K-12 Student Registration Form

"*" indicates required fields

Step 1 of 16

Student Information

Child's Legal Name*

Legal First name Legal Middle name Legal Last name

Does the child have a different usual name then their legal name?*

Yes

Child's Usual Name*

Usual First name Usual Middle name Usual Last name

Birth Date*

Month

Day

Year

Gender*

Grade*

Grade you would like to register the student for in the current school year

Home Address*

Street Address City Province Postal Code

Is the mailing address different than the home address?*

Yes

Mailing Address*

Street Address City Province Postal Code

School of Registration

Your child will be registered at:

Revelstoke Secondary School

1007 Vernon Avenue, Revelstoke, V0E 2S0

Students must be registered at the school within their catchment zone. Please make your selection based on the information and map below.

Arrow Heights Elementary

1950 Park Drive, Revelstoke, V0E 2S1

Catchment area:

All areas south of the Illecillewaet River

Begbie View Elementary Elementary

1001 Mackenzie Avenue Revelstoke, BC V0E 2S0

Catchment area:

All areas between the Trans Canada Highway and the Columbia River with the Illecillewaet River as the southern boundary

Columbia Park Elementary

120 Colbeck Road, Revelstoke, V0E 2S0

Catchment area:

All areas north of the Trans Canada Highway
Alpine Lane, Johnson Heights and all areas east
All areas west of the Columbia River

Select your school of registration*

Arrow Heights Elementary

Begbie View Elementary

Columbia Park Elementary

This field is hidden when viewing the form

School of registration:

Previous School / District

Is this the child's first year in school?*

Yes

Previous District*

Previous School*

Previous School Address*

Street Address Mailing Address (If Different) City State / Province / Region ZIP / Postal Code Country

Previous School Phone Number*

Has the child ever attended a school in British Columbia?*

Yes

Immigration / Miscellaneous

Place of Birth*

City State / Province / Region Country

Citizenship*

Immigration Status*

Language(s) Spoken at Home*

Request materials in another language*

Yes

What is your prefered language?*

Interpreter Required*

Yes

Indigenous Status

Indigenous ancestry is identified on a voluntary basis.
By self-identifying Indigenous heritage, additional school-based programs may be offered. A consent form will be sent home to confirm your interest in these programs.

Does your child have Indigenous heritage?

Yes

Prefer not to disclose

Known Indigenous Ancestry

First Nations Status

Yes

Prefer not to disclose

Metis Status

Yes

Prefer not to disclose

Band Number

Metis Citizenship Number

Parent / Guardian Information

How many parent / guardians would you like to add to add?

You will be able to add a maximum of 4 parent / guardians through our online system.
If you would like to add additional, please contact the school with their details as outlined in this form.

Parent / Guardian Information 1

Relationship*

Parent or Guardian Legal Name*

Legal First name Legal Last name

Living With Student*

Yes

Same as Student Address*

Yes

Parent Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Receive a copy of mailed correspondence*

Yes

Email*

Consent for email communications*

Consent for School District #19 (Revelstoke) to send you newsletters, announcements, and other electronic messages which may contain advertising or promotions (e.g. field trips, yearbooks, fund raising, student pictures) or similar events or offers. You may withdraw your consent at any time by contacting the school district.

Yes

Do you have a home phone number, cell phone number, or both?*

Cell Phone Number

Home Phone Number

Both

Cell Phone Number*

Home Phone Number*

Work Phone Number

Workplace / Employer

Spoken Language(s)*

Willing to volunteer?

Yes

Parent / Guardian Information 2

Relationship*

Parent or Guardian Legal Name*

Legal First name Legal Last name

Living With Student*

Yes

Same as Student Address*

Yes

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Receive a copy of mailedcorrespondence*

Yes

Email*

Email a copy of the registration form submission confirmation*

Yes

Consent for email communications*

Yes

Do they have a home phone number, cell phone number, or both?*

Cell Phone Number

Home Phone Number

Both

Cell Phone Number*

Home Phone Number*

Work Phone Number

Workplace / Employer

Spoken Language(s)*

Willing to volunteer?

Yes

Parent / Guardian Information 3

Relationship*

Parent or Guardian Legal Name*

Legal First Name Legal Last Name

Living With Student*

Yes

Same as Student Address*

Yes

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Receive a copy of mailed correspondence*

Yes

Email*

Email a copy of the registration form submission confirmation*

Yes

Consent for email communications*

Yes

Do they have a home phone number, cell phone number, or both?*

Cell Phone Number

Home Phone Number

Both

Cell Phone Number*

Home Phone Number*

Work Phone Number

Workplace / Employer

Spoken Language(s)*

Willing to volunteer?

