EXCEL HIGH SCHOOL
55 Nugget Avenue, Unit 208, Scarborough, Ontario M1S 3L1,
Phone: 416-299-1745 / Fax: 416-299-1745 Email: 2excelhighschool@gmail.com

REGISTRATION FORM
PART TIME/FULL TIME

FIRST NAME	*		HOME ADDRESS	*
MIDDLE NAME	*
LAST NAME	*		CITY	*
DATE OF BIRTH	*		POSTAL CODE	*
HEALTH CARD NUMBER	*		HOME PHONE	*
MEDICAL ALERT	*		CELL NUMBER	*
HOME SCHOOLS	*		EMERGENCY CONTACT	*
GRADE	*
SUBJECTS	*
TYPE OF STYDY (In-school or On-line):	*
OUAC REFERENCES#	*
Date of Registration (Y/M/D):	*
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