Consent for the Use and Routine Disclosure of Student Information

Consent for the Use and Routine Disclosure of Student Information
Under British Columbia's Personal Information Protection Act (PIPA) personal information about a student cannot be released without the prior written consent of the parent or guardian. During the school year, it is the normal practice within our schools to publicize many of the positive things that occur. This information would include such things as:

Student's Name / No photo:
Display students' work from such activities as: science fairs, art projects, poster contests, bulletin board displays, school/board newsletters, electronic publications, etc. in the school, community and/or on the School/Board's website and other social media sites;

Student's Photo / No name:
Videotaping and/or photographing classroom/individual events, activities, school concerts, sports, awards and special events and sharing the videos/photographs with the local media and/or posting on the School/Board's website and other social media sites;

Exceptions:
Publications such as school yearbook where photographs and names will be used.

NOTE: In cases where names and photos are requested, i.e., School/Board's website, newspapers, media, etc. parents/guardians will be contacted for approval.
I have read the information pertaining to the use of personal information and I consent to the use and/or disclosure of this information for the purposes outlined.

Check one of the following choices:
For print material

YESNO
If you selected NO, please specify details below:
For electronic material

YESNO
If you selected NO, please specify details below:
Student's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Parent or Guardian's Signature

Clear
Date

MonthDayYear
Date
Should be Empty: