Application Form Elementary – G.N. Sikh School

Grade registration - September 2023

Kindergarten Grade 1

Please select one

Female Male

PEN# [Personal Education Number (if available)]

T-Shirt Size

YXS (Shoulder 14.5" or 37cm / Height 19" or 48cm) YS (Shoulder 15.5" or 39cm / Height 20.5" or 52cm) YM (Shoulder 16.5" or 42cm / Height 24" or 61cm) YL (Shoulder 17.5" or 44cm / Height 24.5" or 62cm) YL (Shoulder 17.5" or 44cm / Height 24.5" or 62cm) YXL (Shoulder 18.25" or 46cm / Height 25.5" or 65cm) S (Shoulder 16.5" or 42cm / Height 28" or 71cm) M (Shoulder 18.5" or 47cm / Height 29" or 73cm) L (Shoulder 20.5" or 52cm / Height 29.5" or 75cm) XL (Shoulder 22.5" or 57cm / Height 31.5" or 80cm)

Student residency status:

If other, please explain:

If not Canadian Citizen - Country of Citizenship:

Student lives with both Parents

Yes No

CUSTODY legal document is required if there is a custody issue

Yes No

Previous school attended

Last grade completed

Student receives learning support

Yes No

What subject or area? (if receives learning support)

Expiry Date: (Care Card)

Does your child have any food and other allergies?

Yes No

If yes to allergies, please provide details and treatment plan

Does student have a life-threatening health condition?

Yes No

NOTE: Parent/Guardian are responsible for providing the required medication to designated staff on the first day of school. Medication currectly held at the school must be picked up prior to the end of the regular school year.

If yes, please explain

Has EPI Pen
If a child has an EPI Pen please provide it to the school

Yes No

Does your child need medication at school?

Yes No

If yes, please explain and provide treatment plan

Does your child have any other medical issues of which we need to be aware of?

Yes No

If yes, please explain

1- Parent/Guardian name

Parent/Guardian residency status

If other, please explain

2- Parent/Guardian name

Parent/Guardian residency status

If other, please explain

Emergency Contact First name:

Relationship to student

Pick up student?

Yes No

1- Sibling Full name:

2- Sibling Full name

3- Sibling Full name

I agree to follow school polices, rules, and pay fees: ($100 Registration, $175 Learning materials, and $200 monthly tuition fee).

Due Today
($100 Registration + $175 Supplies + First month fee $200 = Total $475.

Enter full name of Parent/Guardian as signing authority

G.N. Sikh School - Application Form Elementary

G.N. Sikh School - Surrey-Delta BC Canada

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