Applicant Family Information 2021-2022
PARENT/GUARDIAN DETAILS
Parent/Guardian ___________________________
Address: _________________________________
City: _______________ Postal Code: ___________
Home Phone: _____________________________
Business Phone: ___________________________
Cell Phone: _______________________________
Email: ___________________________________
▢ I give permission for BAS to contact me via email.
CHILD(REN) APPLYING FOR ADMISSION TO BAS
Child’s Name: _____________________________
Date of Birth: _____________________________
day/month/year
Gender Identity: ______ Applying to Grade: _____
SIBLING DETAILS
Child’s Name: _____________________________
Date of Birth: _____________________________
Comments:
Parent/Guardian ___________________________
Address: _________________________________
City: _______________ Postal Code: ___________
Home Phone: _____________________________
Business Phone: ___________________________
Cell Phone: _______________________________
Email: ___________________________________
▢ I give permission for BAS to contact me via email.
Child’s Name: _____________________________
Date of Birth: _____________________________
day/month/year
Gender Identity: ______ Applying to Grade: _____
Child’s Name: _____________________________
Date of Birth: _____________________________
Please submit your completed application form to Beaches Alternative School no later than 12:00pm on Monday, March 1, 2021.