Studeent Reegistrration Form m Stud dent Inform mation Name of School:

Grade:

Alberrta Education n Identificatio on #

Date:

You mustt present stud dent’s birth certificate c at time of origin nal registratiion in Red Deeer Public Sch hools. Studeent Legal Nam me: Surnam me Firstt Name Middle Name Also Known As:

Surnam me

Date of Birth

Year

Studeent Address

Suite/SStreet

Month

Firstt Name

Middle Name

Datee

Gender:

City

Postal Code

Phon ne Number Legal Land Descrip ption (rural sttudents only)) Has sstudent atten nded a Red De eer Public Sch hool before?

Yes

No

If Yess, which school?

Grade

Year

School last attend ded (if different)

City/Provin nce

Year

Parent/Guardian 2

Parent/Guardian 1

Parents and/or Gu uardian Infformation n Surname

First Name e

Email

Phone Num mber(Residennce)

Cell

Address (iff different froom student)

City

Postal Cod de

Surname

First Name e

Email

Phone Num mber(Residennce)

Cell

Address (iff different froom student)

City

Postal Cod de

Relation nship with Stu udent Business

Relation nship with Stu udent Business

Parent/Guardian 3 Parent/Guardian 4

Surname

First Name

Email

Phone Number(Residence)

Cell

Address (if different from student)

City

Postal Code

Surname

First Name

Email

Phone Number(Residence)

Cell

Address (if different from student)

City

Postal Code

Student lives with

Relationship with Student Business

Relationship with Student Business

Relationship

Citizenship Canadian Citizen (Birth certificate or Citizenship Papers needed) Permanent Resident/Landed Immigrant (Landed Immigrant Papers needed) Student Authorization (Visa needed) Indicate exchange program:

Visa Number:

Expiry Date:

Emergency and Medical Information In case of emergency, school closure, or if no one answers the home telephone number, please provide us with names and phone numbers of emergency contacts other than parents/guardians. Name Relationship Phone 1 Phone 2 Name

Relationship

Phone 1

Phone 2

Medical Doctor/Clinic:

Phone

Alberta Health Care No. Are there any medical problems your child may be experiencing about which the school should be made aware? (physical conditions, illness, allergies, etc.) If yes, please specify:

Yes

No

Yes

No

Emergency action required for the above:

Custody In some instances a child may be imparted by a court order under the Child Welfare Act, or the Domestic Relations Act, or The Divorce Act, or the Young Offenders Act. Please indicate if the school administration should be aware of any such court order that pertains to your child. If there is a court order regarding custody and access to your child, please provide a copy of the order so the school can comply.

Francophone Education rights The Charter of Rights and Freedoms speaks of a person’s “mother tongue” as the language first learned and still understood. Section 23 of the Charter refers to the education rights of the minority – francophone or Anglophone. In Alberta, the minority is francophone, and, therefore, the “mother tongue” would be French for this minority. Are you eligible for Section 23 rights under the Francophone Education Rights of the Charter of Rights and Freedoms? Do you wish to exercise your rights under Section 23 of the Francophone Education Rights of the Charter of Rights and Freedoms by registering your child in a Francophone school?

Yes

No

Yes

No

First Nations, Metis and Inuit Information Red Deer Public Schools receive government funding to offer support and programs for First Nation, Métis, or Inuit students. If you wish to declare that you are an Aboriginal person, please specify: ___ Status Indian/First Nation ___ Non-Status Indian/First Nations ___ Métis ___ Inuit Alberta Education is collecting this personal information pursuant to section 33(c) of the FOIP Act as the information relates directly to and is necessary to meet its mandate and responsibilities to measure system effectiveness over time and develop policies, programs and services to improve Aboriginal learner success. For further information or if you have questions regarding the collection activity, please contact the office of the Director, Aboriginal Policy, Policy Sector, Information and Strategic Services Division, Alberta Education, 10155 - 102 Street, Edmonton, AB T5J 4L5, 780-427-8501. Information regarding programs and services provided by the District’s First Nations, Metis and Inuit Learning Services is available at the main office of the school or by calling the program at 347-1165.

