Name
*
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
Gender
*
Female
Male
Other
First Language
*
Secondary Language(s)
Address (where student resides)
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Current Grade
*
Junior Kindergarten
Senior Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Entering Year
*
2021-2022
2022-2023
2023-2024
2024-2025
2025-2026
2026-2027
2027-2028
2028-2029
2029-2030
Applying to Grade
*
Junior Kindergarten
Senior Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
School Name
*
School Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Does the candidate have any medical, physical, developmental or emotional conditions?
*
If yes, please give particulars
Does the candidate have any allergies?
*
If yes, please explain
Has the candidate ever been referred to or tested by agencies outside the school?
*
If yes, please give particulars and attach additional information, reports and documentation
Name
*
First Name
Last Name
Relationship to Student
*
Mother
Father
Step-mother
Step-father
Grandparent
Guardian
Other
Address (if different from above)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
*
Cell Phone
*
(###)
###
####
Home Phone
(###)
###
####
Work Phone
(###)
###
####
Employer
Occupation
Education
Name
First Name
Last Name
Relationship to Student
Father
Mother
Step-mother
Step-father
Grandparent
Guardian
Other
Address (if different from above)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
Cell Phone
(###)
###
####
Home Phone
(###)
###
####
Work Phone
(###)
###
####
Employer
Occupation
Education
Are parents separated or divorced?
If separated or divorced, is custody shared?
If custody is not shared, indicate custodial parent
Mother
Father
Step-mother
Step-father
Grandparent
Guardian
Other
Indicate main parent contact
*
Mother
Father
Step-mother
Step-father
Grandparent
Guardian
Other
Name
First Name
Last Name
Date of Birth
MM
DD
YYYY
Name
First Name
Last Name
Date of Birth
MM
DD
YYYY
Name
First Name
Last Name
Date of Birth
MM
DD
YYYY
Child's Health Card Number
*
Family Doctor
*
Emergency Contact Name
*
First Name
Last Name
Cell Phone
*
(###)
###
####
Home Phone
(###)
###
####
Work Phone
(###)
###
####
Emergency Contact Name
First Name
Last Name
Cell Phone
(###)
###
####
Home Phone
(###)
###
####
Work Phone
(###)
###
####
*
Name
First Name
Last Name
Relationship to Student
Step-Parent
Family Member
Care Giver
Other
Cell Phone
(###)
###
####
Home Phone
(###)
###
####
Work Phone
(###)
###
####
Name
First Name
Last Name
Relationship to Student
Step-Parent
Family Member
Care Giver
Other
Cell Phone
(###)
###
####
Home Phone
(###)
###
####
Work Phone
(###)
###
####
Occasionally, The Oxford School may photograph, videotape or record students participating in school activities. These recordings could be used in school publications, the school website, or in magazines or other print/broadcast media which may be distributed by the school to the public. The child’s name or other identifying information would not be published.
*
For The Oxford School to best meet the needs of students it is necessary for the school to be fully aware of any identified learning disabilities or learning differences, use of an individual education plan, or past incidences or behaviour concerns. Failure to fully disclose any of the above could be grounds for The Oxford School to terminate the Enrollment Agreement.
A Student may be removed from roll at TOS should they not meet the standards of self regulation and discipline required for permanent admission to TOS. The tuition and registration fee is non-refundable.
*
Parents Signature
*
First Name
Last Name
Date
*
MM
DD
YYYY
Relationship to Student
*
Mother
Father
Step-mother
Step-father
Grandparent
Guardian
Other
