Health Card expiry: *  
MedicAlert No. (if applicable):  
Health Care Needs / Medical Diagnosis(es) If YES*, please check one or more of the following: (Checking any of the below requires further program-planning meetings and/or documentation (e.g. Health Plan of Care; Administration of Medical Forms; etc.)

Proof of Medical insurance or Nova Scotia Health Card: *  
(file types allowed: jpg, bmp, gif, pdf, doc, docx)


  Uploaded File:  

TRANSPORTATION

SPECIAL NEEDS TRANSPORTATION REQUIRED? (for students with special needs only)    
If your request for special needs busing is approved, HRCE will contact you with busing details for your child, once routing is finalized.
ALTERNATE BUSING INFORMATION
Under special circumstances, some children may require alternate pick-up and/or drop-off locations to/from school and a location other than their home residence. Within reason, HRCE will make arrangements to accommodate these requests however all addresses must be bus eligible.
   
Street address:
 

Apartment number:


City / Community:
 
Contact Last Name:
 

Contact First Name:
 

Contact Phone:
 

UNEXPECTED EARLY CLOSURE INSTRUCTIONS

In the event that school must close early, indicate alternative arrangements you want for your child.

INTERNATIONAL STUDENT INFORMATION (Canadian Citizens don't need to complete this section)

 

 





 



Citizenship:    
Medical Insurance:      

Proof of Immigration Status:  

If your child is a non-resident, immigrant or refugee, please provide the documentation related to your status in electronic form.


 Uploaded File:   

SELF-IDENTIFICATION - Completion of this section voluntary

Parents/Guardians and/or students are encouraged to self-identify. By doing so, this enables the Department of Education and Early Childhood Development and Halifax Regional Centre fo Education to have a greater awareness of the diversity of the student population and the communities served and to better meet the educational needs of students.
INDIGENOUS - For the purpose of this form, Indigenous persons are those who consider themselves to be Mi'kmaw / other First Nations, M├ętis, or Inuit.



ANCESTRY









Please enter your email address. This will be used by HRCE to get in touch with you concerning this registration.

Email Address: *

Confirm Email Address: *