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info@hsd.ca
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PLEASE DO NOT USE THIS FORM if your child has previously been enrolled in the Hanover School Division. Regardless of age or grade, contact the HSD school your child last attended to update/transfer their student record.
Email*
Please enter your email address. This address will only be used to send additional registration information and instructions to you.
Enter Email Confirm Email
School
Select Your Child's Designated School:*
Students are required to attend the school within the catchment area in which they reside.
Please view divisional Catchment Area Maps (Catchment Area Maps) to confirm your child's designated school. If you are unsure, select UNSURE from the school drop-down listing.
Once we receive your registration information, we will verify the correct school.
Select Your Child's Grade Level*
Enter the grade level the child will be in when starting school in Hanover School Division.
Select Your Child's Grade Level*
Enter the grade level the child will be in when starting school in Hanover School Division.
Select Your Child's Grade Level*
Enter the grade level the child will be in when starting school in Hanover School Division.
Select Your Child's Grade Level*
Enter the grade level the child will be in when starting school in Hanover School Division.
Select Your Child's Grade Level*
Enter the grade level the child will be in when starting school in Hanover School Division.
Select Your Child's Grade Level*
Enter the grade level the child will be in when starting school in Hanover School Division.
Select Your Child's Grade Level*
Enter the grade level the child will be in when starting school in Hanover School Division.
Select Your Child's Grade Level*
Enter the grade level the child will be in when starting school in Hanover School Division.
Previous School & School Division
If you are registering a student for any grade other than Kindergarten, please enter which school and school division they last attended.
Student Information
Last Name (legal)*
The child's legal name matching their identification must be used.
First Name (legal)*
Middle Name(s) (legal)
Preferred Name (only if different from first name)
Date of Birth*
To register for kindergarten child must be 5 years of age by Dec. 31, 2020.
Enter date as mm/dd/yyyy
Date Format: MM slash DD slash YYYY
Gender*
- Male
- Female
Primary / Home Phone Number*
If you only have a mobile phone, enter that number here.
Physical Address
Where the student resides.
Physical Address
Number and Street or Road (DO NOT INCLUDE POSTAL CODE)
House / Street Number*
Street / Road Name*
If your street is not listed, please email info@hsd.ca with the street, city and postal code you are trying to enter.
Street / Road Suffix
Apartment / Unit Number (if applicable)
City / Town*
Province*
Postal Code*
Is Your Mailing Address DIFFERENT Than Physical Address Listed Above?*
- Yes
- No
Mailing Address
Complete if Mailing Address is Different than Physical Address.
Mailing Address*
Box Number or Similar (DO NOT INCLUDE POSTAL CODE)
Mailing City / Town*
Mailing Province*
Mailing Postal Code*
Additional Student Information
Birth Certificate or Passport #*
Required for verification of identity.
Country of Citizenship*
Immigration Date (if applicable)
If applicable, enter the date of immigration to Canada.
Enter date as mm/dd/yyyy
Date Format: MM slash DD slash YYYY
Country of Origin*
Primary Language Spoken at Home*
Any Special Busing Requirements?
Parent / Guardian Information
With Whom the Child Resides
Child Lives With*
- Both Legal Parents (same residence)
- Both Legal Parents (separate residences)
- Mother
- Father
- Guardian
- Foster Parents
- Other
Child Lives with OTHER - please specify*
Custody*
Indicate who has legal custody of the child.
- Both Parents
- Mother
- Father
- CFS (Child and Family Services)
- Non-CFS Guardian
- Other
Custody OTHER - Please Specify*
Are there any court orders / legal documents in effect that pertain to the child?*
- Yes
- No
Please provide information on court orders / legal documents in effect.*
You will need to provide copies to the school.
Parent 1 / Father
Parent 1 / Father First Name*
Parent 1 / Father Last Name*
Parent 1 / Father Relation to Student*
Parent 1 / Father - Mobile Phone
Parent 1 / Father - Work Place
Parent 1 / Father - Work Place Phone
Parent 1 / Father - Work Place Phone Extension #
Parent 1 / Father - Email Address
Does Parent 1 / Father have a different address than the student?*
- No
- Yes
Parent 1 / Father Address
Different than students.
Parent 1 / Father Street or Road*
Parent 1 / Father Mailing Address
Parent 1 / Father City / Town*
Parent 1 / Father Province*
Parent 1 / Father Postal Code*
Parent 2 / Mother
Parent 2 / Mother First Name*
Parent 2 / Mother Last Name*
Parent 2 / Mother Relation to Student*
Parent 2 / Mother - Mobile Phone
Parent 2 / Mother - Work Place
Parent 2 / Mother - Work Place Phone
Parent 2 / Mother - Work Place Phone Extension #
Parent 2 / Mother - Email Address
Does Parent 2 / Mother have a different address than the student?*
- No
- Yes
Parent 2 / Mother Address
Different than students.
Parent 2 / Mother Street or Road*
Parent 2 / Mother Mailing Address
Parent 2 / Mother City / Town*
Parent 2 / Mother Province*
Parent 2 / Mother Postal Code*
Foster / Other Parent Information
Foster / Other Parent Names*
Relation to Student*
Foster / Other Parent Phone # 1*
Foster / Other Parent Phone # 2
Foster / Other Parent Mailing Address*
Foster / Other Parent City / Town*
Foster / Other Parent Province*
Foster / Other Parent Postal Code*
Foster / Other Parent - Email Address # 1
Foster / Other Parent - Email Address # 2
Legal Guardian
Care of CFS*
You indicated that CFS has custody of the child. For children in care of CFS, schools will contact you to arrange an intake meeting.
- Yes
Legal Guardian First Name*
Legal Guardian Last Name*
Legal Guardian Relation to Student*
Legal Guardian Email Address
Legal Guardian Daytime Phone #*
Legal Guardian Mobile Phone #
Legal Guardian Work Phone #
Legal Guardian Employer
Legal Guardian Mailing Address*
Legal Guardian City / Town*
Legal Guardian Province*
Legal Guardian Postal Code*
Emergency Contact Information
In case parents/guardians cannot be reached. You must list at least 1 emergency contact (up to a total of 3). Do NOT list legal parents or guardians who you have already entered above.
Emergency Contact 1 Name*
Emergency Contact 1 Relation to Student*
Emergency Contact 1 Primary Phone #*
Emergency Contact 1 Alternate Phone #
Emergency Contact 2 Name
Emergency Contact 2 Relation to Student
Emergency Contact 2 Primary Phone #
Emergency Contact 2 Alternate Phone #
Emergency Contact 3 Name
Emergency Contact 3 Relation to Student
Emergency Contact 3 Primary Phone #
Emergency Contact 3 Alternate Phone #
Medical Information
Manitoba Medical Registration # (6 digit)
Manitoba Personal Health Identification Number (PHIN) # (9 digit)
Doctor's Name
Doctor's Phone #
If you have private family health insurance, please enter the name of the insurer.
(eg. Blue Cross)
Are there any medical conditions or considerations the school should be aware of?*
- No
- Yes
Medical conditions and considerations - please specify*
Please specify the medical conditions and considerations for your child.

