NEW Home Educator Registration

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Registering as a NEW home educator

This form, e-mails and other electronic methods used to communicate with Aurora Virtual School are not secure, and as such, the security of any transmitted personal information cannot be guaranteed. This form can be printed, completed and mailed to Aurora Virtual School, 500-4201 4th Ave., Whitehorse, YT Y1A 5A1.

Your personal information is being collected under the authority of the Education Act, subsection 6 (1) (h) and the Access to Information and Protection of Privacy (ATIPP) Act, subsection 29 (c) for the purposes of administering student participation in the education system and for statistical analysis. If you have any questions about the information recorded on this form, please contact the Team Leader of Aurora Virtual School at 867-456-6777, 500-4201 4th Ave., Whitehorse, YT Y1A 5A1.

Please complete the required fields below. This form takes approximately 10 minutes to complete. Please ensure you have enough time to complete it in one sitting as it cannot be saved.

Aurora Virtual School Registration Form

Student Information

* Indicates required field

Legal First Name *

Usual First Name *

Legal Middle Name *

Usual Last Name *

Legal Last Name *

Select *

Male Female

Date of Birth (dd/mm/yyyy) *

Previous School Information

Have you previously attended a Yukon or BC school? *

Yes No

Name of School *

Address *

Last grade completed *

Physical Address of Student

Street *

Mailing Address of Student (if different )

Street *

City *

Province/Territory *

Postal Code *

Province/Terriotry *

Postal Code *

Student Email Address *

Custody Information

Is there a court order relating to your child? *

Yes No

If yes, please contact your administrator as soon as possible to provide details.

Other family information you wish to provide *

Citizenship Status *

If 'Visitor' you must provide a copy of your student authorization of Immigration Canada.

Proof of Age Documentation *

One of the two documents listed must be made available upon request. Yukon Health Care Card may NOT be used as proof of age.

Aboriginal Ancestry (optional)

Yukon First Nations *

Yes No

Please indicate Yukon First Nation *

Other First Nation *

Inuit? *

Yes No

Metis? *

Yes No

The Right to Receive French First Language Education
According to Section 23 of the Canadian Charter of Rights and Freedoms, a parent/guardian who is a (1) citizen of Canada (a) "whose first language learned and still understood" is French, or (b) "who have received their primary school instruction in Canada in French have the right to have their children receive primary and secondary school instruction in French". (2) Or, if the parent/guardian of a child whom "has received or is receiving primary or secondary school instruction in French, have the right to have all their children receive primary and secondary school instruction in French". This does not include students in a French Immersion Program.

Does your child have the right to receive French First Language education, according to the criteria listed above? *

Yes No

Siblings in this School

Legal Name *

Date of Birth (dd/mm/yyyy) *

Choose One *

Male Female

Relationship *

Legal Name *

Birth Date (dd/mm/yyyy) *

Choose One *

Male Female

Relationship *

Parent/Guardian Information

Relationship to Student *

Last Name *

First Name *

Live with student? *

Yes No

Same address as student? *

Yes No

Live with student? *

Yes No

Same address as student? *

Yes No

Street *

City *

Province/Territory *

Postal Code *

Province/Territory *

Postal Code *

Parent 1 Phone Number *

Email *

Parent 2 Phone Number *

Email *

Other Information *

Emergency Contact Information
The information in this section is considered third party information under the access to Information and Privacy Act (ATTIP). Consent is required from the individual for the Yukon Department of Education to collect this information.

Last Name *

First Name *

Relationship *

Home Phone # *

Cell Phone # *

Work Phone # *

Can this person pick up the student? *

Yes No

Can this person pick up the student? *

Yes No

After School Care provider Name and Phone *

School Bus Information

Student to be registered for school busing? *

Yes No

If the student has special transportation requirements, such as multiple pickup/drop-off points, medical conditions, allergies, or must be met at the bus stop after school, please complete a Special Transportation Application.

Photo Release

I consent for my child's photo to be included in his/her school record for identification purposes only. The photo will not be used for any other purpose *

Yes No

I consent for photos of my child to be used for school related activities, such as school website and displays, local media, reports, newsletters, etc. *

Yes No

Signature of Parent/Guardian *

Submit

Located on the territory of the Kwanlin Dün First Nation and the Ta'an Kwäch'än Council.
Serving students and families throughout all fourteen Yukon First Nation(s) territories.

500-4201 4 Ave,
Whitehorse, YT
Y1A 5A1
Tel: 867.456.6777

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