SUMMER REGISTRATION FORM
TCDSB SECONDARY CREDIT COURSES
PERSONAL INFORMATION
SURNAME
EMERGENCY PHONE NUMBER
EMERGENCY CONTACT
CREDIT COURSE INFORMATION
TRILLIUM TCDSB STUDENT NUMBER
GRADE
CURRENT DAY SCHOOL
COURSE NAME & CODE
ALTERNATE COURSE NAME & CODE
Students: Please check our website before the start of your
course program for course availability at www.tcdsb.org/continuinged
DAY SCHOOL INFORMATION & APPROVAL
COURSE NAME & CODE
ALTERNATE COURSE NAME & CODE
COURSE NAME & CODE
ALTERNATE COURSE NAME & CODE
PREREQUISITE COURSE CODE (IF ANY) FINAL MARK
PREREQUISITE COURSE CODE (IF ANY) FINAL MARK
PREREQUISITE COURSE CODE (IF ANY) FINAL MARK
PREREQUISITE COURSE CODE (IF ANY) FINAL MARK
PREREQUISITE COURSE CODE (IF ANY) FINAL MARK
PREREQUISITE COURSE CODE (IF ANY) FINAL MARK
*For CHV2O - Civics and Citizenship (0.5 credit) & GLC2O - Career Studies (0.5 credit) ONLY: Please indicate that you are registering for:
Both CHV2O & GLC2O in eClass: Session 1
Both CHV2O & GLC2O in eClass: Session 2
Only CHV2O in eClass: Session 1
Only CHV2O in eClass: Session 2
Only GLC2O in eClass: Session 1
Only GLC2O in eClass: Session 2
Please select your course and method of course delivery.
*For upgrading courses, the minimum required mark is 35%
Please visit our website at www.tcdsb.org/continuinged for dates, times and locations.
By signing above, I verify that I have read and understood the
Code of Behaviour (see reverse side). I agree to comply fully with the
Code of Behaviour while attending the Summer School Program.
DATE
ALL DAY
IN-PERSON
* Please note: In-person classes are
scheduled at the same time as
remote learning.
SESSION 1
SESSION 2
UPGRADING AM
UPGRADING PM
ALL DAY
REMOTE LEARNING ECLASS
SESSION 1
SESSION 2
UPGRADING AM
UPGRADING PM
ALL DAY
REMOTE LEARNING ECLASS
FIRST NAME
ADDRESS
CITY
POSTAL CODE
PRIMARY PHONE NUMBER
DATE OF BIRTH (YYYY-MM-DD)
ONTARIO EDUCATION NUMBER (OEN)
ONTARIO RESIDENT
Building resiliency and fostering well-being as we continue to support student success and achievement.
VISA STUDENT
STUDENT STATUS
STUDENT E-MAIL ADDRESS (
@TCDSB.CA)
The TCDSB reserves the right to cancel or relocate a class.
White Copy - Student/Summer School Yellow Copy - Secondary School
SIGNATURE OF PARENT/GUARDIAN
SIGNATURE OF STUDENT
(Required only for students under 18 years of age)
DAY SCHOOL APPROVAL - SIGNATURE OF PRINCIPAL/DESIGNATE
IN-PERSON SUMMER SCHOOL LOCATION
PARENT/GUARDIAN E-MAIL ADDRESS
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