Special Education Needs Red Deer Public Schools receive government funding to offer support and programs f or students identified with special educational needs. Has your child formally been identified as having a special need?

Yes

No

Information regarding special education programs and services provided by the District is available at the main office of your school or by calling Student Services at 343-1405

English as a Second Language (ESL) Red Deer Public Schools offers programs/supports for English as a Second Language students. Students may be Canadian or foreign born. What is the language mainly spoken at home (unless English)? Does the family need assistance with interpretation

___ Yes

Freedom of Information and Protection of Personal Privacy Provisions (FOIP) Schools play an important role in the education and socialization of our children. In this process, personal information is often collected and used for authorized programs and activities that are a normal part of school life. Please complete a separate consent form regarding Freedom of Information and Protection of Privacy provisions.

___ No

Other Information Is there any other information or particular problems your child may be experiencing about which the school should be made aware of (family circumstances, siblings, etc.?

___ Yes

___ No

If yes, please specify

Declaration I hereby certify that the information provided on this form is true, correct and complete to be best of my knowledge and belief. Parent/Guardian Signature Student Signature Date

For office use only Notes

Class/Homeroom

___ Birth Certificate

___ Landed Immigration Papers

___ Custody

___ FOIP

___ Release of Confidential Information

___ Student Visa

___ Independent Living

___ Other

Revised April 2016

Building Our Future Today 150 Lockwood Avenue, Red Deer, Alberta T4R 2M4

Phone: (403) 342-6655 Fax:(403) 341-4335 Email:[email protected]

www.rdpsd.ab.ca/hhhs/

The pupil listed below who was formerly attending your school has now registered with Hunting Hills High School. Please forward the cumulative record folder and confidential information (testing results) at your earliest convenience. _______________________________________ (name of previous school) _______________________________________ (address of previous school – City/town) Please release the cumulative & confidential records for: _________________________

Grade________

Birthdate:______________________ Year/Month/Day To the Student Records Department at Hunting Hills High School. Dated this____________day of_______________ 20______

I hereby consent to the release of cumulative records, confidential records and testing results concerning my child to Hunting Hills High School. __________________________________ Parent/Guardian ………………………………………………………………………………………………….. DECLARATION OF AGE OF MAJORITY I ________________________________hereby certify that I have reached the legal age of majority as defined by the Statutes of the Province of Alberta Dated this________day of_______________20____ ___________________________________________ (Signature of Student) * Declaration of Age of Majority shall be obtained when the student signs the release without a parent’s or guardian’s signature

 

4747 53 Street Red Deer AB T4N 2E6 Phone: (403) 343-1405

Notice of Collection and Use of Personal Information under s.34 of the Freedom of Information and Protection of Privacy Act (FOIP Act) Red Deer Public Schools (the District) collects personal information that relates directly to and is necessary for various operating programs and activities of the District; and to fulfill its mandate of providing students with an education program in accordance with its obligations under the School Act and its regulations. In addition to personal information provided on registration forms, the District may take recordings of students or student work at school or school related activities that form part of the educational program of the District. Such recordings include digital, photos, film, video, audio and emerging technologies. The following are examples of ways in which personal information may be used by the District: • Establish a student record and determine residency • Determine program placement, determine eligibility and/or suitability for provincial or federal funding • Provide information to the Minister of Education for research and statistical analysis • Feature a student in the school calendar, newsletter, yearbook, or other school publication • Recognize students and their creative works through display or performance at school • Acknowledge students in class lists, honour rolls, graduation ceremonies • Determine student eligibility or suitability for awards or scholarships, in the event that the District applies on the student’s behalf • Contact students or their parents or emergency contacts • Verify absences • Provide transportation services • Provide identification cards • Offer assistance to students encountering medical and/or emergency situations • Provide video surveillance on school premises, as governed by Red Deer Public School District policy 6.02.09 • Provide District authorized satisfaction surveys • Take individual, class, team or club photos for school purposes • Take recordings of students engaged in classroom or other school activities • Allow media or other organizations into schools, under the supervision of school personnel, to film classrooms and students, where students are not interviewed or identified by name or face. Events that are open to the general public are considered public events, and the District cannot control or prevent the further distribution or use of photos, videos, images or other personal information obtained by those who attend. This notice is provided to you for information only and is not an all-inclusive list. These activities contribute to a healthy and functioning school, and students’ participation in these activities is viewed as an important component of their education. Written consent for your child to participate in these activities is not being requested. However, if you have concerns regarding the collection or use of such information, please contact the principal of the school that your child attends. Questions or comments regarding the manner in which information is collected and used by the Red Deer Public School District may be addressed to the FOIP Coordinator at, Red Deer Public School District No. 104 4747 – 53 St., Red Deer, AB, T4N 2E6 (403-343-1405)

