Admission Form 2022-2023
STUDENT'S PERSONAL DETAILS
Admission for Class*
Gender*
Female Male Transgender
Student's Name*
Father's Name*
Mother's Name *
Student's Date of Birth*
Category*
CONTACT DETAILS
Address*
Country*
State*
City*
Locality
Pincode
Mobile Number
E-Mail Id
ADDITIONAL DETAILS
SCHOOL LAST ATTENDED
Last School Attended*
Last School Address:*
Resident School Division:*
Father's Details
Permanent Address(if different from the Above)
Occupation
Office Address*
Cell Phone :*
Work Phone *
Father's Email id*
Mother's Details
Permanent Address (if different from above)
Occupation
Cell Phone *
Mother's Email-id*
Help us know your child: In few words, tell us about your child's interests, likes and dislikes:*
Custody
Are there any legal restrictions/arrangements for your child?*
Yes    No    
If yes-Explain (As you indicated Yes - please note you will be contacted to provide a copy of legal document)*
EMERGENCY CONTACT INFORMATION
Emergency Contact Name*
Relation*
Aunt    Uncle    Grandfather    Grandmother    Brother    Sister    
Emergency Contact Number*
Doctor Name*
Doctor's Phone Number*
Manitoba Health Card Details: PHIN # (9-digit number for your child)*
MB Registration #( 6 digit family number)*
MEDICAL QUESTIONNAIRE(We are asking for your assistance in identifying any medical conditions that your child may have. Please complete all sections that apply so that school office can provide the safest possible environment, the most appropriate response in the event of a medical emergency, and the development of a Health Care Plan, if necessary.)
Any Life Threatening Allergies*
Yes    No    
If yes -What triggers the allergic reaction?*
Signs and symptoms of allergic reaction:*
Does your child require an Epi-pen?*
Yes    No    
Does your child carry an Epi-pen at all time?*
Yes    No    
Location of Epi-pen and its Expiry Date *
Does your child has Asthma?*
Yes    No    
If yes- Describe the signs and symptoms of Asthma attack?*
Asthma medication and Location of the medication.*
Bleeding Disorder*
Yes    No    
Diabetes*
Yes    No    
If Yes - Please specify your child's blood sugar levels and medication:*
Heart Condition*
Yes    No    
If yes: Degree or Severity of Heart condition, limitations and medication:*
Seizure Disorder*
Yes    No    
If Yes - Please specify signs, symptoms and medication of Seizure disorder :*
Other Significant conditions that are physician diagnosed (i.e. ulcerative colitis,Crohns,transplants, spina bifida, permanent physical limitations)*
Yes    No    
Does your child require prescription medication during school hours?*
Yes    No    
Medication Name*
Dasmesh School Winnipeg recommends the use of MEDIC-ALERT bracelet if your child is at high risk medically. Does your child wear a MEDIC-ALERT bracelet?*
Yes    No    
TRANSPORTATION
All school buses are equipped with a “GPS Tracker” and parents can see where the bus is in real time. No student will be dropped or picked up from other address other than provided in the transportation form. If need to change the address for pick /drop off, please fill out change of address form one month prior to the change and there is no guaranty that we can fulfill your request.
My child needs Bus Service:*
Yes    No    
If Yes- Please mention your Pickup /Drop off Address (Note: Pickup/ Drop off Address should be same)*
SCHOOL FEE PAYMENT METHOD
How Would you like to pay the school Fee?*
Monthly by Void Cheque    Full year Fee in one installment    
If you opted Void Cheque option, please download the Direct Deposit form, complete it and email the form to dswoffice@dasmeshschoolwpg.ca (Click Here to download the Form)
CONSENTS ( Attention Parents: This information will be kept on file for reference throughout the school year.)
1. Parent Permission For On-Line Information Resources (A copy of Dasmesh School Winnipeg Use of On-line Information Resources Policy is available in the school handbook or online.)
Technology as a Foundation Skill to prepare students for their roles in society, Manitoba Education and Youth has identified technology, along with literacy and communication, problem solving, and human relations, as a foundation skill area to be developed in every subject area and grade (A Foundation for Excellence, 1995). Development of technology as a foundation skill area will not only enable students to use technology to learn, but will also enhance their understanding of the connections.*
I have read and agree to the Dasmesh School Winnipeg Acceptable Use of On-line Information Resources Policy and understand that access to such resources is for educational purposes. I realize that it is impossible for the Dasmesh School Winnipeg to be responsible for restricting all access to controversial materials.    I understand that a user is expected to abide by these Terms and Conditions set out in this document and that his/her privileges may be suspended and/or any other consequence may be applied as deemed necessary if these Terms are violated.    
2. Permission to Photograph/Videotape.
During the school year, opportunities may occur to photograph or videotape your child in connection with the educational programs in our school. These photographs and/or videos may be used in the school newsletter, the school website, Dasmesh School's social media pages, yearbooks, bulletin boards, local or regional newspapers, television, or as part of promotional events. Parents/Guardians are required to give permission to have their child included in photographs/videos taken at the school*
I give permission for my child to be photographed/videotaped and to have the pictures/videos used for the purposes outlined above during the school year .    
3. Dasmesh School Winnipeg School Policies. (PLEASE CLICK HERE TO READ THE POLICIES)
Dasmesh School Winnipeg believes in transparent governance and standardized polices. *
I have read and hereby agree follow the Assessment Policy put forth by Dasmesh School Winnipeg    I have read and hereby agree follow the Homework Policy put forth by Dasmesh School Winnipeg    I have read and hereby agree follow the Lost and Found Policy put forth by Dasmesh School Winnipeg    I have read and hereby agree follow the School Uniform Policy put forth by Dasmesh School Winnipeg    I have read and hereby agree follow the Birthday Celebration Policy put forth by Dasmesh School Winnipeg    I have read and hereby agree follow the Lunch Policy put forth by Dasmesh School Winnipeg    I have read and hereby agree follow the Transportation Policy put forth by Dasmesh School Winnipeg    I have read and hereby agree follow the Tuition Fee Policy put forth by Dasmesh School Winnipeg    I have read and hereby agree follow the Communication policy put forth by Dasmesh School Winnipeg    I have read and hereby agree follow the Incident Policy put forth by Dasmesh School Winnipeg    I have read and hereby agree fol    
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