If your child experiences certain health conditions that require intervention while attending school, they are eligible for Unified Referral Intake System (URIS) program.

The school will follow up with you regarding your child's medical information.

More information about the Manitoba URIS program and the URIS Group B Referral Form can be found here:
Manitoba Education URIS Info
Resource Information
Is resource support requested?*
Where you child may need additional support or instruction for physical tasks, social interactions, or learning assignments because of a social/emotional or learning disability, or a cognitive/physical disability.
- No
- Yes
Resource help requested - please specify*
Aboriginal Identity Declaration*
Is your child an Aboriginal person, that is, First Nation (North American Indian), Metis, or Inuk (Inuit) and you wish to complete the Aboriginal Identity Declaration?
- No
- Yes
Aboriginal Identity Declaration
Aboriginal Identity Declaration helps to support the efforts of Manitoba Education and Training and school divisions to plan and improve programs in a way that is responsive to Aboriginal learners. (Providing this personal information is voluntary and optional. It is being collected in compliance with section 36(1)(b) of The Freedom of Information and Protection of Privacy Act as it is necessary for and related directly to the activity of Manitoba and school divisions to plan, deliver and improve programs).
State your full name*
Full name of parent/guardian completing this form.
Mark the selection that best describes your child*
- First Nation (North American Indian)
- Metis
- Inuk (Inuit)
Which best describes your child’s Aboriginal cultural-linguistic identity?*
Choice 1 (required)
- Anishinaabe (Ojibway/Saulteaux)
- Ininiw
- Dene (Sayisi)
- Dakota
- Oji-Cree
- Michif
- Inuktitut
- Aboriginal Other
Aboriginal Other - please specify*
Which best describes your child’s Aboriginal cultural-linguistic identity?
Choice 2 (optional)
- N/A
- Anishinaabe (Ojibway/Saulteaux)
- Ininiw
- Dene (Sayisi)
- Dakota
- Oji-Cree
- Michif
- Inuktitut
Electronic Signature
Parent / Guardian - Enter name below as your electronic signature.*
I verify the accuracy of the above information. I also acknowledge that this information will be used and maintained while my child is enrolled in any Hanover School Division school and I will notify the current school of any changes.
Name
This field is for validation purposes and should be left unchanged.

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Hanover School Division

Contact

(204) 326-6471
(204) 326-9901
info@hsd.ca
HanoverSD Hanover School Division 5 Chrysler Gate, Steinbach,
Manitoba R5G 0E2

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