Fillable AP 336-1 School Registration Form

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AP 336-1 School Registration Form

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  • 39 check-boxes
  • 170 other fields

Country of origin: CANADA
File type: PDF

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Last Revised: January 2021
Administrative Procedures Manual | Section 300 | Students
AP 336-1 School Registration Form
A child may only be registered in one school in the Abbotsford School District. In the case of a family registering with multiple
children please use one form per child.
Catchment School
Requested Out-of-Catchment or District Program/Placed School
STUDENT INFORMATION
Gender Identity M=male, F=female, X=nonbinary ________
Legal Last Name Legal First Name
Usual Last Name Preferred First Name
Legal Middle Name ☐ No Middle Name
Birth Date (DD/Month/YYYY e.g. 24 May 2005)
Grade Proof of Age ☐Birth Certificate ☐ Passport ☐ Citizenship Paper
Home Phone
ADDRESS INFORMATION
Street Address
City Prov. Postal Code
Proof of Residence Provided ☐ Yes ☐ No (*see below)
Mailing Address (if different from above)
City Prov. Postal Code
* In order for a child to be registered in an Abbotsford school, proof of address must be shown by presenting one of the following legal documents:
Mortgage Document, Rental or Lease Agreement, Property Sale Agreement, Property Tax Notice, Home Insurance, Utility Bill. In addition, one or more of
the following documents containing the name and address of the parent/guardian is required: Government Document ie. MSP bill, Child Tax Credit,
Income Tax Assessment, Vehicle Insurance, most recent T4.
T
he principal of a school may request a properly sworn Statutory Declaration from the enrolling parent or legal guardian attesting that the student’s principal
place of residence is the place indicated in this application. Applicants should note that making a false statutory declaration may constitute the criminal
offense of perjury, contrary to Section 131 of the Canadian Criminal Code.
ADMISSION INFORMATION
Previous School
City & Province
Date left previous school Expected start date
Last Revised: January 2021
Administrative Procedures Manual | Section 300 | Students
FOR KINDERGARTEN REGISTRATION ONLY
Attended Preschool ☐Yes ☐ No Attended Daycare ☐ Yes ☐ No Attended StrongStart ☐ Yes ☐ No
Previous School City/Prov.
BUSSING (does not apply for District Programs)
Is bussing needed ☐ Yes ☐ No If Yes, please request a school district transportation form.
ABORIGINAL ANCESTRY INFORMATION ☐Yes ☐ No If yes,
□Inuit ☐Metis ☐First Nation Non-Status ☐First Nation Status on Reserve ☐First Nation Status off Reserve
Band Name Band Number
Status Card Number (if applicable) ________________________________________________________________
PROGRAM
☐ French Immersion ☐ ELL ☐ Special Education ☐ *Designation ☐ *My child has an IEP
□ *Was in an Alternate Program (title)
IMMIGRATION/CITIZENSHIP STATUS
Country of Birth Language at Home
Canadian Citizen ☐ Child ☐ Parent • Permanent Resident/Landed Immigrant ☐ Child ☐ Parent
Refugee ☐ Child ☐ Parent • International Student (funding not eligible) ☐ Child ☐ Parent
Student Visa ☐ Child ☐ Parent • Employment Authorization ☐ Child ☐ Parent
PARENTS/GUARDIANS
1. Last Name First Name
Relationship to Student
Living with Student ☐Yes ☐ No Same Address as Student ☐Yes ☐ No
Address
Home Phone Cell
Work Phone Ext. Email
Employed at
2. Last Name First Name
Relationship to Student
Living with Student ☐Yes ☐ No Same Address as Student ☐Yes ☐ No
Address
Home Phone Cell
Work Phone Ext. Email
Employed at
Are there any legal documents in force re: custody/guardianship/access? ☐ Yes ☐ No
Have you provided a copy of these legal documents to the school? ☐ Yes ☐ No
Comments/details re submitted court order
*Please note that court orders cannot be followed or acted upon by the school unless a copy has been formally submitted to the school.
Last Revised: January 2021
Administrative Procedures Manual | Section 300 | Students
SI
BLING INFORMATION
(brothers/sisters including preschoolers in the same or a different school within the Abbotsford School
District)
Sibling 1 Sibling 2 Sibling 3
Last Name
First Name
Relationship
School
DOB
Sex (Male/Female)
CONTACT INFORMATION (other than parent/guardian)
1. Last Name First Name
Relationship Cell
Home Work Ext.
