K-12 Application Form - Maple Ridge Christian School

K-12 Application for Enrolment

Step 1 of 15

This form is for NEW families applying to Maple Ridge Christian School who are Canadian Citizens and Permanent Residents. If you are a current MRCS family, please use the Additional Child Application Form.

Completing this Application Form

This form has several steps and will take approximately 45-60 minutes to complete. It is strongly recommended that this form be completed on a laptop or desktop computer and not a mobile phone.

At any point, you can click the Save and Continue button at the bottom of the page. This will send you a temporary link (valid for 30 days) so you can continue completing the form at another time.

Important Documents

You will need important documents on hand to complete this form such as:

your child(ren)’s birth certificate and BC Health Card
most recent report card
specialist reports, current IEPs, or diagnostic testing reports (if applicable)

New family applications must include submission of the following to our office before they are considered for acceptance:

Application for Enrolment
Student Profile
Personal Information Parental Consent Form
Parent Residency Form
Proof of BC residency (copy of BC driver’s license)
Pastor’s Letter of Reference
Copy of birth certificate or Canadian citizenship card for student
Copy of birth certificate or Canadian citizenship card for parent
Copy of most recent report card, learning plan and/or IEP (if applicable), diagnostic testing reports (if applicable)
Application fee: $200 per family (non-refundable)

The information collected on this form is used and disclosed by Maple Ridge Christian School in accordance with the Personal Information Privacy Policy for Parents and Students of MRCS, a copy of which is available from the school office.

Document acknowledgement(Required)

I acknowledge that my application must include submission of the above documents before it will be considered.

General Information

Requested start date (month/year)(Required)

First and Last Name of Person Completing this Form(Required)

First Name Last Name

Number of children this application is for(Required)

If you are applying for more than 4 children, please contact Yvonne Cramer () for assistance in providing information about additional children.

Please provide the name/grade (at requested start date) for the child(ren) this application is for:

Student 1(Required)

First Name Last Name

Student 1 Grade(Required)

Student 2

First Name Last Name

Student 2 Grade

Student 3

First Name Last Name

Student 3 Grade

Student 4

First Name Last Name

Student 4 Grade

Household Information

Primary Phone(Required)

Primary Email(Required)

Enter Email Confirm Email

The student(s) will live with:(Required)

Parents

Mother

Father

Other

Martial Status of Parent(s)(Required)

Married

Divorced

Widowed

Separated

Single

Other

Primary language spoken at home:(Required)

English

Other

Father

First name Last name

Father's Email

Father's Phone

Father's Occupation

Self-employed?

Yes

Employer

Work Phone

Father's Residency Status

Canadian Citizen

Permanent Resident

Other

Mother

First name Last name

Mother's Email

Mother's Phone

Mother's Occupation

Self-employed?

Yes

Employer

Work Phone

Mother's Residency Status

Canadian Citizen

Permanent Resident

Other

Family Doctor Name(Required)

Family Doctor Phone(Required)

Student 1 Profile

Complete Student Information for each child.

Name(Required)

First Middle Last

Preferred Common Name

Gender(Required)

Birthdate (mm/dd/yyyy)(Required)

Current Grade(Required)

Country of Birth(Required)

Student Residency Status(Required)

Canadian Citizen

Permanent Resident

Student BC Personal Health Number(Required)

Student Social Insurance Number

Please list chronologically all previous schools attended, including Kindergarten.

School Name

Date Attended

Grade(s)

School Name

Date Attended

Grade(s)

What are your child’s gifts, interests, hobbies, etc.?(Required)

Describe your child’s personality (examples: outgoing, strong-willed, confident, shy, nervous)(Required)

Has your child ever received a learning plan or Individual Education Plan (IEP)?(Required)

Yes

If yes, please explain

If applicable, please submit a copy of the most recent learning plan and/or IEP. (Maximum file size is 5 MB. Please email to submit larger files.)

Drop files here or

Max. file size: 5 MB.

Has your child received any diagnostic testing?(Required)

Yes

Is this information available to the school?

Yes

If applicable, please submit a copy of any and all testing reports.

Drop files here or

Max. file size: 5 MB.

Do any agencies such as the Child Development Centre, health clinics or speech pathologists have reports on your child?(Required)

Yes

If applicable, please submit a copy of any and all reports.

Drop files here or

Max. file size: 5 MB.

