YOU ARE REGISTERING YOUR CHILD FOR THE 2022-23 SCHOOL YEAR. Do not use this form if your child has previously been enrolled in the Hanover School Division. Please contact your designated catchment area school. School staff will provide you with further instructions on how to complete the registration process. If your child is new to Canada and has not yet been registered for school in Manitoba, please contact Eastman Immigrant Services for assistance in compiling the required documentation prior to completing the form below.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 SchoolSelect 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. If you wish to register at the Steinbach Regional Secondary School, please contact the school directly.Select SchoolBlumenortBothwellClearspring MiddleCrystal SpringsElmdaleGreen ValleyKleefeldLandmark ElementaryLandmark CollegiateMitchell ElementaryMitchell MiddleNiverville ElementaryNiverville MiddleNiverville HighSouth OaksSouthwoodStonybrook MiddleWoodlawnUnsureSelect Your Child's Grade Level*Enter the grade level the child will be in when starting school in Hanover School Division.Select grade levelKindergarten1234Select Your Child's Grade Level*Enter the grade level the child will be in when starting school in Hanover School Division.Select grade levelKindergarten12345678Select Your Child's Grade Level*Enter the grade level the child will be in when starting school in Hanover School Division.Select grade level9101112Select Your Child's Grade Level*Enter the grade level the child will be in when starting school in Hanover School Division.Select grade level5678Select Your Child's Grade Level*Enter the grade level the child will be in when starting school in Hanover School Division.Select grade level56789101112Select Your Child's Grade Level*Enter the grade level the child will be in when starting school in Hanover School Division.Select grade level789101112Select Your Child's Grade Level*Enter the grade level the child will be in when starting school in Hanover School Division.Select grade levelKindergarten123456Select Your Child's Grade Level*Enter the grade level the child will be in when starting school in Hanover School Division.Select grade levelKindergarten123456789101112Previous 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.For Kindergarten students, enter N/A. Student InformationStudent's Last Name (legal)*The child's legal name matching their identification must be used. Student's First Name (legal)* Student's Middle Name(s) (legal) Student's Preferred Name (only if different from first name) Date of Birth*To register for Kindergarten, your child must be 5 years of age by Dec. 31, 2022. Enter date as mm/dd/yyyy MM slash DD slash YYYY Gender* Male Female Primary / Home Phone Number*If you only have a mobile phone, enter that number here. Physical AddressWhere the student resides.HiddenPhysical AddressNumber 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.Please select1st Avenue1st Street2nd Avenue2nd Street3rd Avenue3rd Road3rd Street4th Avenue4th Street5th Avenue5th Street6th AvenueAbbey LaneAberdeen DriveAcorn AvenueAcorn DriveAlarie RoadAlbert StreetAlders GateAlderwood CrescentAlexander LaneAlexander WayAllary LaneAlpine DriveAmanda LaneAmberfield DriveAndover PlaceAnnenfeld Village RoadAppleton PlaceArbey LaneAsh AvenueAsh Grove CrescentAsh Grove LaneAsh StreetAshcroft CoveAshford LaneAspen AvenueAspen DriveAspen Estates RoadAspen Five DriveAspen Four DriveAspen One DriveAspen Six DriveAspen Three DriveAspen