WLSS Registration 2022 - WSANEC School Board

W̱LSS REGISTRATION

"*" indicates required fields

Step 1 of 11

STUDENT INFORMATION

Current School Year*

Name*

Last First Middle

Usual Name (If applicable)

Gender*

Male

Female

Other

Birthdate*

MM slash DD slash YYYY

Birth Place*

City Province

Last Grade Completed*

PEN (If known)

Previous School*

Phone

Student Band Name

Band of Residence

Status Number (If applicable)

REQUEST FOR THE RELEASE OF STUDENT INFORMATION

This is information requested from the student's previous school.

This is a new student.*

Select YES if student has never attended ȽTS or W̱LSS, or select NO if they have previously attended ȽTS or W̱LSS.

Yes

Student's Previous School and District*

Consent*

I give permission for W̱LSS to request confidential information, such as: Permanent Record, Student File, Recent Report Card/Transcript, Learning Services File, about my child from the above school and/or school district for the purpose of providing the student with the most appropriate learning opportunities.

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name*

First Last

Home Phone*

Work Phone

Cell Phone*

Would you like to receive text messages?*

Yes

Email*

Would you like to be on the school's email list?*

Yes

Street Address

Street Address City Province Postal Code

Mailing Address same as above?*

Yes

Mailing Address

Street Address City Province Postal Code

EMERGENCY & MEDICAL INFORMATION

In case of an emergency and the parent/guardian cannot be reached, your child will receive emergency treatment only. Further treatment must wait for your permission. Please contact the school immediately if any of this information changes.

Name of Doctor*

Phone*

Care Card Number*

ALLERGIES AND MEDICAL CONDITIONS

If your child requires medication or has a medical condition that would require special attention, please provide details below. It is necessary for the school to have 48-hour supply of any essential medications in case of major emergencies such as Earthquakes.

Does this child have any allergies, medical conditions or use medications?*

Yes

Allergy/Medical Condition*

Name of Medication(s)

Daily dose of Medication(s)

Expiry Date

Other Important Information

Consent*

I give my consent for staff to administer medication.

EMERGENCY CONTACTS

Emergency Contact 1*

First Last

Relationship to Student*

Home Phone*

Cell/Work Phone*

Address*

Street Address City Province

Emergency Contact 2*

First Last

Relationship to Student*

Home Phone*

Cell/Work Phone*

Address*

Street Address City Province

CONSENT FOR ADDITIONAL STUDENT LEARNING SERVICES

W̱SÁNEĆ Leadership Secondary can provide opportunities for students who may benefit from the services of trained specialists. These services include: Physiotherapy, Occupational Therapy, Speech & Language Therapy, and Counselling.

Any issues impacting the well-being of the student will be brought to the attention of the parents or legal guardians. Otherwise, providing opportunities to consult with trained specialists is a further means of enabling your child to access services that will help them progress in positive ways. Thank you for your ongoing support.

Consent*

I agree to allow additional supports if needed.

I DO NOT agree to allow additional supports if needed.

MENTAL WELLNESS CONSENT

Mental Wellness is a holistic approach that includes areas of mental, physical, spiritual, and emotional well-being, and highlights the importance of family, community, and culture.

Mental Wellness supports are confidential within the W̱SB. In developing your mental wellness plan, your counsellor may collaborate with other school-based professionals to provide you with the most comprehensive care. In these cases, only limited and pertinent information will be shared.

Because we care about the safety of you and your family, in the event that we learn about you, a child, or another person being in imminent harm or danger, or suffering abuse and neglect, please know that we will need to contact other people to help. We will always talk to you before contacting any outside supports.

Your records are always going to be confidential, except when our files are legally requested.

Consent*

I have read and understand the confidentiality agreement and I give my consent to counselling for myself or my student under these terms.

DAY FIELD TRIP PERMISSION FORM

Throughout the school year, students in the school will be participating in day field trips as part of the regular school program. These field trips may be for the purpose of visiting recreational facilities, theaters, museums, and/or other destinations that teachers choose to enrich classroom instruction. Students will travel either by school bus or private vehicles. Private vehicles are required to have appropriate liability insurance and seat belts for all passengers.

Students participating in field trips must leave from the school on the school bus. Parents cannot drop off students at the field trip site unless prior arrangements have been made and authorized by the school.

Please note: In the event of an extended or overnight field trip a separate and detailed permission form will be sent out for parental consent.

Consent*

I authorize this student to go on day field trips. I understand that at times students will be travelling in private vehicles, which have at least $2,000,000 liability insurance.

I DO NOT authorize this student to go on day field trips.

LOCKER AND LOCK RENTAL AGREEMENT

The school can provide each student with a lock and locker to store their belongings. A refundable $5.00 rental fee is charged. Pay at the front office to obtain your lock and combination.

