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Canadian Registration Form

A receipt of this form will be sent after completion.  This form is for Canadian students. For the International student form, please select this link.

SUNIA offers students transportation from Red Deer to Goldeye and back at the end of the week. Will you be taking the bus from Red Deer?
Student Information
Student Phone *
Student Phone
Before August 13th
Your Provincial Health Care Number
i.e asthma, allergies, current injuries, ongoing medical conditions, mental illnesses, or anything else we may need to know in an emergency. If not applicable, please write "None".
i.e. food allergies, vegetarian, or other special diets. If not applicable, please write "None".
Contact Information
Parent/Guardian information can be omitted if student is over the age of 18.
Parent/Guardian Name
Parent/Guardian Name
Parent/Guardian Phone
Parent/Guardian Phone
School Information
Please select the grade that will be completed by the end of July 2018
Emergency Contacts
Primary Emergency Contact *
Primary Emergency Contact
Phone *
Phone
Alternate Phone *
Alternate Phone
Secondary Emergency Contact
Secondary Emergency Contact
Phone
Phone
Alternate Phone
Alternate Phone