Returning Home Educator Registration

Registering as a returning 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.

Aurora Virtual School Re-Registration Form

Student Information

Legal First Name *

Legal Middle Name *

Legal Last Name *

Select *

Male Female

Date of Birth (dd/mm/yyyy) *

Student email address *

Phone Number *

Last grade completed *

Parent/Guardian Information

First and Last Name *

Street *

First and Last Name *

Street *

City *

Province/Territory *

Postal Code *

Province/Terriotry *

Postal Code *

Home Phone # *

Cell Phone # *

Work Phone # *

Email *

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