Two DriveAspen Village RoadAston CoveAurora DriveAutumnwood DriveAvondale CrescentBambi LaneBarak DriveBarkfield RoadBarkfielde RoadBarkman AvenueBarkman DriveBarkman StreetBeaulieu RoadBeaumont CircleBeaver CrescentBeaverbrook DriveBecki CoveBeechwood StreetBentley PlaceBerg DriveBergen BayBernat RoadBirch AvenueBirch StreetBirchwood LaneBirkdale CoveBiscayne DriveBlair BayBlossom BayBlue Jay PlaceBluebell RoadBluebird LaneBramblewood StreetBrandt StreetBreckenridge DriveBreezy BendBrentwood DriveBriarfield CourtBriarwood AvenueBriarwood CoveBriarwood PlaceBrighton LaneBristol DriveBrookdale CrescentBrooklyn BayBudala StreetBurntwood DriveBushfarm RoadCambridge WayCampus DriveCarillon WayCarleton DriveCarling CircleCarnoustie CoveCastle Rock CoveCedar CrescentCedar DriveCenter AvenueCenter StreetCentre AvenueCentre StreetCentury LaneChaddington BayChadwick DriveChalmers BayChancellor BayChapel DriveChickadee BayChrysler GateChurch AvenueChurch StreetClaremont DriveClearwater AvenueClearwater StreetClover BayClover LaneCloverdale StreetCloverfield DriveCobblestone CourtCollege AvenueCollege CrescentCoral CrescentCottonwood AvenueCottonwood BendCottonwood DriveCottonwood RoadCottonwood Trailer CourtCountry LaneCranberry LaneCranberry RoadCreekside DriveCreekside PlaceCrescentwood DriveCrestview LaneCrocus BayCrown Valley RoadCrystal BayCutlass DriveCutlass PlaceCutlers RidgeCypress PlaceDavid's BayDavin StreetDawson Roadde L'eglise AvenueDeer BayDeerfield TrailDeerfoot TrailDeerpath DriveDeerwood BayDelwood DriveDenby CoveDepape RoadDiversion RoadDochart GateDoerksen RoadDonald AvenueDucharme StreetEagle PlaceEastgate DriveEastwood DriveEdelweiss CrescentEdgemont PlaceEdgewood AvenueEdgewood DriveEdgewood StreetEllice AvenueEllington WayElm AvenueElm StreetElmdale AvenueElmdale DriveElmdale PlaceElmdale StreetErrington PlaceErrington WayEssex DriveEvergreen AvenueEvergreen StreetEveroak PlaceFairfield LaneFairmont CrescentFairway CloseFalk RoadFeathertail WayFernwood BayFernwood WayFinnigan RoadFlower PlaceFox RunFox Run PlaceFoxdale WayFriesen AvenueFroese RoadFunk DriveGarden GroveGauthier RoadGeorge Minsky DriveGeorge PlaceGiesbrecht DriveGiesbrecht PlaceGiesbrecht StreetGlacier BayGlenridge BayGlenwood BayGnadenfeld RoadGold Finch PlaceGolfview CrescentGoossen AvenueGordon StreetGrace LaneGrandview DriveGrandview StreetGranite CoveGranite Park BoulevardGrauer RoadGreen Acres LaneGreentree DriveGreenwood BayGreenwood StreetHampton DriveHanover PlaceHanover RoadHanover StreetHarmony LaneHarvest DriveHatchery RoadHawksley GateHawthorne WayHazelnut DriveHazelwood LaneHazelwood RoadHein DriveHenry PlaceHenry StreetHeritage TrailHerschfeld RoadHespeler StreetHickory AvenueHickory StreetHigh Point LaneHildebrandt DriveHill Crest CourtHillview PlaceHochstadt DriveHome StreetHomestead CrescentHoney LaneHospital StreetHunter DriveIdawood LaneImperial CrescentJacobs CoveJefferson StreetJoanna StreetJuniper AvenueJuniper PlaceKeating RoadKehler DriveKensington DriveKimberly BayKingsley GateKipling LaneKipling WayKirkdale DriveKliewer DriveKokomo LaneKootenay WayKrahn RoadKroeker AvenueLaing GateLakeview PlaceLambert RoadLandsbury LaneLandsbury TerraceLeblanc RoadLeClaire RoadLee DriveLilac AvenueLilac BayLilac PlaceLilac StreetLinden BayLinden PlaceLion's Gate DriveLoeppky RoadLoewen BoulevardLucky LaneLumber AvenueLund RoadLyndhurst GateLytham PlaceMadison DriveMadison PlaceMain StreetMalibu DriveMaple AvenueMaplewood CrescentMaplewood StreetMara CoveMarcel Dugas BayMark LaneMarshall