Sovereign Dyad Academy | K–12 Student Registration

alberta-grant

Alberta Parent Declaration to Enrol Children in Proposed Charter School

Charter Schools Regulation – Personal Information Collection Notice The personal information collected on this form is collected pursuant to the provisions of the Charter Schools Regulation, and will be used for the purposes of reviewing the public charter school application as submitted by the applicants. This information will be treated in accordance with the Freedom of Information and Protection of Privacy Act, RSA 2000, Chapter F-25. Should you have any questions about this collection, please contact Alberta Education, Field Services, 9th Floor, 44 Capital Boulevard, 10044 – 108 Street NW, Edmonton Alberta T5J 5E6. Telephone: 780-427-6272 in Edmonton (toll-free by first dialing 310-0000). Email: edc.charterapplication@gov.ab.ca

Proposed School Information

Please specify the details of the proposed public charter school.

Name of Proposed Public Charter School

Proposed Opening Date

Parent / Guardian Declaration

By completing this section, you confirm that you are the parent/guardian of the named child/children who is/are eligible to attend the proposed public charter school on opening, and you intend to enroll them if approved by the Minister.

Parent/Guardian First Name

Parent/Guardian Last Name

Telephone Number

Children Information

Please provide details for the children you intend to enroll.

Child 1 – Name

Child 1 – Age

Child 1 – Grade on Opening

Child 2 – Name

Child 2 – Age

Child 2 – Grade on Opening

I/We confirm that I am/we are the parent/guardian of the named child/children who is/are eligible to attend the proposed public charter school on opening, and I/we intend to enroll my/our child/children at the proposed public charter school if it is approved by the Minister.

Applicant Certification

I/We, the applicant(s) wishing to establish the above public charter school, certify that the above parents/guardians completed this form.

Public Charter School Applicant 1 – Name

Public Charter School Applicant 2 – Name