 

4747 53 Street Red Deer AB T4N 2E6 Phone: (403) 343-1405  

Consent to Use and Disclose Personal Information

  Name of Student   Last Name

 

First Name

Grade / Class

In accordance with the FOIP Act and the Copyright Act, the District requests consent for various purposes, as outlined below. Consent is voluntary and can be revoked at any time by notifying the Principal in writing. You will be provided with an opportunity to verify your consent annually. If you do not return this form it indicates refusal to consent. If you have concerns regarding these matters, please contact the Principal of the school your child attends. A. Appearing on Websites The District on occasion posts student personal information including full name, photographs, recordings and/or interviews on district and school websites. Your consent is requested to use your child’s personal information for this purpose. Please note that in the context of ordinary internet use, student personal information may be copied, altered or moved by anyone who visits these websites; and if your consent is withdrawn, the District will remove the image and/or personal information from its website however it may be available on the internet indefinitely. I consent to the above use of personal information:

YES



NO



B. Appearing in the Media The District on occasion authorizes media and outside organizations to photograph, record and/or interview students while under its supervision. This means that a photograph, digital recording, or interview of a student with identification by full name and grade may be collected, used, reproduced and broadcast by media or outside organizations. Your consent is requested to use your child’s personal information for this purpose. I consent to the above use of personal information:

YES



NO



C. Displaying Creative Work The District on occasion displays the creative work of students produced through school activities (e.g. art, dance, drama, compositions, wood or metal work, robotics, scientific experiments). This means that a photograph, digital recording, or actual presentation of the item with identification of the student by full name and grade may be collected, used and displayed at external exhibits at community sites, competitions, and reproduced in District promotional publications distributed outside of the District, including websites. Your consent is requested to use your child’s personal information for this purpose. In addition, under the Copyright Act, your release is requested to grant permission to the District to record your child, display and/or reproduce his/her creative work. I consent to the above use of personal information, and I grant permission to display his/her creative work: YES

SIGNATURE OF PARENT

PRINT NAME

OR, SIGNATURE OF STUDENT, IF 18 YEARS OF AGE OR INDEPENDENT Red Deer Public School District No. 104. Consent to Use and Disclose Personal Information.Revised.12.Oct.02

DATE



NO



Student Technology Expected Use Agreement Purpose Students, staff and administrators of Red Deer Public Schools have the opportunity to access the RDPSD network to facilitate educational and professional growth objectives. The purpose of these procedures is to foster the independent use of the network, subject to compliance with procedures and standards for appropriate network behavior and communication. The following procedures apply to all users when they access any RDPSD network connection.

Property The RDPSD network and services are the property of Red Deer Public Schools. Unauthorized use of the network and computing systems is prohibited. Access to the network and E­Mail and other on­line systems of Red Deer Public Schools is a privilege granted to users by Red Deer Public Schools and may be revoked or withheld at the discretion Red Deer Public School District employees.

Privacy Users do not have a personal privacy right in any matter created, received, stored in or sent from the RDPSD network system. Red Deer Public School District No. 104 may at times and without prior notice, monitor and review content and web site retrieval by Users in order to ensure proper use.

