Student Information Card Student Information Card Application Formplease select one program*Preschool/Casa Half-Day Program: A.MPreschool/Casa Half-Day Program: P.MPreschool/Casa Full-Day Program: Double Session (upon approval)Kindergarten (half-time: M/W and alt F)Kindergarten (half-time: T/Th and alt F)Kindergarten (full-time M-F)Elementary Program:Grade Level Entering*To help predict future enrolment, please indicate the following:* I am interested in the full 3-year Casa Program I am interested in the full 4-year Elementary Program Student InformationPlease Note: Before a student can be accepted, this form must be completed in its entirety and all applicable fees, tuition payments, and government verification ID have been submitted. Student Name:* Legal First Name: Legal Middle Name(s): Legal Last Name: Date of Birth: (dd/mm/yy)*Gender*Mailing Address:* Street Address City State / Province / Region ZIP / Postal Code Physical Address* Same as mailing address Street Address City State / Province / Region ZIP / Postal Code Medical Information:(allergies, additional needs, relevant medical information)*For New to BSM students only:Does this child have any Montessori experience?*YesNoHas this child ever attended another SK school before?*YesNoHas this child ever attended another school outside of SK?*YesNoIf yes to any of the above, please provide: School name, City/Province & Country (if not Canada)Information for SK Ministry of Education:Citizenship:*CanadianCountry of birth (if not Canada)Province/Country of origin (if new to Saskatchewan)First language spoken in the home*Second language (if any)*Voluntary Declaration of Aboriginal ancestry:*Status/Treaty/RegisteredNon-statusMetisInuitFamily InfoParent/Guardian #1 Name* First Last Telephone: (Home)Telephone: (Work)Telephone: (Cell)*Occupation/Place of work*Address, if different from student Same as student Street Address City State / Province / Region ZIP / Postal Code Relationship to Student*Parent Email* Parent/Guardian #2 Name* First Last Telephone: (Home)Telephone: (Work)Telephone: (Cell)*Occupation/Place of work*Address, if different from student Same as student Street Address City State / Province / Region ZIP / Postal Code Relationship to Student*Parent Email* Siblings:Name & AgeName & AgeName & AgeName & AgeReceipts will be issued in both Parent/Guardian names unless stated otherwiseEMERGENCY DAYTIME CONTACTS (if parent/guardian(s) cannot be reached):Name*Relationship to Student*Phone #: (Work)Phone #: (Cell)*Name*Relationship to Student*Phone #: (Work)Phone #: (Cell)*PICK-UP INFORMATION: The additional people listed below are permitted to pick up my child from school:NameRelationship to StudentNameRelationship to StudentNameRelationship to StudentPERMISSION: (only one parent initial is required to allow for full consent)I, as parent/guardian,*consent to my child being photographed for use in publications, including, but not limited to publication via our school newsletter, school website & social media platforms, slide-shows, posters, pamphlets or videos. Names are never attached to student photos. My initial confirms thisdon't consent to my child being photographed for use in publications, including, but not limited to publication via our school newsletter, school website & social media platforms, slide-shows, posters, pamphlets or videos. Names are never attached to student photos. My initial confirms this