2. Last Name First Name
Relationship Cell
Home Work Ext.
OUT OF PROVINCE CONTACT INFORMATION (In case of Provincial disaster)
Last Name First Name
Relationship Cell
Home Work Ext.
MEDICAL INFORMATION
Doctor Name Phone
Care Card Number
Allergies and Conditions
Are any of these conditions life threatening? ☐Yes ☐ No If so, which?
Life Threatening Conditions/Medication or Treatment Required:
Condition Treatment
(AP 327 – Medical Alert Conditions, AP 328 – Administration of Medication to Students, and AP 330 – Allergic Shock (Anaphylaxis). Copies are available at the
school office or on the District website.
Name (printed) Signature (parent/guardian)
Last Revised: January 2021
Administrative Procedures Manual | Section 300 | Students
STUDENT INFORMATION RELEASE
In accordance with the Freedom of Information and Protections of Privacy Act, Abbotsford School District requires
consent to use personal information for purposes unrelated to educational programs. Please sign for each item
below if you authorize disclosure as described.
1. GRADE 8-12 STUDENTS ONLY
All students participating in secondary athletics in Abbotsford need to be registered with BC School Sports. I
authorize disclosure of my child’s name, birthdate, current grade, year my child entered grade 8 and previous
school to BC School Sports for registration purposes.
Signature
2. COMPUTER AND INTERNET USAGE AND ACCESS
Access to and participation in the global network (Internet) carries with it a responsibility for adherence to
established guidelines for acceptable use, as per AP 334 – Online Communications and Digital Learning.
Parents are responsible for ensuring that they fully understand the terms and conditions of the
procedures for the safe use of the Internet. The procedure and parental consent form are available at the
school office or on the District website. I will review this policy prior to signing my child’s user agreement.
Signature
3. CANADA ANTI-SPAM LEGISLATION (CASL) COMPLIANCE FORM
To ensure that you consent to receive electronic newsletters, school and community updates on matters from
your children’s school(s) and the school district, please complete the accompanying Canada Anti-Spam
Legislation (CASL) Compliance Form. (AP 336-2 Request for Email Address Consent)
4. PHOTOGRAPH/VIDEO AND MEDIA CONSENT FORM
To give your consent to the Abbotsford School District to collect, use and publicly disclose your child’s name,
voice and/or image for purposes consistent with AP 324, please complete form AP 324-1 Photograph/Video
and Media Consent Form.
Parents/Guardians: You can also register for School Cash Online, and have the convenient and secure option of
paying for school items using a credit card online, 24/7. You can pay for school items such as trips, club/athletic
fees and spirit wear. For online payments please register at https://abbotsford.schoolcashonline.com
(it takes less
than five minutes)
This personal information is being collected under the authority of the Freedom of Information and Protection of Privacy Act and the School
Act for the purposes of administering educational services. Questions about the collection of personal information may be directed to the
Freedom of Information Coordinator, District Administration Office, 604-859-4891.
Office Use Only
Date Rec’d Time Rec’d
Received By Computer User Agreement Rec’d ☐ Yes ☐ No
School Entry Date PEN MyBCEd#
Administrative Procedures Manual | Section 300 | Students
AP 324-1 – Photograph/Video and Media Consent Form – Last Revised December 2017 Page 175
AP 324-1 –Photograph/Video and Media Consent Form
In accordance with the BC Freedom of Information and Protection of Privacy Act, the Abbotsford School District is
seeking your consent to collect, retain, use and disclose photographs, videos, images, audio, and/or names of students
in a variety of publications and on the School District’s website(s) for education related purposes, such as recognizing
and encouraging student achievement, and for the purposes of building the school community and informing others
about the school district, its programs and activities.
For example, student names and/or images may be used in:
• School and School District communications, such as newsletters, brochures and reports;
• School yearbooks
• School and School District websites, social media sites/video channels such as Facebook and YouTube;
• External media communications such as newspaper or television or online, including photographs, videotape
and/or interviews (restricted to events where media is invited to school-related events);**
• Videos, CDs and DVDs designed primarily for educational use.
** Please note that school and district staff cannot control news media access and photos/videos taken by the media
or by others in public locations (e.g. field trips or off school grounds) or school events open to the public, such as sports
events, student performances, school board meetings, etc. These are considered public events.
