Chokio-Alberta Activity Registration

Step 1 of 6: Select Student

Student Information

First Name: *

Last Name: *

Middle Initial:

Cell Phone: *

Mobile Provider:

Email: *

Gender: *

Grade: *

Date of Birth: *

Month

Day

Year

Which of the following best describe your student's enrollment?: *

If you are home-schooled, is your parent/guardian the primary educator?:

Yes

N/A

If you are home-schooled, are you educated with 5 or fewer students?:

Yes

N/A

If you are an online student, which school are you enrolled through?: