Re-enrolment Form

Step 1
Step 2
Step 3
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Step 5
Step 6
Step 7 and Submit

Name

Step 1: Student Information

Last Name *

First Name *

Middle Name

Preferred Name

Date of Birth *

Email Address *

We strongly recommend that students, and their parents provide the ECB-CBS with a Gmail account email. A Gmail account provides students and their parents free access to the school’s online learning platforms, including Google Docs, free cloud storage, and other digital tools for teaching and learning.

Nous recommandons fortement aux étudiants et à leurs parents de fournir à l’ECB-CBS un courriel de compte Gmail. Un compte Gmail offre aux étudiants et à leurs parents un accès gratuit aux plateformes d’apprentissage en ligne de l’école, y compris Google Docs, le stockage gratuit et d’autres outils numériques pour l’enseignement et l’apprentissage.

Student lives with *

Both parents Parent 1 only Parent 2 only Legal Guardian Host Parent

Other, please specify relationship;

Step 2: Address Information

Current Home Address *

Country *

City *

Postal Code *

Telephone *

Mobile *

Email Address *

Does the student have documentation of Custodial Orders or Legal Orders? *

YES, please give details; NO Please note that upon acceptance, you will be asked to provide documentation of Custodial Orders or Legal Orders for confidential review by the EBS-CBS. If documents are in a language other than English or French, please provide an official translation.

Details

Does/will the student have a sibling(s) at the school? *

YES, please indicate which grade(s); NO

Indicate which grade(s)

Will the student require school bus transportation? *

YES NO

Will the student apply for the half-day high performance program? *

YES NO

If YES:

The Canadian International Dance Academy. (Please complete the Canadian International Dance Academy Application Form.)

The Canadian International Sport Academy. (Please complete the Canadian International Sport Academy Application Form.)

Step 3: Medical Information

Students attending the ECB-CBP are required to have valid medical insurance while studying at the school.

Medical Insurance Provider *

Policy Number *

Phone Number *

Email Address *

Is the student currently receiving any medical treatment? *

YES, please give details; NO

Details

Does the student regularly take a prescription drug? *

YES, please give details (including dosage); NO

Details

Does the student have any known allergies? *

YES, please give details; NO

Details

Does the student have any past medical history of illnesses or admissions to hospital that the school should be aware of ? *

YES, please give details; NO

Details

Has the student ever had any of the following?

Chicken Pox Measles Mumps German Measles Tuberculosis Scarlet Fever

Please provide any further information, as necessary:

info headaches

Headaches, earaches, please give details.

Details

info diabete

Diabetes, please give details.

Details

info epilepsy

Epilepsy, seizures, convulsions, please give details.

Details

info serious injury

Serious injury, please give details.

Details

info surgery

Surgery, please give details.

Details

info attention deficit

Attention Deficit Disorder, please give details.

Details

Is the student required to receive medical treatment during school hours? *

YES, please give details; NO

Details

If any of the following conditions apply, please give details:

Hearing problems: *

YES, please give details; NO

Details

Vision problems: *

YES, please give details; NO

Details

Physical disability: *

YES, please give details; NO

Details

Special Diet: *

YES, please give details; NO

Details

Please note that upon acceptance, you will be asked to provide a detailed medical form completed by the student’s medical doctor.

Authorization for Medical Treatment

By ticking all the boxes, you authorize your child to receive medical treatment in the event of a serious accident or emergency and you understand and agree that the ECB-CBS does not assume responsibility.

In the event of a serious accident or emergency, the School will immediately contact the parents/guardians, and any other designated emergency contact *

I understand and agree

If it is considered that hospital treatment is necessary for an injured or ill student, and the School cannot communicate immediately with the parents/ guardians, the School will arrange for the student to be taken by ambulance or private automobile to the emergency ward of the nearest hospital for medical treatment. *

I understand and agree

The ECB-CBS does not assume responsibility for any injury or damage that may arise with such authorized emergency medical treatment. *

I understand and agree

I have read and understand the Authorization for Medical Treatment. My signature on the application form confirms that I authorize my child to receive medical treatment in the event of a serious accident or emergency. *

I understand and agree

Step 4: Parent / Guardian Information

If you are a legal guardian, you must provide documentation authorizing guardianship. If documents are in a language other than English or French, please provide an official translation.

Parent / Guardian 1

Gender

MR. MRS. MS. Other

Family Name *

First Name *

Nationality(ies) *

Current Home Address

(if different from student)

City

Country

Postal Code

Telephone *

Mobile *

Email Address *

Relationship to student *

Father Mother Stepfather Stepmother Other

If other, please specify relationship;

Lives with student? *

YES NO

What is your intended length of stay in France;

Will your employer pay the school tuition fees? *

YES NO

If YES, what percentage of the school fees will be paid by your employer?

Employer *

Job Title *

Address of Employer *

Telephone *

Email Address *

Parent / Guardian 2

Gender

MR. MRS. MS. Other

Family Name *

First Name *

Nationality(ies)

Current Home Address

(if different from student)

City

Country

Postal Code

Telephone

Mobile

Email Address *

Relationship to student

Father Mother Stepfather Stepmother Other

If other, please specify relationship;

Lives with student ?

YES NO

What is your intended length of stay in France?

Will your employer pay the school tuition fees?

YES NO

If YES, what percentage of the school fees will be paid by your employer?

Employer

Job Title

Telephone

Address of Employer

Emergency Contact 1

Name *

Relationship to Student *

Telephone *

Mobile *

Address *

Emergency Contact 2

Name

Relationship to Student

Telephone

Mobile

Address

Out-of-Town Emergency Contact

Name *

Relationship with Student *

Telephone *

Mobile *

Address *

Step 5: Consent

Please read carefully.