Please complete and return to your school:
I DO GIVE MY CONSENT for the School District to collect, use and publicly disclose my child’s name, voice
and/or image for purposes consistent with the above for this school year. I understand that images posted on the
internet may be stored and accessed outside of Canada.
I DO NOT GIVE MY CONSENT for the School District to collect, use and publicly disclose my child’s name, voice
and/or image for purposes consistent with the above for this school year.
Student’s Name: LAST FIRST
(please print)
Student signature (for Secondary school students only)
Parent/Guardian Name: LAST FIRST
(please print)
Parent/Guardian Signature
Parent/Guardian Phone #s Date
School
District Freedom of Information and Protection of Privacy Officer:
Ms.Tracy Orobko,
Abbotsford School District,
tracy.orobko@abbyschools.ca
Administrative Procedures Manual | Section 300 | Students
AP 331-1 Rules Regarding Student Lockers: Conditions of Use
Most schools in the Abbotsford School District have lockers available for student use. Students are not required to have
a locker assigned to them; lockers will only be assigned to students who complete this form. Lockers remain the
property of Abbotsford School District. By applying for a locker the student agrees that LOCKERS MAY BE SUBJECTED
TO RANDOM SEARCHES BY SCHOOL DISTRICT STAFF, AND THAT THE SCHOOL DISTRICT MAY USE TRAINED DOGS TO
SWEEP LOCKER AREAS FOR DRUGS.
I _________________________________, student, understand that this locker is assigned to me for use during the
school year on the following conditions:
1. I am responsible for the locker that is assigned to me. No one else may use this locker. If I have been assigned to
share this locker then only I and the other student to whom it has been assigned may use it.
2. I agree to use only an approved lock on this locker. I will register the combination of the lock at the office. I will
not divulge my combination to anyone else.
3. I will only use the locker for purposes relating to school and my attendance at school. I understand that I may use
the locker to store books, school supplies and equipment, clothing, school sports equipment, lunches a
nd
ne
cessary personal items. I understand that nothing else is permitted in my locker unless the principal or vice-
principal has permitted it in writing.
4. No controlled substances, weapons or prohibited or offensive material may be placed in the locker.
5. I understand and agree that School officials may search student lockers at any time and without prior notice i
n
o
rder to ensure compliance with the conditions of use and other school policies and rules, and that searches
by
s
chool officials may include the use of trained dogs to detect the presence of drugs or prohibited materials i
n
s
tudent lockers.
6. I understand that my permission to use the locker may be terminated if I do not comply with the conditions of
use, school policies or rules.
7. I understand that it is the responsibility of all members of the school community to keep our schools safe. If I have
reason to believe that any locker contains anything that would threaten the safety of other students, staff or a
ny
ot
her person, I agree to immediately report the information to a teacher or administrator. I understand that the
School District will keep my name confidential unless required by law to disclose it.
8. I agree to keep the locker clean and to remove foodstuffs on a regular basis.
9. I understand that I am responsible for cleaning and removing all material from my locker at the end of the year or
when I leave the school.
Student Signature Date
Parent’s/legal guardian’s acknowledgement and agreement
I ______________________________ am the parent or legal guardian of ___________________________ (the
“student”). I agree to the terms and conditions of use set out in this document, and agree that the student may have a
locker subject to these terms and conditions.
Parent/Legal Guardian Date
click to sign
signature
click to edit
Administrative Procedures Manual | Section 300 | Students
AP 336-2 Request for Email Address Consent (CASL)
Canada’s Anti-Spam Legislation (‘CASL’) came into effect on July 1, 2014. As a result, Abbotsford School
District would like to ensure that we have your consent to receive electronic newsletters, school and
community updates on matters from your children’s school(s) and the school district. There may also be
announcements, event invitations, and other electronic messages which may contain advertising or
promotions regarding school fundraisers, field trips, the sale of yearbooks, student pictures, uniforms,
books, canteen/cafeteria sales, prom or dance tickets, or similar events and offers.
Yes, I CONSENT to receiving the above communications to my email address which I
have provided below, and understand that I can withdraw this consent at any time.
Email Address:
No, I DO NOT CONSENT to re
ceiving the above communications to my email address.
Name:
Signature:
Date:
Your Child(ren)’s name(s):
This information will be kept on file at the school your child is attending in Abbotsford School District.
