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Country of origin: OTHERS
File type: PDF

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Instructions:
1. Download the registration form to your computer.
2. Open and complete in Adobe Acrobat. If you don't have Adobe Acrobat,
you can download it for free: Adobe Acrobat DC (https://get.adobe.com/
reader/)
3. Save the file by adding your student number to the end of the file name.
For example: NS Reg 123456789.pdf
4. Send this file to your designated guidance counselor
REMOTE LEARNING REGISTRATION FORM
TCDSB NIGHT/SATURDAY SCHOOL SECONDARY CREDIT COURSES
PERSONAL INFORMATION
SURNAME
FIRST NAME
ADDRESS
CITY
POSTAL CODE
HOME PHONE NUMBER
DATE OF BIRTH (YYYY-MM-DD)
ONTARIO EDUCATION NUMBER (OEN)
EMERGENCY PHONE NUMBER
EMERGENCY CONTACT
REMOTE LEARNING - CREDIT COURSE INFORMATION
TRILLIUM TCDSB STUDENT NUMBER
VISA STUDENT
STUDENT STATUS:
GRADE
MALE
FEMALE
STUDENT TCDSB E-MAIL ADDRESS (example: tcdsbusername@tcdsb.ca)
ONTARIO RESIDENT
CURRENT DAY SCHOOL
Students: Please check our website before the start of your course
program for course availability at www.tcdsb.org/continuinged
The TCDSB reserves the right to cancel or relocate a class.
DAY SCHOOL INFORMATION & APPROVAL
REMOTE LEARNING - COURSE NAME & CODE
PREREQUISITE COURSE CODE (IF ANY)
FINAL MARK
REMOTE LEARNING - ALTERNATE COURSE NAME & CODE
PREREQUISITE COURSE CODE (IF ANY) FINAL MARK
REMOTE LEARNING - COURSE NAME & CODE
PREREQUISITE COURSE CODE (IF ANY) FINAL MARK
REMOTE LEARNING - ALTERNATE COURSE NAME & CODE
PREREQUISITE COURSE CODE (IF ANY)
FINAL MARK
REMOTE LEARNING - COURSE NAME & CODE
PREREQUISITE COURSE CODE (IF ANY) FINAL MARK
REMOTE LEARNING - ALTERNATE COURSE NAME & CODE
PREREQUISITE COURSE CODE (IF ANY)
FINAL MARK
Please enter a course and an alternate course for the session below. Please check our website for course availability. www.tcdsb.org/continuinged
Checking the boxes below represents your signature and consent to fully comply with our TCDSB Acceptable Use Policy & Code of Behaviour:
Parent/Guardian Signature
(Required if student under 18)
Student Signature
(Required if student under 18)
DATE
FOR OFFICE USE ONLY:
Yes No
Date Entered on Trillium Companion:
If no, reason: Courses Approved:
Approved by:
Monday &
Wednesday
Tuesday &
Thursday
Saturday
School
*Please fill out in Adobe Acrobat*
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Completed 29 March 2021

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