Registration

School Registration

Student Registration Forms

We are accepting registration for our school for the 2021-2022 school year.

Please fill out the information is the spaces below to complete registration for a student. If the child will be riding the bus, please also fill out the Bus registration form.

Along with your registration form, we also require proof of age and residency. This can take the form of a birth certificate, residency document, or passport.

We look forward to welcoming your child to Paddle Prairie School!

Registration Form

Type: *

Student Information

Student's Legal Last Name *

The name must match the student's birth certificate or adoption papers. If the student uses a different name there is a section at the end called preferred name.

Student's Legal Middle Name(s) *

Student's Legal First Name *

The name must match the student's birth certificate or adoption papers. If the student uses a different name there is a section at the end called preferred name.

Student's Preferred First Name

Date of Birth (MM/DD/YYYY) *

Grade Level *

Gender *

Male

Female

Other

Language Spoken at Home (If other than English)

Student Citizenship or Immigrant Status

Student Citizenship or Immigrant Status *

Canadian Citizen

Child of Canadian Citizen

Child of individually lawfully permitted or temporary residence

Lawfully admitted to Canada for permanent residence

International student

Phone Numbers

Primary Phone (with area code) *

Cell Phone (with area code)

Other

Siblings

Names (first and last)

Address/Location

Rural Legal Land Description *

Example: SW 24-38-20-W5 – or southwest quarter of section 24, township 38, range 20, west of the 5th Meridian.

Mailing Address (if different than home address)

Example: P.O Box 40, Paddle Prairie Alberta, T0H 2W0

Town Residence Address (if applicable)

Example: 1920 Wolf Trail, Paddle Prairie , Alberta, T0H 2W0

School History

Has the student ever registered with Northland School Division *

Yes

Previous School

Previous School District

Previous School Phone Number

Previous School Province or Country

Medical Information

Although we understand that providing this information is optional, it could be crucial for the well-being of the child.

Are there any serious medical conditions about which you wish the school to be aware? Please indicate below.

Diabetes

Epilepsy

Allergies (please specify)

Hemophilia

Heart condition

Asthma

Other (please specify)

Medical Notes

AHC Number

Parent/Guardian Information

Please identify each of the legal guardian(s) for the child being enrolled. The legal guardian is the parent or person legally appointed as guardian as defined in the Family Law Act, Corrections Act, Corrections and Conditional Release Act, Young Offenders Act, or Child, Youth, and Family Enhancement Act.

First Legal Parent/Guardian

Relationship to Student *

First Name *

Last Name *

Primary Phone (with area code) *

Cell Phone (with area code)

Email Address

Does the student reside with this individual? *

Yes

Second Legal Guardian

Relationship to Student

First Name

Last Name

Home Phone (with area code)

Cell Phone (with area code)

Email Address

Emergency Contact

An emergency contact person is someone who resides in the vicinity of the school, other than the student’s parent or guardian, who can be called upon to quickly respond to an emergency situation if the parent or guardian is unavailable.

Names (first and last) *

Phone number *

Other Phone

Guardianship Rights and Student Protection

Guardians of the student must be identified to ensure each party’s rights are respected. If an order does exist affecting guardianship rights or custody or access rights, a copy of the order will be required to be placed in the student record. The court seal must be evident on the order. In rare instances, a child may be designated as “protected” if a court issues a restraining order under the Child Welfare Act, the Divorce Act, the Young Offenders Act or similar legislation.

Does a legal document exist?

Yes

If yes, what is the type of document?

Where a person claims to be a parent or guardian, or claims the existence of any limitation on the authority of a parent or guardian, the onus is on the person to provide proof of the claim.
Please ensure that the Division has copies of all current orders or agreements addressing guardianship rights, responsibilities, and entitlements or otherwise affecting the custody of or access to
your child

Family Circumstances

Are there any family circumstances that you would like to share? *

If yes, please make an appointment with the principal.

Yes

Independent Student Status

The Education 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) living independently in accordance with section 6, or (b) who is 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 Education Act? *

Yes

Francophone Rights

According to Section 14 of the Education Act and Section 23 of the Canadian Charter of Rights and Freedoms, a parent or legal guardian who is a Canadian citizen has the right to have his/her children receive school instruction in French. This applies if the parent/guardian is a resident of Alberta and French was the first language learned, and is still understood, by at least one parent or one or more of the parents or one or more of their children have received/are receiving instruction in a French First Language Program or school in Canada (this does not include a French Immersion program).

Do you claim entitlement to a francophone education? *

If you have answered yes, the Student Record Regulation requires Northland School Division to release demographic information about the student and parent to the local Francophone
Education Board upon written request from the school jurisdiction.

If yes, do you wish to exercise your right to have your child educated in French?

In Alberta, parents can only exercise this right by enrolling their child in a French First Language (Francophone) Program offered by a Francophone Regional Authority.

Yes

Aboriginal Self-Declaration

For further information, please refer to https://open.alberta.ca/dataset/eccd5aa5-b46a-44f3-97dd-486043973cd3/resource/3616dff5-e30d-4b72-8ce0-760d4b993b6a/download/edc-aboriginalstudent-self-id-info-parents-guardians-2020.pdf or contact Alberta Education at 780-427-8501.

