Register | Hanover School Division

School

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

Select Your Child's Designated School:*

Kindergarten students are required to attend the school within the catchment area in which they reside.
If you are unsure of your child's designated school, please view divisional Catchment Area Maps. If you are still unsure, select UNSURE from the listing
Once we receive your registration information, we will verify the correct school.

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, 2019.
Enter date as mm/dd/yyyy

Gender*

Male
Female

Primary / Home Phone Number*

If you only have a mobile phone, enter that number here.

Physical Address*

Number and Street or Road (DO NOT INCLUDE POSTAL CODE)

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

Country of Origin*

Primary Language Spoken at Home*

Any Special Busing Requirements?

Parent / Guardian Information

With Whom the Child Resides

Child Lives With*

Child Lives with OTHER - please specify*

Custody*

Indicate who has legal custody of the child.

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.

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).

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 problems or considerations the school should be aware of?*

No
Yes

Medical considerations - please specify*

Resource Information

Is resource help requested?*

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)

Aboriginal Other - please specify*

Which best describes your child’s Aboriginal cultural-linguistic identity?

Choice 2 (optional)

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.

Phone

This field is for validation purposes and should be left unchanged.