The Communication Lab

The Communication Lab
Online learning programs for children and youth are designed for students who qualify for APSEA services and registration must be completed by the student's APSEA Educational Support Teacher (EST) / itinerant teacher.
EST / Itinerant Teacher Name:*

First NameLast Name
EST / Itinerant Teacher Email Address:*
example@example.com
Program Selection
Please indicate the program you are registering for:*

Chat Masters - Elementary - Kindergarten/Primary to Grade 5TalkWise - Middle / High School - Grades 6 to 12
Student Information
Student Name:*

First NameLast Name
Grade:*
If Other, please specify grade:*
City/Town:*
Province:*
Parent/Guardian Information
Parent/Guardian Name:*

First NameLast Name
Parent/Guardian Email Address:*
example@example.com
School Information
School District/Regional Centre for Education*
School Name:*
School Team Contact Name:*
School Team Email Address:*
example@example.com
School Team Member Role:*
If Other, please specify:*
Is the above school contact facilitating participation in this virtual program?*

YesNo
If no, please identify who is responsible for ensuring the learner is adequately set up to participate in this program?
Name:*
Email Address:*
example@example.com
Informed Consent for Student Participation for Online Programs:*

Uploaded to the APSEA DatabaseCompleted forms have been sent in by email. (NL and PE)
Permission to Record or Photograph:*

Uploaded to the APSEA DatabaseCompleted forms have been sent in by email. (NL and PE)
Level of permission to record or photograph:*
Note: By completing this registration you are agreeing that the applicable required permission forms have been uploaded to the APSEA database or have been emailed.
Feedback
How did you hear about this program?*
If Other for how you found out about this program, please specify
Should be Empty:

The Communication Lab

Program Selection

Student Information

Parent/Guardian Information

School Information

Feedback