Yes

Parent / Guardian Information 4

Relationship*

Parent or Guardian Legal Name*

Legal First Name Legal Last Name

Living With Student*

Yes

Same as Student Address*

Yes

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Receive a copy of mailed correspondence*

Yes

Email*

Email a copy of the registration form submission confirmation*

Yes

Consent for email communications*

Yes

Do they have a home phone number, cell phone number, or both?*

Cell Phone Number

Home Phone Number

Both

Cell Phone Number*

Home Phone Number*

Work Phone Number

Workplace / Employer

Spoken Language(s)*

Willing to volunteer?

Yes

Additional Parent / Guardian Information

Is there a custodial agreement in place?*

Yes

Custodial Parent*

Siblings

Does the student have any siblings?*

Yes

How many siblings?*

You will be able to add a maximum of 4 siblings, please contact the school board if you have additional siblings you wish to add.

Sibling Name

Sibling Relationship

Sibling Birthdate

Month

Day

Year

Sibling Gender

Sibling 2 Name

Sibling 2 Relationship

Sibling 2 Birthdate

Month

Day

Year

Sibling 2 Gender

Sibling 3 Name

Sibling 3 Relationship

Sibling 3 Birthdate

Month

Day

Year

Sibling 3 Gender

Sibling 4 Name

Sibling 4 Relationship

Sibling 4 Birthdate

Month

Day

Year

Sibling 4 Gender

Emergency Contact Information

Parents are automatically the first to be contacted. Local emergency contacts are used in the event a parent cannot be contacted.

First Emergency Contact

Name*

First Name Last Name

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Do they have a home phone number, cell phone number, or both?*

Cell Phone Number

Home Phone Number

Both

Cell Phone Number*

Home Phone Number*

Work Phone Number

Workplace / Employer

Spoken Language(s)*

Second Emergency Contact

Name*

First Name Last Name

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Do they have a home phone number, cell phone number, or both?*

Cell Phone Number

Home Phone Number

Both

Cell Phone Number*

Home Phone Number*

Work Phone Number

Workplace / Employer

Spoken Language(s)*

Alternative Caregiver Information

Does your child have an alternative caregiver?*

Yes

Alternate Caregiver’s Name*

Alternate Caregiver’s Phone Number*

Medical

Doctors Name

Doctors Phone Number

British Columbia Medical Services Plan Care Card Number*

Please enter the 10 digit number

Has your child received age appropriate immunizations?*

Yes

Does your child have any known allergies?*

Yes

Please list child's known allergies*

Are any of these life threatening?*

Yes

Please see Principal for further documentation requirements.

Does the child take any medications?*

Yes

Medications*

Does the child have any health factors?*

Yes

Health Factors*

Supporting Documentation

Once your online form is processed, the school will contact you regarding documentation. Documentation must be received before registration can be finalized.

The following documents are required by all schools:

Proof of birth date for the student (birth certificate or passport)
Proof of guardianship (as shown on child's birth certificate, or other appropriate legal documentation such as landed immigrant document or guardianship order)
Proof of citizenship for both the parent and student (Canadian Birth Certificate, Citizenship Card, Passport, Landed Immigrant Document, Aboriginal Status Identification Card, Permanent Resident Card, Enhanced Driver's License or Enhanced Identification Card)
Proof of residence (e.g., ordinarily resident) of parent/guardian in BC (BC Driver's License, BC Services Card, BCID or BC Care Card of parent/legal guardian)

If you do not have your documentation ready, use the save function to receive an email link to return to the form where you left off when ready.

How would you like to submit your supporting documentation?*

Upload using this system

Bring directly to the school

Upload your child's supporting documentation*

Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, doc, docx, Max. file size: 50 MB, Max. files: 10.

Please deliver your child's supporting documentation to your child's school or the SD19 Board Office.

I confirm that the submitted form information is correct and accurate.*

Yes, I confirm

To ensure our emails are delivered correctly, please add our School Board and registered school emails to your safe contacts list.

School Board #19 (Revelstoke): sbo@sd19.bc.ca
Arrow Heights Elementary: ahe@sd19.bc.ca
Begbie View Elementary: bve@sd19.bc.ca
Columbia Park Elementary: cpe@sd19.bc.ca
Revelstoke Secondary: rss@sd19.bc.ca

If you can't find the confirmation email in your Inbox, kindly check your "spam" or "junk" folders.

This personal information is being collected under the authority of the Freedom of Information and Protection of Privacy Act and the School Act for the purposes of administering educational services. Questions about the collection of personal information may be directed to the School District #19 (Revelstoke) Secretary-Treasurer, 250-837-2101.

05/09/2025

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First Choice

Second Choice

Third Choice

Student Information

School of Registration

Revelstoke Secondary School

Arrow Heights Elementary

Begbie View Elementary Elementary

Columbia Park Elementary

Previous School / District

Immigration / Miscellaneous

Indigenous Status

Parent / Guardian Information

Parent / Guardian Information 1

Parent / Guardian Information 2

Parent / Guardian Information 3

Parent / Guardian Information 4

Additional Parent / Guardian Information

Siblings

Emergency Contact Information

First Emergency Contact

Second Emergency Contact

Alternative Caregiver Information

Medical

Supporting Documentation

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