MECC Online Registration

Thank you for registering with Matawa Education and Care Centre. We will be reaching out to you shortly.
Please remember to bring ID and the consent forms signed by your Parent/Guardian if you are under the age of 18.

https://www.matawaeducation.com/wp-content/plugins/nex-forms-express-wp-form-builder

false

message

https://www.matawaeducation.com/wp-admin/admin-ajax.php

https://www.matawaeducation.com/online-registration

yes

fadeIn

fadeOut

Surname

First Name (include Middle)

Preferred Name

Status Card #

Gender

Cell Phone

*Home Phone

*Email

Languages Spoken

Date of Birth

Birth Date Validation

Thunder Bay Address

Street Number

Street

Apt Number

City

Prov

Postal Code

Mailing Address

Street

City

Province

Postal Code

Parent/Guardian 1

First Name

Last Name

Relationship

Address

City

Province

Postal Code

Day Phone #

Evening Phone #

Cell #

*Email

Parent/Guardian 2

First Name

Last Name

Relationship

Address

City

Province

Postal Code

Day Phone #

Evening Phone #

Cell #

*Email

I Consent to receiving updates on son/daughter's progress where applicable, report cards and events pertaining to Matawa Education and Care Centre

Yes

I Consent to receiving updates on son/daughter's progress where applicable, report cards and events pertaining to Matawa Education and Care Centre

Yes

I hereby agree and give my permission for the Matawa Education and Care Centre (MECC) to disclose information related to my academic studies to the Parent/Guardian listed above. This includes but is not limited to: attendance, progress, and marks.

Yes

Boarding Parent

First Name

Last Name

Boarding Parent Phone

Boarding Parent Cell

STUDENT MEDICAL INFORMATION Proof of Immunization shown

Yes

Health Card #

Medical Concerns

Yes

If yes, please describe any medical conditions the school should be aware of:

Emergency Contact

If a parent/guardian or Education Authority/counsellor, if applicable, cannot be contacted, use the following emergency contact:

Emergency Contact Name

Emergency Contact Phone

Relationship

Emergency Contact Work Phone

Emergency Contact Cell

Previous School

School Address

Does Student receive special education services (IEP)

Yes

Student Media Release

I, the parent/guardian, hereby agree and give my permission for the Matawa Education and Care Centre (MECC) and/or partners to record, film, photograph, audiotape or videotape my child's name, image, student work and performance (hereinafter collectively referred to as "Works") and to display, publish or distribute these Works for the purpose of publishing, posting on the Matawa/MECC website, posting in schools, posting on social media sites, and/or for broadcasting on television or radio as determined by the MECC.
I hereby waive any right to approve the use of these Works now or in the future, whether the use is known to me or unknown, and I waive any right to any royalties related to the use of these Works.

I understand that the Works may appear in electronic form on the internet or in other publications outside the MECC's control. I will not hold the MECC responsible for any harm that may arise from such unauthorized reproduction.

Yes

All information provided above is correct, true and correct. I understand that it is my responsibility to keep the school advised of any change in the above information as soon as possible.

Personal Information on this form is collected under the authority of the Education Act, R.S.O. 1990, c.E.2 and the Municipal Freedom of Information and Protection of Privacy Act, R.S.O., 1990, c.M.56, and will be used by School Administration in the creation of the Emergency Calling Network, and for school registration purposes. The Ontario Health Card number will be shared with local public health authorities. All personal information collected on this form will be stored on the Office Index Card. This information is updated annually. Questions about this collection should be directed to the Matawa Education and Care Centre Principal. Email address will be used to provide information such as student progress (where applicable) and may include events pertaining to the Matawa Education and Care Centre. Email address may also be used to provide information of a commercial nature. Canada’s new Anti-Spam Legislation (CASL) took effect on July 1, 2014. CASL prohibits the sending of any type of electronic message that is commercial in nature unless the recipient has provided consent first. As a result, the Matawa Education and Care Centre requires your consent to send you emails which contain advertising or promotions regarding school fundraisers, applicable programs, field trips, sales, or events with an entry fee or similar events and offers.

T: 1 (807) 768-3300 F: 1 (807) 768-3301

200 Lillie N, Thunder Bay ON P7C 5Y2

Admin: 8:30am - 4:30pm - School: 9:00am - 8:00pm - On Call: 8:00pm - 6:00am

Welcome to the online registration form for the Matawa Education and Care Centre (MECC) in Thunder Bay, Ontario. Please fill out the form below. If you require assistance, please call the Guidance Counsellor at (807) 768-3300.

MECC Hours of Operation: Monday – Friday 8:30 AM – 4:30 PM

Thunder Bay Address

Mailing Address

Parent/Guardian 1

Parent/Guardian 2

Boarding Parent

Emergency Contact

If a parent/guardian or Education Authority/counsellor, if applicable, cannot be contacted, use the following emergency contact: