Aurora Alternative Application Form

Please print and fill out all sections.

You will need to add the following digital images, please have them ready when you start the form: A current photo of your child and a report card from your previous school.

There is an option to add a digital signature at the bottom if you have one. Otherwise please download this PDF, and follow the instructions on it and mail or send a scan to the address provided.

Student Information

First Name *

Last Name *

Age *

Date of Birth *

Phone Number

Place of Birth

Address 1

Address 2

City

Province

Postal Code

Current Grade Level

School Last Attended

Parent/Guardian's Information

First Name *

Last Name *

Phone Number *

Email *

First Name

Last Name

Phone Number

Emergency Contact Information

In case of emergency, who will be notified? Please answer the fields below:

First Name

Last Name

Phone Number

File Upload

A current photo of your child and report card from the previous school.

Maximum size limit for file upload is 2 MB for each file.

ID Picture

Choose File

Report Card

Choose File

Health History

If the student has any allergies, please list them:

Is the student currently taking any medications? If yes, please list them:

Does the student have any medical conditions or any other issues that would be helpful to know about?

Reminders

Please send a one-time non refundable fee of $75 with this application.

Please send e-transfer to: info@auroraalternative.ca

For cheque, please contact info@auroraalternative.ca

Signature

Choose File

Date Signed

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