Has your child ever repeated a grade, been retained, or suspended?(Required)

Yes

If yes, please explain

Describe any physical or emotional disabilities (allergies, heart, hearing impairment, speech impediment, nervous condition, etc.)(Required)

What medical information would help us understand your child better (birth complications, speech, hearing, allergies, asthma, heart, vision, development, etc.)(Required)

Has your child been referred to any specialists (allergist, eye doctor, hearing, pediatrician, etc.)(Required)

Is there anything else you would like us to know about your child?

Complete a Student Profile for an additional child?(Required)

Yes

Student 2 Profile

Name(Required)

First Middle Last

Preferred Common Name

Gender(Required)

Birthdate (mm/dd/yyyy)(Required)

Current Grade(Required)

Country of Birth(Required)

Student Residency Status(Required)

Canadian Citizen

Permanent Resident

Student BC Personal Health Number(Required)

Student Social Insurance Number

Please list chronologically all previous schools attended, including Kindergarten.

School Name

Date Attended

Grade(s)

School Name

Date Attended

Grade(s)

What are your child’s gifts, interests, hobbies, etc.?(Required)

Describe your child’s personality (examples: outgoing, strong-willed, confident, shy, nervous)(Required)

Has your child ever received a learning plan or Individual Education Plan (IEP)?(Required)

Yes

If yes, please explain

If applicable, please submit a copy of the most recent learning plan and/or IEP. (Maximum file size is 5 MB. Please email to submit larger files.)

Drop files here or

Max. file size: 5 MB.

Has your child received any diagnostic testing?(Required)

Yes

If applicable, please submit a copy of any and all testing reports.

Drop files here or

Max. file size: 5 MB.

Do any agencies such as the Child Development Centre, health clinics or speech pathologists have reports on your child?(Required)

Yes

If applicable, please submit a copy of any and all reports.

Drop files here or

Max. file size: 5 MB.

Has your child ever repeated a grade, been retained, or suspended?(Required)

Yes

If yes, please explain

Describe any physical or emotional disabilities (allergies, heart, hearing impairment, speech impediment, nervous condition, etc.)(Required)

What medical information would help us understand your child better (birth complications, speech, hearing, allergies, asthma, heart, vision, development, etc.)(Required)

Has your child been referred to any specialists (allergist, eye doctor, hearing, pediatrician, etc.)(Required)

Is there anything else you would like us to know about your child?

Complete a Student Profile for an additional child?(Required)

Yes

Student 3 Profile

Name(Required)

First Middle Last

Preferred Common Name

Gender(Required)

Birthdate (mm/dd/yyyy)(Required)

MM slash DD slash YYYY

Current Grade(Required)

Country of Birth(Required)

Student Residency Status(Required)

Canadian Citizen

Permanent Resident

Student BC Personal Health Number(Required)

Student Social Insurance Number

Please list chronologically all previous schools attended, including Kindergarten.

School Name

Date Attended

Grade(s)

School Name

Date Attended

Grade(s)

What are your child’s gifts, interests, hobbies, etc.?(Required)

Describe your child’s personality (examples: outgoing, strong-willed, confident, shy, nervous)(Required)

Has your child ever received a learning plan or Individual Education Plan (IEP)?(Required)

Yes

If yes, please explain

If applicable, please submit a copy of the most recent learning plan and/or IEP. (Maximum file size is 5 MB. Please email to submit larger files.)

Drop files here or

Max. file size: 5 MB.

Has your child received any diagnostic testing?(Required)

Yes

If applicable, please submit a copy of any and all testing reports.

Drop files here or

Max. file size: 5 MB.

Do any agencies such as the Child Development Centre, health clinics or speech pathologists have reports on your child?(Required)

Yes

If applicable, please submit a copy of any and all reports.

Drop files here or

Max. file size: 5 MB.

Has your child ever repeated a grade, been retained, or suspended?(Required)

Yes

If yes, please explain

Describe any physical or emotional disabilities (allergies, heart, hearing impairment, speech impediment, nervous condition, etc.)(Required)

What medical information would help us understand your child better (birth complications, speech, hearing, allergies, asthma, heart, vision, development, etc.)(Required)

Has your child been referred to any specialists (allergist, eye doctor, hearing, pediatrician, etc.)(Required)

Is there anything else you would like us to know about your child?

Complete a Student Profile for an additional child?(Required)

Yes

Student 4 Profile

Complete Student Information for each child.