By ticking all the boxes below, you have read, understood and accepted all the information below.

BC Ministry of Education Consent Form

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

I understand and consent

I further consent to the use and disclosure of information contained in this form and otherwise collected by or on behalf of the ECB-CBS (1) for the purpose of establishing, maintaining, and terminating the student’s or parent’s relationship with the ECB-CBS, (2) for additional purposes identified when or before personal information is collected, and (3) as otherwise provided in the ECB-CBS’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 agents, contractors and service providers of the ECB-CBS. *

I understand and consent

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. *

I understand and consent

Photo and Video Release Form

I hereby grant to the Canadian Bilingual School of Paris (the School) the right to reproduce, use, exhibit, display, broadcast, distribute and create derivative
works of the photographed or filmed images of my child for use in connection with the activities of the School or for promoting, publicizing or explaining the School or its activities.

This grant includes, without limitation, the right to publish such images to the School websites, in School publications and in PR/promotional materials, such as marketing and advertising. These images may appear in the future, including – but not limited to – print, broadcast, video, CD-ROM and electronic/online media.

Parent / Guardian *

(please print name)

Child's name *

(please print name)

I agree *

YES NO

Off-Campus Activity Consent Form

Throughout the school year, the Canadian Bilingual School of Paris coordinates a wide range of off-campus activities for the students. The school recognizes the value of these activities for the educational, artistic, athletic and experiential benefits they provide to the students. There is also an understanding that the safety of all who participate is of primary concern to the Canadian Bilingual School of Paris.

The Off-Campus Activity Consent Form applies to all off-campus activities during regular school hours. Transportation to the locations will be arranged using one or more means of travel:

Walking
Public Transportation
A chartered school bus driven by a school bus driver
Private vehicles driven by teachers/staff, school parents and/or volunteers

Please note that a current driving record by the motor vehicle branch will be required prior to the school permitting a student to travel in a private vehicle.

For school activities outside of the central Paris region or for overnight trips, the school will provide the parent/guardian with further detailed information. Additional acknowledgement of risk and consent will be required.

I hereby acknowledge the risk and consent to the student participating in the Canadian Bilingual School of Paris off-campus activities as defined above. I recognize and understand the inherent risks associated with off-campus activities, including but not limited to the hazards of vehicle travel, accident and illness, weather and other circumstances beyond the control of the Canadian Bilingual School of Paris teachers and staff.
I authorize the Canadian Bilingual School of Paris to consent to medical treatment for the student as may be necessary in the event of a serious accident or medical
emergency.

Parent / Guardian *

(please print name)

Child's name *

(please print name)

Grade *

I agree and authorize *

YES NO

Permission to Leave School Property Unaccompanied

Students in Grades 9 to 12

I hereby give my permission for my son / daughter to leave the Canadian Bilingual School of Paris campus without supervision at lunch time. I understand and have discussed with my son / daughter that he / she is a representative of the Canadian Bilingual School of Paris and he / she agrees to represent the school in a positive manner both on and off campus.

I release the faculty and staff of the Canadian Bilingual School from any responsibility for the safety or well-being of my son / daughter while he / she is away from the campus at lunch time.

Parent / Guardian

(please print name)

Child's name

(please print name)

I give permission

YES NO

Step 6: Declaration

Please read carefully.

I agree that the family contact information may appear in the school directory (issued to parents only). *

YES NO

I agree that photographs or video recordings taken of the student during school activities may be used for school publications and website purposes. *

YES NO

I agree that the student’s schoolwork may be used for school publications and website purposes. *

YES NO

I have read and understand the Authorization for Medical Treatment. My signature on the application form confirms that I authorize the student to receive medical treatment in the event of a serious accident or emergency.

Declaration

By ticking all the boxes below, you have read, understood and accepted the school’s terms and conditions.

I declare that the information provided on the application form and the enclosed documents is accurate and complete. No information has been withheld. I understand that the failure to disclose relevant information may lead to the withdrawal of an offer of admission or the exclusion of the student from the ECB-CBS. *

I understand and agree

I understand that the re-enrolment fee of 500 € is non-refundable should my child not be admitted to the school, or should I withdraw the application. I understand that completing the application process does not constitute acceptance. *

I understand and agree

I have read and agree to the application procedure and to the tuition and activity fees’ schedule. I understand that upon acceptance to the ECB-CBS, I must sign the Offer of Re-enrolment and submit the Re-enrolment Fee to confirm the student’s enrolment. *

I understand and agree

I understand that the students at ECB-CBS are expected to wear the proper school uniform at all times. Uniforms are required to be worn on school field trips, activities and events, as well as school functions. The cost of the uniform is the responsibility of the student and their families. Students and their families are expected to order their uniforms from the supplier chosen by the school. *

I understand and agree

I declare that I have read and understand the school’s terms and conditions as set forth in the admissions information. My signature on the application form confirms that I have read and agree to the terms and conditions. *

I understand and agree

Date signed: *

(dd/mm/yyyy)

Step 7: Re-Enrolment Fee

500 € - A non refundable fee to be paid at the time of re-enrolment.

Payable by cheque to the order of 'École Canadienne Bilingue de Paris', or by wire transfer:

Ecole Canadienne Bilingue de Paris

IBAN : FR41 1144 9000 0202 1890 0001 Z41

BIC : BDEIFRPPXXX

Re-enrolment Form

Step 3: Medical Information

Please provide any further information, as necessary:

If any of the following conditions apply, please give details:

Authorization for Medical Treatment

Newsletter

Thank you!

Canadian Bilingual School of Paris

The Canadian Bilingual School of Paris