If you have questions regarding the collection of student information by the school board, please contact the School Board Superintendent at 780-624-2060 or 800-362-1360

If you wish to declare the student is Aboriginal, please select one:

First Nation (Status)

First Nation (non-status)

Metis

Inuit

Does this student have treaty status? *

Yes

If yes, please provide the following information

Treaty Number

Child Position Number

Family Number

Band Number

Name of Reserve

Complete Address on Reserve

Digital Citizenship and Technology Use

As a condition of using Northland School Division network resources, I understand that access to division information resources, including access to internet and cloud-based resources, is a privilege and agree to abide by Administrative Procedure 140 – Use of Technology and the regulations identified in the Northland School Division Form 140-1 Technology User Agreement.

Please place your initials to indicate that you have read and understand the guidelines and regulations explained above. *

Using and Disclosing Personal Information

Northland School Division recognizes that all procedures for the collection and storing of information by Division staff in the course of affairs and procedures regulating the release of information to other parties must follow provisions of the Freedom of Information and Protection of Privacy Act (FOIP).

Access to information is guided by Administrative Procedure 180 -
Freedom of Information and Protection of Privacy. Further details can be found in Form 180-1 FOIP and Media Consent.

Please place your initials to indicate that you have read and understand the guidelines and regulations explained above. *

Media Participation

While under the supervision of Northland School Division, I hereby give Northland School Division and outside organizations permission to photograph, video tape, audio tape, and/or interview my child. I understand that this means that a photograph(s), video(s), audio tape(s), interview(s), or likeness of my child may be collected, used, reproduced, and broadcast within NSD and by the outside organization for displays, publications (including yearbooks), websites, social media, other electronic media, and advertising or promotional materials.

I hereby give Northland School Division permission to use, publish, display, and copyright any work, written material, or creative work created or authored by my child through school activities. I understand that artwork, written material, or creative work may be used by Northland School Division in division or school displays, publications (including yearbooks), websites, social media, other electronic media, and advertising or promotional materials. I understand that Northland School Division may make minor edits as deemed appropriate.

I understand that consent can be revoked at any time by written notification provided to my child’s school. Further details can be found in Form 180-1 FOIP and Media Consent.

Please initial to indicate that you have read and understood the guidelines explained above. *

Consent to Post Personal Information

Northland School Division requests consent to post personal information (including but not limited to first name, last name, grade, photographs, video, audio, award recognition, and school related activities) to external websites, social media, media publications (including yearbooks), and promotional materials. I understand that my signature below indicates my consent.

I understand that once provided, consent, in whole or in part (e.g. last name or photo, etc.), can be revoked at any time by written notification provided to my child’s school, acknowledging that although photos/videos will be removed from websites and social media accounts, it may not be possible to remove all traces of personal information from the Internet.

Further details can be found in Form 180-1 FOIP and Media Consent.

Policies and Regulations

If the hyperlinked documents are unavailable for any reason, information related to the sections above is available at your school in paper format. Please ask your school secretary
or principal.

Collection and Use of Personal Information Disclaimer

The information requested on this form is being collected pursuant to the Education Act, Section 56 and the FOIPP Act, Sections 33(c), 39(1)(b), and 40(1)(c). Information acquired through this form is kept secure and access is restricted. In accordance with the Student Record Regulation, this form will be placed in the student’s record file.

If you have any questions regarding this request for individual student information and about our use or disclosure of student information, please contact the school or the Northland School Division No. 61 FOIPP Coordinator at P.O. Bag 1400, 9809 – 77th Avenue, Peace River AB T8S 1V2, 780-624-2060 or 1-800-262-8674, fax 780-624-5914.

Declaration

I am the legal guardian or the independent student referred to in this registration form. I have read and understand the information regarding guardianship and I have identified all guardians for this student. I hereby certify the foregoing information to be true, correct, and complete.

Document Signature

Please upload your signature with today's date to this section. Alternatively, the school can print the signature page for you to sign. A child may not be registered without the signature of a legal guardian.

Choose File No file chosen

The maximum total size of all files in a single form submission is 1 GB.

Birth Certificate

Please upload a copy of the student's birth certificate to this section. Alternatively you may come to the school and we can make a physical copy for you.

Choose File No file chosen

The maximum total size of all files in a single form submission is 1 GB.

Leave Blank

Registration

School Registration

Student Registration Forms

We look forward to welcoming your child to Paddle Prairie School!

Registration Form

Student Information

Student Citizenship or Immigrant Status

Phone Numbers

Siblings

Address/Location

School History

Medical Information

Parent/Guardian Information

First Legal Parent/Guardian

Second Legal Guardian

Emergency Contact

Guardianship Rights and Student Protection

Family Circumstances

Independent Student Status

Francophone Rights

Aboriginal Self-Declaration

If yes, please provide the following information

Digital Citizenship and Technology Use

Using and Disclosing Personal Information

Media Participation

Consent to Post Personal Information

Policies and Regulations

Collection and Use of Personal Information Disclaimer

Declaration

Children's Mental Health Matters Brochure

School Handbook

Staff Directory

School Newsletters

Upcoming Events

Earth Day

Victoria Day- Schools Closed

National Indigenous Peoples Day

Organization Day

National Day for Truth and Reconciliation

Remembrance Day

Paddle Prairie School