If you have any questions please contact us at:
info@ab
byschools.ca
Abbotsford School District,
2790 Tims St,
Abbotsford, BC, V2T 4M7
www.abbyschools.ca
Last Revised: May 2020
Clear All Entries
Administrative Procedures Manual | Section 300 | Students
New: June 2018
AP 334-1 Google for Education – Consent Form
This consent form is provided to parents and students so that an informed choice may be made with regard to consent
to use Google for Education.
Abbotsford School District provides teachers and students access to a district-managed Google for Education account.
Each student may have their own secure login and password to access Google. Google for Education differs from
consumer Google in that there is no tracking of user data or advertising. To use the Google for Education platform,
personal information (student name, grade, and school) will be collected by the Abbotsford School District under the
authority of the Freedom of Information and Protection of Privacy Act (FIPPA). If you have any questions about this
collection, please contact the school principal.
As all account and content information is hosted by Google on servers outside of Canada, there are important
limitations to the type of information that can be shared within Google for Education. Google tools are for educational
use only, including content related to classroom assignments, projects, and curriculum related work. Since the servers
are not located in Canada, steps must be taken by all users to ensure that sensitive, confidential and/or personally
identifiable information is not shared in any emails, attachments, files, and documents created or uploaded into the
district-managed Google for Education platform.
According to the Google for Education Terms of Service, all information shared with Google is owned by the school
district and can be removed at any time. While stored outside the country, information in the Google account may be
subject to the laws of foreign jurisdictions including, in the United States, the USA Patriot Act. Privacy legislation
requires that we inform you of this and obtain your consent to this arrangement.
Parent/Guardian Consent
Select only one of the following:
I have read and understand the information above and consent to the use of Abbotsford School District’s
Google for Education services. This consent will be considered valid from the date on which it is signed until
completion of grade 12.
I have read and understand the information above and I do not consent to the use of Abbotsford School
District’s Google for Education services.
Name of Parent/Guardian:
Parent/Guardian Signature:
Date Signed (MM/DD/YYYY)
Student Consent:
I agree that I will use the above services appropriately and for learning.
Name of Student: ______________________
School: Grade:________________
Student Signature:
______________________________________________________
_______________________
Administrative Procedures Manual | Section 300 | Students
New: June 2018
AP 334-2 Supplemental Digital Learning Services – Consent Form
This consent form is used by individual teachers when online services are used by students. It is provided to parents
and students so that an informed choice may be made with regard to consent for use of various online
communications and digital learning services.
Many teachers are using a variety of online communications and/or digital learning services with students. Some
services store data in Canada, while others have data on servers in foreign jurisdictions. When these services are
outside of Canada the Abbotsford School District is required to inform parents and students that student data may be
located on foreign servers. Personal information will be collected by the district for the above noted purposes under
the authority of Section 26 (c) of the Freedom of Information and Protection of Privacy Act (FIPPA). While stored
outside the country, information in your child’s account may be subject to the laws of foreign jurisdictions. If you have
any questions about this collection, please contact your child’s teacher directly.
Below, teachers have provided a list of online services that they plan to use with students, so that parents may consent
for their child to access these web apps and/or services.
Teacher Name:
_________
Class: _________
List of Digital Learning Services to be Used for Education
In the spaces below, teachers will identify the services that they intend to use with students.
Parent/Guardian: Please initial next to any service you consent for your student to use.
Title of service and/or website, and purpose
Data on
servers
outside of
Canada Y/N
Teachers, please use the back of this form or an additional sheet of paper if necessary.
Student Consent
I agree that I will use the above services appropriately and for learning.
Name of Student:
________
Student Signature: ________
Parent/Guardian Consent
Name of Parent/Guardian:
_______
Parent/Guardian Signature:
________
Date Signed (MM/DD/YYYY): ________
Please see the next page in this package for a
list of the supplementary digital learning
services used at Clayburn Middle School.
Please initial next to the services you consent
for your student to use.
Clayburn Middle School Supplementary Services Toolkits
Listed below is a comprehensive catalog of digital services that may be
used by Clayburn staff with students in grades 6, 7 and 8. Individual
students may use some, or none, of these services depending on the
grade, teacher(s) and learning experiences.
Parent/Guardian: Please initial next to any service you consent for your child to use.
Clayburn Middle School: Exceed Expectations
Last modified: March 2021
Purpose and Service/Website
Data on servers
outside of Canada
Parent/Guardian consent
(initials)
Toolkit For... Coding
Scratch, Code.org, Swift Playgrounds, Codeacademy,
Python.org, Snap!