Name(Required)

First Middle Last

Preferred Common Name

Gender(Required)

Birthdate (mm/dd/yyyy)(Required)

MM slash DD slash YYYY

Current Grade(Required)

Country of Birth(Required)

Student Residency Status(Required)

Canadian Citizen

Permanent Resident

Student BC Personal Health Number(Required)

Student Social Insurance Number

Please list chronologically all previous schools attended, including Kindergarten.

School Name

Date Attended

Grade(s)

School Name

Date Attended

Grade(s)

What are your child’s gifts, interests, hobbies, etc.?(Required)

Describe your child’s personality (examples: outgoing, strong-willed, confident, shy, nervous)(Required)

Has your child ever received a learning plan or Individual Education Plan (IEP)?(Required)

Yes

If yes, please explain

If applicable, please submit a copy of the most recent learning plan and/or IEP. (Maximum file size is 5 MB. Please email to submit larger files.)

Drop files here or

Max. file size: 5 MB.

Has your child received any diagnostic testing?(Required)

Yes

If applicable, please submit a copy of any and all testing reports.

Drop files here or

Max. file size: 5 MB.

Do any agencies such as the Child Development Centre, health clinics or speech pathologists have reports on your child?(Required)

Yes

If applicable, please submit a copy of any and all reports.

Drop files here or

Max. file size: 5 MB.

Has your child ever repeated a grade, been retained, or suspended?(Required)

Yes

If yes, please explain

Describe any physical or emotional disabilities (allergies, heart, hearing impairment, speech impediment, nervous condition, etc.)(Required)

What medical information would help us understand your child better (birth complications, speech, hearing, allergies, asthma, heart, vision, development, etc.)(Required)

Has your child been referred to any specialists (allergist, eye doctor, hearing, pediatrician, etc.)(Required)

Is there anything else you would like us to know about your child?

Statement of Faith

Church regularly attending(Required)

Name of Pastor(Required)

First name Last name

Phone

Please send this link to your pastor: Pastor Reference Form.

Please give a statement of your personal faith (what you believe and why).(Required)

Please explain who Jesus Christ is to you.(Required)

Why do you wish to enroll your child(ren) in Maple Ridge Christian School?(Required)

Additional Family Information

Do you have other children in grades K-12 enrolled elsewhere?(Required)

Yes

Name

Grade

Name

Grade

Do you have other children under 5 years old?(Required)

Yes

Name

Birth Date

MM slash DD slash YYYY

Name

Birth Date

MM slash DD slash YYYY

How did you hear about MRCS:(Required)

Friend/Family

Newspaper

Website

Other

Is there one current MRCS family or staff member we can thank for referring you to our school?

Personal Information and Parental Consent Form

Family Name(Required)

Student 1 Name(Required)

First name

Student 2 Name

First name

Student 3 Name

First name

Student 4 Name

First name

In compliance with the Personal Information Privacy Act, Maple Ridge Christian School (MRCS) requires the consent of parent(s) or guardian to collect, store and utilize personal information. Please carefully read the information below and submit this to the Registrar.

I consent to having Maple Ridge Christian School collect personal information that may include student identification information, birth certificate, legal guardianship, court orders if applicable, parents work numbers and email address, behavioural, academic and health information, most recent report card, emergency contact information, doctor’s name and number, health insurance number and any similar information needed for registration.

I further consent to the use and disclosure of information contained in this form and otherwise collected by or on behalf of MRCS (1) for the purpose of establishing, maintaining, and terminating the student’s or parents relationship with MRCS (2) for additional purposes identified when or before personal information is collected, and (3) as otherwise provided in MRCS’s Personal Information Privacy Policy, a copy of which is available on request. I also consent to the collection, use and disclosure of such personal information by and to contractors, photographers and other service providers of MRCS.

Parent Signature(Required)

MRCS accepts a typed signature for online submissions.

Date(Required)

MM slash DD slash YYYY

This information is required in order to register your child at this school and assist the school authority in making an informed decision as to your child’s suitability and appropriate placement in the school. It will also allow the school to respond immediately to an emergency. For more information please contact the school office.

Maple Ridge Christian School acknowledges that there will be no disclosure of personal information to unauthorized personnel or third parties who are not directly involved in school management or the care, supervision and instruction of your child at this school. The school will securely store all digital and hard copy parent and student personal information.

Photography and Media Consent

I consent to having photographs and/or work samples of my child used by Maple Ridge Christian School in the yearbook, website, MRCS app, Facebook, Instagram and other promotional material.

I understand that Maple Ridge Christian School does not publish student names on the website or social media.

