Becoming Player X (Group 3)

Welcome to the Becoming Player X registration. The 3 credits earned for this course will be:

HSS 1910
Rec 2010
Rec 1910

What date would you like to to join? *

May (exact date TBD) Bison's Team

Grade registering for: *

Students Name *

First Name Middle Name Last Name

Students Cell Phone

Please enter a valid phone number.

Gender *

Student Email *

example@example.com

Date of Birth *

Date

Alberta Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

911 Address / Physical Address (if address is different from above):

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

What is the name of your team?

What is the last name of your coach?

Has Student Previously Attended A Prairie Rose School? *

Yes No

If Yes, Where and When?

If student is entering PRSD from another school division or private preschool, please provide name of school, city/town and province:

Please indicate your Resident School Authority/Division name (school authority board based on where you reside that you have declared to be a part of) *

Citizenship Status *

NOTE: The student’s Birth Certificate, Canadian Citizenship Certificate, Passport, Visa, Permanent Landed Immigrant document or other social document must be presented along with this form to register. A photocopy will be placed in the student record.

Please Upload Proof Of Citizenship *

ABORIGINAL LEARNER DATA COLLECTION INITIATIVE (ALDCI)

ABORIGINAL LEARNER DATA COLLECTION INITIATIVE (ALDCI)

Terms: Alberta Education is collecting this personal information pursuant to section 33 (c) of the Freedom of Information and Privacy Act (FOIP) as the information relates directly to and is necessary to meet its mandates and responsibilities to measure system effectiveness and develop policies, programs and services to improve Aboriginal learner success. Alberta school boards are also collecting this information pursuant to the same section in conjunction with section 2(1)(t) of the Student Record Regulation and for the same purposes. This information will be used to determine the provincial First Nation, Métis and Inuit Funding Allocation provided to school authorities. For further information or if you have questions regarding the collection activity, please contact the office of the Director, Aboriginal Policy, Strategic Services Division, Alberta Education, 10155-102nd Street, Edmonton, AB, T5J 4L5 (780) 427-8501. If you have questions regarding the collection activity by Prairie Rose School Division, please contact Angela Baron, FOIP Coordinator at 403-527-5516.

CUSTODY / DISCLOSURE RESTRICTIONS

In some instances, a child may be designated as protected, or may be the subject of a custody or access order, if the Court Order has been issued under the Child Welfare Act, the Domestic Relations Act, the Family Act, or the Youth Criminal Justice Act.

Please indicate if any such order affecting the safety, security, custody or access of child has been issued. *

Yes No

A parent or legal guardian may have their right to access information about a student removed by a legal process. Please indicate if a legal document exists which restricts access to information about this student. *

Yes No

Are there any special learning requirements (i.e. speech therapy, physical therapy, occupational therapy, learning disability, etc.) the school should be aware of which would relate to the programming needs for your child? *

Yes No

If yes, please specify:

MEDICAL INFORMATION: You are not required to provide information on medical conditions, but the information could be crucial to the well-being of the student. Are there any serious medical conditions (i.e. allergies) about which you wish the school to be aware?

ONLINE/MEDIA CONSENT/COPYRIGHT

We do not require consent when students are identified taking part in events that are open to all members of the public. We do require your consent if your child's work or your child's personal information will be used or displayed in the community away from the school or online for non-public event purposes. There may also be times when television, radio, newspaper, community organizations and the school division are in the school providing outside coverage of events and programs not included in the public events category.

Share photos or videos of my child in the school newsletter or on the school/division website. I understand that the school social media accounts are linked to the school website, therefore I also allow photos/videos of my child to be posted on the school/division social media sites such as Facebook, Twitter, Instagram and YouTube accounts. This includes photo submissions to the media. *

Yes No

Share my child’s name/comments about my child in the school calendar, newsletter or on the school/division website. I understand that the school social media accounts are linked to the school website, therefore I also allow my child’s name/comments to be posted on the school/division social media sites such as Facebook, Twitter, Instagram and YouTube accounts. This includes submissions to the media. *

Yes No

Display my child’s work (photo/video included), by Prairie Rose School Division employees, for purposes outside the school or school No division. I understand that individual students would be identified and the display will be for non-profit, educational purposes. *

Yes No

Identify my child when interviews are undertaken or when photos or videos are taken by the media or an outside organization for non-public events for use outside the school community, when individual students are identified by name or face. *

Yes No

Emergency Contact Name *

First Name Last Name

Emergency Contact Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Emergency Contact Email *

example@example.com

Emergency Contact Phone Number *

Please enter a valid phone number.

Emergency Contact Relationship *

If you have additional emergency contacts that you would like added, please do so here:

Electronic Communication

In order to keep parents informed in the event of an emergency, or about events and activities at the school, the division will be using the contact information provided to generate phone, text and emails. Parents will automatically receive phone calls and emails in relation to emergencies, school/bus cancellations and general events, but are required to “opt-in” to receive any text messages.