Yes
Toolkit For... Portfolios & Assessment
My Blueprint, Freshgrade, CheckMyProgress
No
Socrative, Quizlet, Flipgrid, Kahoot, Edpuzzle, Pear Deck,
NoRedInk, Classcraft, Blooket, Quizizz
Yes
Toolkit For... Creativity, Project Based Learning
& Media Literacy
Venngage
No
Tinkercad 3D Design, Adobe Creative Cloud Apps, Padlet,
SmugMug, DIY.org, Crello, WeVideo, Soundtrap, LucidPress,
LucidChart, Thinglink, Show Me, Do Ink, Youtube, Cricut
Design Space
Yes
Toolkit For... Communication & Collaboration
Duolingo, Remind, Skype, Write About, Nanowrimo, Edublogs,
Weebly, Wix, Prezi, Zoho Show, Book Creator, Get Epic Books,
SoundCloud, Google Sites, Google Classroom, Sora
Yes
Toolkit For... Personalized Learning &
Differentiated Instruction
CommonLit, Newsela, NoRedInk, Goose Chase, IXL Math,
TypingClub, Typing.com, Discovery Education, K-12,
Khan Academy
Yes
Questions, Comments or Concerns...
Please share any questions, comments or concerns you may have.
Administrative Procedures Manual | Section 300 | Students
AP 334-3 Bring Your Own Device (BYOD) – Consent Form
This consent form is provided to parents and students so that an informed choice may be made with regard to consent
to use a personal device, such as a laptop.
The Abbotsford School District recognizes that digital devices are valuable resources for learning. The Bring Your Own
Device (BYOD) Program is an optional program available in some Middle and Secondary Schools, that allows students
to use personal devices limited to laptops, Chromebook or tablets. Smartphones are not included in the BYOD
Program.
Participation in the BYOD Program requires district approval. The district expects that students should be using BYOD
devices for educational purposes.
Although staff will endeavor to support students in the classroom, the district has no liability or responsibility at
any time or location for technical support, device theft or damage, or loss of data. BYOD users are subject to
school and class expectations, as well as AP 334 - Online Communications & Digital Learning. The district, through
school administrators, reserves the right to access any files on the device in case of misuse, suspicion of misuse, or
other activities in violation of the district’s Student Code of Conduct. Misuse of devices may result in their removal
from school networks and a request to remove the devices from school property.
Parents/Guardians may wish to include personal devices used on school property in their personal insurance coverage.
Student Consent
I agree that I will use my device appropriately and for learning.
Name of Student: _
Student Signature: _
Parent/Guardian Consent
Select only one of the following:
I have read and understand the information above and consent to my child being involved in the Abbotsford
School District BYOD Program. This consent will be considered valid from the date on which it is signed until
completion of grade 12.
At this time, I do not consent to my child being involved in the Abbotsford School District’s BYOD Program.
Name of Student: Student ID: Grade:
Type of Device (Tablet, Chromebook, Laptop): (No phones)
Name of Parent/Guardian:
Parent/Guardian Signature:
Revised: October 2019
Indigenous Education Consultation Form
Indigenous Education Consultation Form to be completed by parents/guardians:
Student Name: Birthdate:
T
his confirms that my child has Indigenous Ancestry.
Cir
cle One:
First Nations Métis Inuit
If First Nations, list Nation (if known):
Circle One if First Nations: Status Non-Status
Circle One if First Nations: On-Reserve Not-On-Reserve
The Indigenous Education Enhancement Agreement goals are:
G
oal #1 -- Student Success
Indigenous students will be supported to develop their full potential in all aspects of school life.
I.e. Reading, academics, attendance, in career programs and graduating.
Goal #2 -- Cultural Identity
Students will learn about their own Indigenous cultural identity and connect with their ancestry in a meaningful way. When
Indigenous students know their identity, who they are and where they have come from, they will develop a positive sense of self
and belonging.
Goal #3 -- Equity and Access
Indigenous students thrive in an environment that supports equity and access to all opportunities in schools.
What programs and services as part of the enhanced services in the Indigenous Program, would you like to see at
your child’s school?
M
y child is of Indigenous ancestry and my signature acknowledges that I have been consulted by the Abbotsford School District
regarding the Indigenous enhancement service.
Parent or Guardian Signature Date Signed
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AP 336-1 School Registration Form

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Completed 15 February 2022

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