Accounts and Passwords Users must obtain an authorized account and password from the Information Technology Services Department in order to access RDPSD network resources. The User should consider the account and password confidential and shall not share the account or password with any other person or leave the account open or unattended at any computer system.

Expected Use The use of your account must be in support of education and research and consistent with the educational objectives of Red Deer Public Schools. Transmission of any material in violation of any Federal or Provincial statute or regulation is prohibited. ●

Network use is restricted to only those users that have been issued an authentic username and password by the Red Deer Public Schools Information Technology Services Department. ● Downloading or transferring copyrighted materials to or from any RDPSD computer without the express consent of the copyright owner is a violation of federal law and is expressly prohibited.

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All unauthorized and unlicensed software is prohibited on the RDPSD network. Users will not engage in illegal or unethical acts, including use of network access to plan or carry out any scheme to defraud or to obtain money, or other things of value by false pretenses, promises, or representations; or to damage or destroy computer­based information or information resources. Any use of the RDPSD network for receiving or sending disrespectful, defamatory, inaccurate, abusive, obscene, profane, sexually­oriented, threatening, racially offensive or illegal material or other inappropriate activities is strictly prohibited. Individuals are encouraged to report any abuse to the appropriate authorities. Use of E­mail and other RDPSD network communications facilities to harass, defame, offend, or to disseminate defamatory, inaccurate, abusive, obscene, profane, sexually oriented, threatening, racially offensive, or illegal material, or otherwise annoy other users of the networks is forbidden. Each user has the responsibility to report all such violations. Downloading or transmission of pornographic, obscene or other socially unacceptable materials is strictly prohibited. Network users shall not allow any other person to use their password/key or to share their account. Any attempt to circumvent system security, guess passwords or in any way gain unauthorized access to local or network resources is forbidden. Network users will not knowingly engage in sending messages and files containing any form of digital information or encoding that is likely to result in loss or disruption of the recipient’s work or system. Network users will not engage in gaining access to any resources, entities or data of others for any purpose without authorization. Network users will not engage in activities that are wasteful of network resources or that degrade or disrupt network performance including other networks and systems accessed over the Internet. Network users will not engage in plagiarism of information obtained via RDPSD network. Network users will not engage in the breaking of confidentiality of any user, revealing personal information such as phone numbers or addresses of others, or otherwise invading the privacy of others over the network. Network users will not use the RDPSD network for private or business use or for political purposes.

* It is Red Deer Public Schools practice to provide full access to the following computing services and systems. A computer account, server access, network access including filtered web access, email, cloud services ­ Google Apps For Education, and other web 2.0 technologies

Parents please read and sign: I understand that the network has opened up a vast resource for school entities throughout the world. I understand that students now have opportunities to access research information from a variety of sources on the internet and email systems. I understand that by having access to the Internet, despite all best efforts of the District, the possibility exists of students having access to potential defamatory, inaccurate, abusive, obscene, profane, sexually­oriented, threatening, racially offensive or illegal material. Red Deer Public Schools will use its best efforts in order to limit such access to only those areas of educational value. However, it is understood that no matter how much supervision and monitoring and technical supports Red Deer Public Schools can utilize, there will always be the possibility of a child coming into contact with disrespectful, defamatory, inaccurate, abusive, obscene, profane, sexually­oriented, threatening, racially offensive or illegal material. It is through our on going digital citizenship instruction that we will teach students how to deal with this type of data and to better utilize their own skills over time to be more critical thinkers. We recognize the importance of our students becoming technologically aware in an increasingly technological society. Please indicate your choice below, sign and return this to your childs school: __  I acknowledge and understand my child’s access to technology within Red Deer Public Schools as described above. __  I do not wish my child to have access to the computing systems as described above. _____________________ Date:

_____________________________________________________ Student Name and School and Class:

___________________________________ Parent/Guardian Name:

___________________________________ Parent/Guardian Signature:

Computer and E­mail Misuse and Abuse Computer misuse and abuse may result in cancellation of network privileges for a defined period of time or in perpetuity and may result in other school disciplinary action. Serious offences may be referred to the RCMP for investigation and possible criminal charges if the offence warrants such action.