Enroll your child

Family Name *

First Name *

Date of Birth *

Country of Birth *

Sex *MaleFemale

Nationality *

In case the learner holds another nationality, specify which one:

Street Address *

Apartment, suite, etc *

City *

Home Phone Number:

Registration in Class: *Classes

Section *English SectionFrench Section

Grade 10 *FSSFSGG10 AP

Grade 11 *SSSSSGG11 AP

Seconde *S1SS1G2ᵈᵉ Bac Français

Première *S2SS2G1ʳᵉ Bac Français

Health Problem

Health Problem Type:

Treatment

Specific Symptoms

Blood Type:

Person(s) to contact in case of emergency if parents are unreachable: *

First Name *

Nationality *

Mobile Number *

Email Address

Father Date of Birth (day/month/year) *

Profession

Work Address

Office bldg

Work City

Family Status *

First & Family Name *

Nationality *

Mother Date of Birth (day/month/year) *

Mobile Number *

Email Address

Profession

Work Address

Office bldg

Work City

Family Status *

Are there any brothers or sisters attending our school? *YesNo

Names of brothers and sister in CNDL or in Another School *

Grade Level *

School Name and Address *

Attach the report card of the current school year *

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