HERITAGE LANGUAGE PROGRAM 
REGISTRATION FORM
Welcome to our Heritage Languages Program!
Open to all students from Grade 1 to Grade 8, our Heritage Language program offers language learning with engaging activities covering a wide range of cultural themes. No language background is necessary.
Our program will start on Saturday January 13 , 2024 and run until June 15th, 2024.   Until classes are full, registration will be on-going.  Important: Please do not attend the class until you receive the email confirmation that the program is running.  Students must be registered prior to attending class.
Classes will be held at Willow Rd. PS - 125 Willow Rd in Guelph from 10:00 am - 12:00 pm
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Email *
Student First Name *
Student Last Name *
Student Date of Birth *
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Country of Birth: *
Status in Canada *
Arrival date to Canada *
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Student OEN (9 digit number from their Report Card) *
Student Gender *
Any life threatening medical conditions? If yes, then details please *
Contact Phone Number *
Address (including postal code) *
Name of the school the student is currently attending *
Student Grade at School *
Select the Heritage Language class you want to register for: *
Media Release Consent *
I consent to the use of photographs of my child (named on this registration) for promotional purposes pertaining to the Heritage Language Program.  This may include, but is not limited to: flyers, posters in hallways and classrooms, inclusion on the Facebook and Instagram accounts and use on the school website.  My answer submitted below releases authorization for the Upper Grand DSB to use the media as outlined above.
Please check below to indicate that you understand to wait for confirmation from our office that you are in the class prior to attending the school. *
Required
A copy of your responses will be emailed to the address you provided.
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