SUMMER SCHOOL 2021
(519) 753-6079 www.granderie.ca/schools/ge
la
GRADE 8 LITERACY/NUMERACY INDIGENOUS CLASS REGISTRATION
2319 Third Line, Ohsweken, Ontario
SUBMIS
SION DEADLINE: JUNE 25, 2021
Name:
_______________________ _______________________________ ___________________
(Legal Last Name) (Legal First Name) (Usual Name)
Student O.
E.N.: __________________________ Male
☐ Female ☐ Other ☐
Birth Da
te: (MM/DD/YYYY): _________________ Home Telephone: (____)_______________________
Address ______________________________ ______________________ __________
(# and Street) (City/Town) (Postal Code)
Parent/G
uardians: __________________________________
Bus. Telephone: _ __________________________________
Emergency Contact Person: Telephone: ( )_____________________
Current School: ________________________________ School in September 2021: ___________________
Self-Identification (voluntary): First Nations
☐ Metis ☐ Inuit ☐
Student Lives On: Six Nations of Grand River ☐ Mississaugas of the Credit ☐
Is student
identified? Yes
☐ No ☐ If yes, state exceptionality: ______________________
Parent / Guardian Signature: ______________________________________
Scan form to: summerregistration@granderie.ca
Please note this is a 3-week course for current grade 8 students that will be delivered in-
person, 2319 Third Line, Ohsweken. Prescribed safety protocols will be in place. Classroom
hours will be determined the last week of June, 2021.
Wednesday, July 7, 2021 to Wednesday, July 28, 2021 – 3 weeks
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