To receive text messages, you must text Y to 978338. You will receive a text back confirming your opt-in is complete. Please note that in order to receive the school newsletter to your email account you must give additional consent in accordance with the Canadian

Anti-Spam Legislation law (CASL). This consent will allow the school to send the following information in the form of a text message or email:

Offers to purchase goods, products, and services such as school apparel, yearbooks, school photos, field trips and hot lunch programs Advertisements for school activities, events, programs, and services for which there is a fee (e.g. field trips, fine arts performances, etc.) School and school council fundraising activities that support our schools, students and programs.

Cloud Learning

Prairie Rose School Division believes in providing students with greater opportunities for student learning. As a result, the division will be using both Microsoft 365 and Google Docs cloud applications in the classroom. The applications will allow students to collaborate and share student developed content and teacher resources collectively; resulting in an enhanced learning experience. These documents are hosted on external data storage sites and students will be required to have email addresses. For students in grades K-6 email will only be accessible within Prairie Rose. As part of the implementation, students will be instructed on the importance of protecting their private and personal information online. More information on cloud usage in the classroom and digital citizenship instruction can be found in administrative procedure A321 Cloud Based Applications and Data Storage.

I agree to allow the school/school division to send me information as outlined above. *

Yes No

INDEPENDENT STUDENT STATUS (if applicable)

The School Act defines an independent student as someone who is (i) 18 years of age or older, or, (ii) 16 years of age or older, and (a) who is living independently, or (b) who is a party to an agreement under section 57.2 of the Child, Youth and Family Enhancement Act.

Are you claiming status as an Independent Student under the definition of the School Act? *

No Yes

If yes, please note if the student is claiming independent status as defined above, the student must authorize the registration form.

SCHOOL COUNCIL COLLABORATION

Our schools enjoy a positive relationship with our school councils who represent the parents and engage our school communities. As such, the school would like to share the contact information provided (parent name, student name, phone, email, address, student grade) to the School Council for contact purposes.

SCHOOL COUNCIL COLLABORATION: This permission is carried forward throughout your child’s time with Prairie Rose School Division. Should you wish to change it, you are required to contact the school office directly to notify them of the change. *

Yes, I consent No, I do not consent

FREEDOM OF INFORMATION AND PRIVACY ACT (FOIP ACT) COLLECTION OF PERSONAL INFORMATION NOTICE UNDER S.33 OF THE FOIP ACT

The information collected on this form as part of the school registration process is personal information as referred to in the FOIP Act. This personal information is collected pursuant to the provisions of the School Act and its regulations (e.g. for the establishment of student record, determination of residency) and pursuant to section 33(c) of the FOIP Act as the collection is related directly to and is necessary to a school board’s obligation to provide students with an education program that meets their needs and to provide a safe and secure school environment (e.g. program placement, determination of eligibility and / or suitability for provincial or federal funding, contact and health related information in the event of problems or emergencies). Personal information may also be provided to the Minister of Education for the purpose of carrying out programs, activities, or polices under his administration (e.g. research, statistical analysis).

Written consent for your child to participate in the activities listed below is not being requested. The school will contact the parents/guardians on the occasions when additional consent is required. Information about your child is collected under the authority of the School Act and/or Alberta’s Freedom of Information and Protection of Privacy Act and can be used in the following ways:

The taking of individual, class, team or club photos for school purposes
The use of student information, including photos, for identification purposes.
The use of students’ names in honour rolls, work ethic (listings), graduation ceremonies, scholarship or other awards within the school or school boards.
The use of students’ names and academic information necessary for determining eligibility or suitability for provincial, federal or other types of awards or scholarships in the event the board applies on a student’s behalf
The use of students’ names, related contact information and telephone numbers for absenteeism verification.
The taking of photos and/or videos of classroom activities, and their use by the media or other organizations where students are not interviewed or identified by name or face. Where individual students are identified or interviewed and the material will be used outside the school specific consent will be required. Please note that photos and / or videos of school activities that are open to the general public may be taken and used for purposes within and outside of the school.
The taking of photos / videos of classroom or other school activities by the school board where the material will be used within the school. Where individual students are identified or interviewed and the material will be used outside the school specific additional consent is required.
The use of students’ names on artwork or other creative work or material of students displayed at school or school board sites or at a school board sponsored display in the community. (Note that this relates to the Copyright Act (Canada), not the FOIP Act).

Questions about the collection:

If you have any questions about the collection and / or intended purposes of the information requested on this form, please contact the Principal or FOIP Coordinator at: Address: 918 – 2nd Ave, Dunmore, Alberta, T1B 0K3 Phone: 403-527-5516

I have read and completed the information contained on this page, and understand the nature of the activities for which I have provided consent. *

Yes No

Parents Signature *

Clear

Today's Date *

Date