Parent Signature(Required)

MRCS accepts a typed signature for online submissions.

Date(Required)

MM slash DD slash YYYY

Parent/Guardian Citizenship Declaration

Form A – Legal Residency of Parent/Guardian

(If either of the parents are deceased, you will also need to complete Form B.)

The BC Ministry of Education requires this information for funding purposes. The Independent Schools Act requires that at least one of the parents of students for whom the Ministry issues a grant be a Canadian citizen, a landed immigrant or have a valid work permit and that one of the parents/guardians is a resident in the Province of British Columbia. For families in other situations, please contact the office.

To be completed and signed by a parent or legal (court-appointed) guardian. If you are a legal guardian, please attach a copy of the court order appointing you as legal guardian.

Parent/Guardian First and Last Name(Required)

First Last

Student’s Last Name

I am a legal guardian (not parent) of the child(ren) in this application.(Required)

Yes

Upload court order

Drop files here or

Accepted file types: jpg, pdf, png, Max. file size: 5 MB, Max. files: 2.

I am (please select one)(Required)

A Canadian Citizen (if not born in Canada, please upload copy of citizenship paper/card)

A landed immigrant (upload photocopy of landed immigrant status paper)

Lawfully admitted to Canada under one of the following documents (attach copy of documents)

Student authorization (student visa)

Employment authorization (working permit)

Admission as a refugee claimant

A person claiming refugee status who has a letter of no objection

A person carrying out official duties as a diplomatic or consular official (with a foreign representative acceptance counterfoil in his/her passport)

Other

Document description (must be cleared with Immigration Canada)(Required)

If not born in Canada, please upload a copy of relevant citizenship / immigrant status paper / card

Drop files here or

Accepted file types: jpg, pdf, Max. file size: 5 MB, Max. files: 2.

Are you a resident of British Columbia?(Required)

Yes

Upload a scan or photo of driver's license.(Required)

Accepted file types: jpg, pdf, png, Max. file size: 2 MB.

Resident Full Address(Required)

Street Address Address Line 2 City Province Postal Code

Parent Signature(Required)

MRCS accepts a typed signature for online submissions.

Date(Required)

MM slash DD slash YYYY

Are either of the parents deceased?(Required)

Yes (I will also complete Form B.)

Parent/Guardian Citizenship Declaration

Form B – Legal Residency of Parent(s) (Deceased)

To be completed and signed by the student or a knowledgeable adult (one who knew the student’s parent(s) and has knowledge of the facts respecting their decease and the matters set out in this document).

The student’s deceased parent(s) was/were, at the time of death:(Required)

Canadian Citizen

Permanent Resident

Other

Resident Full Address(Required)

Street Address Address Line 2 City Province Postal Code

Student Name(Required)

First name Last name

Date(Required)

MM slash DD slash YYYY

Additional Student Names to Add?(Required)

Yes

Student Name(Required)

First name Last name

Student Name(Required)

First name Last name

Knowledgeable Adult’s Name(Required)

First name Last name

Knowledgeable Adult's Signature(Required)

MRCS accepts a typed signature for online submissions.

Other Information Required

Please upload a copy of each child’s most recent report card.

Drop files here or

Max. file size: 1 MB, Max. files: 4.

Maximum file size is 1 MB. Please email to submit larger files.

Please upload a copy of each child's birth certificate.(Required)

Drop files here or

Max. file size: 1 MB, Max. files: 4.

(aximum file size is 1 MB. Please email to submit larger files.

Immunization Records

For example, at 2 months, 1 year, grade 6, etc.

How would you like to share immunization information?(Required)

Upload a scan or photo of your child(ren)’s immunization records.

No childhood immunizations

Immunization records(Required)

Drop files here or

Max. file size: 2 MB, Max. files: 4.

Please upload a copy of each child’s immunization record. (Maximum file size is 1 MB. Please email to submit larger files.)

Student 1 Immunization Record(Required)

Student 2 Immunization Record

Student 3 Immunization Record

Student 4 Immunization Record

Additional Information

Use this space to share any additional information

Your application will not be reviewed until the $200 application fee is paid.

Acceptable methods of payment:

Send eTransfer to (preferred method).

Pay by cheque, cash, or debit at the MRCS office during office hours.

Method of payment(Required)

Cheque, cash, or debit at the MRCS office during office hours

eTransfer $200 to finance@mrcs.ca

Please contact our office if you do not receive an email acknowledging that we have received your application.

Phone

This field is for validation purposes and should be left unchanged.