OSA Private School Registration Form

Registrant

Student's Family Name *

Student's First Name *

Student's Middle Name

Student's Date of Birth * +

Student's Gender *

Grade *

Sport

Position

I want to join OSA Private School as *

A student who is interested in being active and healthy

A hockey player

An athlete for other sports: An athlete for other sports:

Allergies

OHIP

Parent #1 - Full Name *

Phone Number (Home)

Phone Number (Work/Cell) *

Parent #2 - Full Name

Phone Number (Home)

Phone Number (Work/Cell)

Guardians Full Name (if applicable)

Phone Number (Home)

Phone Number (Work/Cell)

Address of Student Residence

City *

Country *

Postal Code/Zip Code *

Billing Address (if different from above)

City

Postal Code/Zip Code

Name of person with whom Student Resides *

Email Address *

Previous School Attended *

Please upload a copy of student's passport or government issued photo ID

Please upload a scan of student's most recent report card

A $1000.00 non-refundable deposit is required to confirm registration and reserve your spot. Registration is not complete until payment is received.

Upon submission of registration form, you will receive an invoice within 24 hours.

Please choose your method of payment to be included in your invoice: *