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test 5
This is where your preamble goes
2026-2027
2025-2026
2026-2027
District
--Select--
Dufferin-Peel Catholic DSB
Other Schools
Upper Grand District School Board
Wellington Catholic District School Board
School
Grade
Program
Last Name
First Name
Birth Date
Student ID
More than one student matches the criteria submitted. Please select the student to use
×
Select
Start Date
Comment Box
Contact
Last Name
First Name
Home Phone Number
Mobile Phone Number
Email
Relationship
Address
Street #
Street Name
City
Zip Code
Rural Address
QS
NE
NW
SE
SW
Rge
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Township
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
Range
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
M
W1
W2
W3
W4
W5
Email
Schedule
Regular
5 days/week
Monday
Morning
Afternoon
Morning and Afternoon
Tuesday
Morning
Afternoon
Morning and Afternoon
Wednesday
Morning
Afternoon
Morning and Afternoon
Thursday
Morning
Afternoon
Morning and Afternoon
Friday
Morning
Afternoon
Morning and Afternoon
Bus Stop Type
AM
PM
BOTH
Requested Start Date
Address
Street #
Street Name
City
Submitted by
include information around the I agree statements that will appear next
Select all options
I agree statements placed here. Add an extra one for each statement
test 1
test 2
Last Name
First Name
Email
Include your privacy Statement here
<%= Resource: Campaigns_Prompt%>
×
<%= Resource: Yes %>
<%= Resource: No %>