Please note:

1. Only school-issued locks can be used.
2. Lockers are required to be locked when not in use.
3. The combinations and serial numbers of each lock are recorded and kept on file.
4. The school does not take responsibility for personal items that may go missing from lockers.
5. Students are asked not to share their combination numbers with other students.

Consent*

I agree to the locker and lock agreement.

OFF CAMPUS CONSENT FORM STUDENTS GRADE 8-12

We are pleased to offer grade 8-12 students an opportunity to leave the school campus during lunchtime. Grade 7 are not allowed to leave the school grounds at lunch unless they are accompanied by a parent/guardian and the office is informed in advance. The lunch break is 30 minutes and school staff are not able to supervise high school students who have parental/guardian consent and choose to leave the campus at lunch.

While off-campus, students are expected to maintain good behavior and act respectfully in the community. High school students who do not comply with these expectations will have their off-campus privileges suspended until further notice.

Consent*

I give permission for my child to go off campus during lunchtime. I understand that while off school grounds there is no adult supervision.

I DO NOT give permission for my child to go off campus during lunchtime.

OPTION TO LIMIT THE USE OF STUDENT PHOTOS

During the school year there may be times when photographers and/or reporters are present taking pictures of school and community events. These pictures may be printed in the newspapers and/or publications of other organizations, or included on the school website and/or Facebook page.

Please indicate below whether or not you agree to have you child's picture used for possible distribution outside of annual school pictures and the yearbook.

Photo Use Option*

My child may take part in activities that could involve the photographing and distribution of pictures of my child.

My child may NOT take part in activities that could involve the photographing and distribution of pictures of my child.

INTERNET/WAN ACCEPTABLE USE POLICY

Consent*

W̱SÁNEĆ School Board provides the opportunity for students to access online communications through the Internet. Students and parents must agree to the appropriate use of the network as per the Internet/WAN Acceptable Use Policy (attached) and provide consent for access.
To support the development of responsibility, the school will strive to establish and maintain shared expectations around online etiquette and the ethical use of computer communications. As in other areas, open communication between parents and students about the Internet, personal safety, and personal ethics is vital in building responsibility.
Teachers will occasionally monitor students’ use of the school’s online infrastructure to ensure appropriate use. Students who deliberately use their internet access in a way that is contrary to the Acceptable Use Policy will face disciplinary action and loss of computer privileges.
Parent/Guardian Consent for Online Communications Access (Acceptable Use Policy Excerpt)
Preamble:
The Purpose of this policy is to set expectations for ethical and appropriate use of the internet and the W̱SÁNEĆ School Board Wide Area Network by staff and students. This policy also indicates consequences for improper use. These consequences are not identical for the various user groups, but are consistent with the type of user:
Policy Statement:
All computers connected to the W̱SÁNEĆ School Board’s network are to be used in a responsible, efficient, ethical and legal manner.
Guiding Principles:
1) All students and staff access to the W̱SÁNEĆ School Board online communication is governed by the Internet/WAN Acceptable Use Policy.
2) The W̱SÁNEĆ School Board computer storage facilities shall be treated like other storage facilities, such as desks, file cabinets, and lockers provided by the W’SANEC School Board for employees and students.
3) Staff and student access to online information and communication is a necessary part of education. All W̱SÁNEĆ School Board users benefit from equitable access to the World Wide Web in an inclusive environment through extended learning opportunities and awareness of and access to a global perspective.
4) Online communications access for students should be developed and operate in a collaborative learning environment, in supervised contexts and should be accompanied by instruction and high expectations about safety, ethics, etiquette and appropriateness of material.
5) Parents must give their informed consent before elementary and middle school students are permitted online communications access which can potentially allow exposure to resources that would be approved using the W̱SÁNEĆ School Board’s criteria for selection. Parents may request that their students not have access to the Internet.
6) Provision of online communications access outside of the school setting is the responsibility of students and their parents.
7) Consequences for inappropriate use are outlined in the Administrative Procedures and will be consistent with other disciplinary procedures within the Board.
Administrative Procedures:
1. Purposes
a) The W̱SÁNEĆ School Board Network’s primary function is to enhance educational opportunities at WSB facilities.
b) The W̱SÁNEĆ School Board’s Network is maintained to facilitate communication among staff, students and the community.
2. W̱SÁNEĆ School Board Rights - The W̱SÁNEĆ School Board has the right to restrict of terminate network access at any time for any reason. The W̱SÁNEĆ School Board further has the right to monitor any network activity in order to maintain both the operation and appropriate function of the information network.

I agree to the above Internet/WAN Policy.

CONFIRMATION

Parent/Guardian Confirmation*

By entering my name on this registration form, I agree to all the conditions within. I declare this information is true and accurate, to the best of my knowledge.

Today's Date*

MM slash DD slash YYYY