NOTES ABOUT THE APPLICATION PROCESS: Approval is subject to space and a suitable program. Prior to approval of this application, you may be required to provide further student registration documentation. Proof of residency and status in Canada for both the parent and child will be required prior to registration. For Non-Delta residents, a student may not register in a school until the Non-District application form is approved by the Superintendent of Schools or the Superintendents' delegate. Parents are responsible for transportation when the student attends a school outside of the designated school attendance area, and agree to abide by school expectations of policies, including school parking and traffic requirements. For Secondary Students - Approval of this application may affect your opportunity to compete on school sports teams. If you experience any problems submitting this application form, please call (604) 952-5346 Non-Catchment Application (Delta Residents Only) 2022-2023STUDENT INFORMATIONStudent Name* First Middle Last Student Birthdate*Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Month123456789101112Day12345678910111213141516171819202122232425262728293031Student Gender*MaleFemaleStudent Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Living in Attendance Area of*Select one of the school options belowAnnieville ElementaryBeach Grove ElementaryBrooke ElementaryBurnsview SecondaryChalmers ElementaryCliff Drive ElementaryCougar Canyon ElementaryDelta SecondaryDelview SecondaryDevon Gardens ElementaryEnglish Bluff ElemenataryGibson ElementaryGray ElementaryHawthorne ElementaryHeath ElementaryHellings ElementaryHolly ElementaryJarvis ElementaryLadner ElementaryMcCloskey ElementaryNeilson Grove ElementaryNorth Delta SecondaryPebble Hill ElementaryPinewood ElementaryPort Guichon ElementaryRichardson ElementarySands SecondarySeaquam SecondarySouth Delta SecondarySouth Park ElementarySunshine Hills ElementaryCurrent School (select "Out of District" if not in a Delta School)*Select one of the school options belowOut of District SchoolNot in school yetHomeQuestAnnieville ElementaryBeach Grove ElementaryBurnsview SecondaryBrooke ElementaryChalmers ElementaryCliff Drive ElementaryCougar Canyon ElementaryDelta SecondaryDelview SecondaryDevon Gardens ElementaryEnglish Bluff ElemenataryGibson ElementaryGray ElementaryHawthorne ElementaryHeath ElementaryHellings ElementaryHolly ElementaryJarvis ElementaryLadner ElementaryMcCloskey ElementaryNeilson Grove ElementaryNorth Delta SecondaryPebble Hill ElementaryPinewood ElementaryPort Guichon ElementaryRichardson ElementarySands SecondarySeaquam SecondarySouth Delta SecondarySouth Park ElementarySunshine Hills ElementaryEnter District and School Name*Current Grade*Select one of the grade options belowNoneKN010203040506070809101112French Immersion Program*YesNoSPECIAL LEARNING NEEDS:*Are there any special learning needs or other services of which school personnel should be made aware, which would relate to the programming needs for your child?YesNoIf Yes, please describe*PARENT INFORMATIONParent Name* First Last Parent Email* Enter Email Confirm Email Primary Phone*(###) ### - ####Alternate Phone(###) ### - ####Is Parents Address the same as Student?*YesNoParent Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code NON-CATCHMENT SCHOOL INFORMATIONRequested School for 2022-2023*Select one of the school options belowAnnieville ElementaryBeach Grove ElementaryBrooke ElementaryBurnsview SecondaryChalmers ElementaryCliff Drive ElementaryCougar Canyon ElementaryDelta SecondaryDelview SecondaryDevon Gardens ElementaryEnglish Bluff ElemenataryGibson ElementaryHawthorne ElementaryHeath ElementaryHellings ElementaryHolly ElementaryJarvis ElementaryLadner ElementaryMcCloskey ElementaryNeilson Grove ElementaryNorth Delta SecondaryPebble Hill ElementaryPinewood ElementaryPort Guichon ElementarySands SecondarySouth Park ElementarySeaquam SecondarySunshine Hills ElementarySouth Delta SecondaryRequested Grade for 2022-2023*Select one of the grade options belowKN010203040506070809101112Are there Siblings at Requested School?*YesNoSibling Names*Alternate School Request #1Select one of the school options belowAnnieville ElementaryBeach Grove ElementaryBrooke ElementaryBurnsview SecondaryChalmers ElementaryCliff Drive ElementaryCougar Canyon ElementaryDelta SecondaryDelview SecondaryDevon Gardens ElementaryEnglish Bluff ElemenataryGibson ElementaryHawthorne ElementaryHeath ElementaryHellings ElementaryHolly ElementaryJarvis ElementaryLadner ElementaryMcCloskey ElementaryNeilson Grove ElementaryNorth Delta SecondaryPebble Hill ElementaryPinewood ElementaryPort Guichon ElementarySands SecondarySeaquam SecondarySouth Park ElementarySouth Delta SecondarySunshine Hills ElementaryAlternate School Request #2Select one of the school options belowAnnieville ElementaryBeach Grove ElementaryBrooke ElementaryBurnsview SecondaryChalmers ElementaryCliff Drive ElementaryCougar Canyon ElementaryDelta SecondaryDelview SecondaryDevon Gardens ElementaryEnglish Bluff ElemenataryGibson ElementaryHawthorne ElementaryHeath ElementaryHellings ElementaryHolly ElementaryJarvis ElementaryLadner ElementaryMcCloskey ElementaryNeilson Grove ElementaryNorth Delta SecondaryPebble Hill ElementaryPinewood ElementaryPort Guichon ElementarySands SecondarySouth Park ElementarySeaquam SecondarySunshine Hills ElementarySouth Delta SecondaryRequested Start Date*Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Month123456789101112Day12345678910111213141516171819202122232425262728293031Reason for Non-Catchment Request*** Please only click the submit button once. Your patience is appreciated! ***