Applications - Des Nedhe Group

Please complete all questions. Proof of child's registration must be attached. Incomplete applications will not be processed. Deadline Oct 15, 2020.
Name of Applicant*
First Last
Status Number*
Contact Phone Number*
Email address*
Mailing Address*
Street Address Address Line 2 Community Province Postal Code
Names of All Children (use the + button to add additional children)*
Name Status Card Number Date of Birth

Enter Date of Birth as YY/MM/DD
Name of School where child(ren) are registered*
Attach proof of enrollment*

Name	Status Card Number	Date of Birth