PlaceMcAdam DriveMcFarlane PlaceMckenzie AvenueMeadowlark CoveMeadowlark LaneMeadowood PlaceMeadowview PlaceMenno DriveMooney AvenueMorgan PlaceMorley AvenueMuirfield CoveMulberry BayMurano CoveNeufeld DriveNorthview CrescentNorwood BayOak AvenueOak CrescentOak LaneOak Park DriveOakdale DriveOakenwald CrescentOakview AvenueOakview CrescentOakwood PlaceOrchard Hill DriveOriole AvenueOswald DrivePark AvenuePark BayPark StreetParkhill CrescentParkside CrescentParkside PlaceParkview BayParkview CrescentParkwood CovePaul's LanePauls LanePearl PlacePenfeld DrivePenner DrivePenner StreetPenrose CrescentPerreault RoadPeter Wiebe RoadPeters LanePine CrescentPine HollowPine StreetPine WoodsPinehurst LanePleasant DrivePoplar BayPoplar CrescentPoplar PlacePR200PR205PR206PR210PR216PR303PR305PR311PR403Prairie CrescentPrairie Crossings CourtPrairie RoadPrairie Rose RoadPrairie TrailPrairie View BayPrefontaine RoadPreston PlacePries RoadPTH12PTH52PTH59Quail Ridge PlaceQuarry RidgeRams GateRavenhill DriveRedwood PlaceReichenbach RoadReimer AvenueRempel DriveRidgeview PlaceRitchot DriveRoad 18Road 19Road 20Road 21Road 22Road 23Road 24Road 25Road 26Road 27Road 28Road 29Road 30Road 31Road 32Road 33Road 34Road 35Road 36Road 37Road 38Road 39Road 40Road 41Road 42Road 43Road 44Road 45Road 46Road 47Robert Koop RoadRobin PlaceRockridge CrescentRockridge DriveRockwood StreetRocky LaneRose StreetRosebrook TrailRoselawn BayRosengard DriveRoseville DriveRosewood DriveRosewood PlaceSand Piper TrailSander's LaneSara AvenueSchool BoulevardSchool RoadSelch StreetService RoadShady Acres LaneShady LaneSheffield WaySheila DriveSherwood PlaceSiskin BaySkandic BaySlater PlaceSolomon AvenueSouthern Oak LaneSouthpark DriveSouthridge DriveSouthwood AvenueSouthwood DriveSouthwood StreetSpencer RoadSpringwood BaySpruce CrescentSpruce DriveSpruce StreetSt Andrews WaySt George PlaceSt Viateur AvenueStanway AvenueSte Anne's RoadSterling DriveStone Bridge CrossingStoney Creek DriveStratford PlaceStrawberry LaneSuncrest RoadSunrise BaySunrise LaneTalia CoveTall Grass RoadTanglewood BayTherrien StreetTiny Creek RoadTourond Dyke RoadTrailer Court RoadTroon CoveTweed LaneTwin Oaks PlaceTwo Mile RoadValerie LaneVictory BayVista CoveWallace RoadWalnut AvenueWalnut StreetWeiss RoadWestbrook BayWestdale StreetWestgrove BayWestland DriveWestview DriveWestview PlaceWestwood AvenueWestwood StreetWhitby CrescentWiebe RoadWildewood DriveWillems StreetWillow CrescentWillow DriveWillow PlaceWillow Ridge RoadWillow StreetWilson StreetWindsor GateWinston PlaceWolf DriveWolfe DriveWoodhaven AvenueWoolwich RoadWyldewood CrescentWyndham CourtWyndham Estate DriveYork CrescentZo-Anika LaneStreet / Road SuffixIf applicableWENSNWNESWApartment / Unit Number (if applicable) City / Town*Please selectBlumenortDufresneFalcon BeachFalcon LakeGirouxGrunthalHadashvilleIle des ChenesKleefeldLa BroquerieLandmarkLindenLoretteMarchandMitchellNew BothwellNivervilleOtterburnePansyPine FallsPrawdaRandolphRicherSartoSt. AdolpheSt. MaloSt. Pierre-JolysSte. AgatheSte. AnneSte. GenevieveSteinbachTourondWest Hawk LakeProvince*ManitobaPostal Code* Is Your Mailing Address DIFFERENT Than Physical Address Listed Above?