Orchard Park Request for New / Re-Registration

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If you wish to register at Orchard Park Secondary School for the 2017-2018 school year, please complete this form and you will be contacted to set up an intake appointment with our Administration. Registration appointments will take place during the week of August 28 - 31, 2017.
Please allow 1-3 business days for a reply to your request. There is a $20.00 Activity Fee for all New/Re-Registrations.

Student's Name *

Address *

Student's Date of Birth *

YYYY

Name of Parent / Guardian (if student is under 18 years old) *

Telephone Number *

Email Address *

Name of School of Attendance in the 2017-2018 school year *

Has the student attended Orchard Park in the past? *

Yes

Required

If 'Yes' to previous question, what school year did he/she attend Orchard Park? *

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