* Yes No Mailing AddressComplete if Mailing Address is Different than Physical Address.Mailing Address*Box Number or Similar (DO NOT INCLUDE POSTAL CODE) Mailing City / Town* Mailing Province*ManitobaMailing Postal Code* Additional Student InformationBirth Certificate or Passport #*Required for verification of identity. Country of Citizenship*CanadaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweImmigration Date (if applicable)If applicable, enter the date of immigration to Canada.Enter date as mm/dd/yyyy MM slash DD slash YYYY Country of Origin*CanadaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwePrimary Language Spoken at Home*EnglishGermanLow GermanHutteriteFrenchFilipino (Tagalog)Filipino (Other)--------------------------AfrikaansAmharicAnishinaabe (Ojibway/Saulteaux)ArabicArmenianBengaliBisayaCajunChineseCroatianCzechDakotaDanishDene (Sayisi)DutchFinnishFormosanFrench CreoleGreekGujarathiHebrewHindiHungarianIlocanoIninew (Cree)InuktitutItalianJapaneseKoreanKruLithuanianMalayalamMiaoMichifMon-khmerNavahoNorwegianOji-CreePanjabiPersianPolishPortugueseRumanianRussianSamoanSerbocroatianSlovakSomaliSpanishSwahiliSwedishSyriacThaiTurkishUkrainianUrduVietnameseVisayanYiddishYorubaAny Special Busing Requirements? Parent / Guardian InformationWith Whom the Child ResidesChild 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 / FatherParent 1 / Father First Name* Parent 1 / Father Last Name* Parent 1 / Father Relation to Student*FatherMotherParent 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 AddressDifferent than students.Parent 1 / Father Street or Road* Parent 1 / Father Mailing Address Parent 1 / Father City / Town* Parent 1 / Father Province*ManitobaAlbertaBritish ColumbiaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonParent 1 / Father Postal Code* Parent 2 / MotherParent 2 / Mother First Name* Parent 2 / Mother Last Name* Parent 2 / Mother Relation to Student*MotherFatherParent 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 AddressDifferent than students.Parent 2 / Mother Street or Road* Parent 2 / Mother Mailing Address Parent 2 / Mother City / Town* Parent 2 / Mother Province*ManitobaAlbertaBritish ColumbiaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonParent 2 / Mother Postal Code* Foster / Other Parent InformationFoster / 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*ManitobaAlbertaBritish ColumbiaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonFoster / Other Parent Postal Code* Foster / Other Parent - Email Address # 1 Foster / Other Parent - Email Address # 2 Legal GuardianCare 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*ManitobaAlbertaBritish ColumbiaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonLegal Guardian Postal Code* Emergency Contact InformationIn 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*SelectAuntBabysitterBrotherFatherFriendGrandfatherGrandmotherMotherNeighbourSisterStepfatherStepmotherUncleOtherEmergency Contact 1 Primary Phone #* Emergency Contact 1 Alternate Phone # Emergency Contact 2 Name Emergency Contact 2 Relation to StudentSelectAuntBabysitterBrotherFatherFriendGrandfatherGrandmotherMotherNeighbourSisterStepfatherStepmotherUncleOtherEmergency Contact 2 Primary Phone # Emergency Contact 2 Alternate Phone # Emergency Contact 3 Name Emergency Contact 3 Relation to StudentSelectAuntBabysitterBrotherFatherFriendGrandfatherGrandmotherMotherNeighbourSisterStepfatherStepmotherUncleOtherEmergency Contact 3 Primary Phone # Emergency Contact 3 Alternate Phone # Medical InformationHiddenManitoba 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 InformationIs 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 DeclarationAboriginal 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 SignatureParent / 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. EmailThis field is for validation purposes and should be left unchanged.
