student registration package

Biidaaban Kinoomaagegamik Sagamok Anishnawbek

717 Sagamok Road Box 577 Massey, ON P0P 1P0

Tel.: 705 – 865 – 2387 Fax: 705 – 865 – 3411

Student Registration Package

Please find the following:

1. Student registration – to be signed and returned

2. Picture taking/Community Excursion Consent – to be signed and returned

3. Responsible use of Technology Consent – to be signed and returned

4. Consent for Speech and Language Screening – to be signed and returned

5. Balanced School Day Schedule

6. Information About Volunteering at Biidaaban

Proof of required documents to be submitted with your registration application:

A) Immunization recordB) Birth CertificateC) Health CardD) Secure Certificate of Indian Status (if applicable)

Biidaaban Kinoomaagegamik: Policy & Procedures Manual

Section I: Forms Policy Title: Student Registration and Information Form # I.050 Page 1 of 2 Date Approved: October 2006 Date Revised: April 2013

Student Registration and Information Form

Child’s Name: Surname Middle

Date of Birth:

Given Name

Gender: M F Health Card No.: (month/day/year)

Band Registry No.:

Physical Street Address

Postal Code Town/City

Cell Number:

Current Grade Level:

House Number

Band:

Home Address:

Mailing Address:

Home Telephone:

Last School Attended:

Address: Telephone:

Health Information and Program Planning: Please check those that apply and comment as necessary.

Allergies:

Asthma Diabetes Epilepsy

Epi-Pen Required

Heart Problems

Medical Procedures:

Vision Problems Glasses Contact Lenses

Resource Support Self-Contained

Hearing Problems Hearing Aid

No Health Problems

Special Education: Resource Withdrawal

Speech & Language Therapy:

Physical Disabilities:

Telephone: Family Physician:

Family Dentist: Telephone:

P.O. Box

Biidaaban Kinoomaagegamik: Policy & Procedures Manual

Section I: Forms Policy Title: Student Registration and Information Form # I.050 Page 2 of 2 Date Approved: October 2006 Date Revised: April 2013

Lives with Child

Cell Number: Email:

Lives with Child

Cell Number: Email:

Lives with Child

Cell Number: Email:

Grade

Grade

Parent/Guardian Information

Mother’s Name:

Work Telephone:

Father’s Name:

Work Telephone:

Guardian’s Name:

Relationship to Child:

Work Telephone:

Siblings in School:

Name:

Name:

Name: Grade

Lives with sibling

Lives with sibling

Lives with sibling

Emergency Contact Information In the event that your child becomes ill; has an accident and needs emergency medical/dental attention; the need for a change of clothing; or when unforeseen circumstances occur such as inclement weather, water/electrical failures, etc. that the students must be sent home. Please indicate the name and telephone number of two people who the school may contact should we be unable to contact you the parent(s)/guardian.

Name: Telephone:

Name: Telephone:

Other Information that the school should be made aware of:

Parent /Guardian Signature Date

Principal Signature Date



Tel.: 705 – 865 – 2387 Fax: 705 – 865 – 3411

Community Excursion Consent Form

Many learning opportunities happen within the community and surrounding vicinity. This consent form has been developed to ensure that parents/guardians are aware that students may from time to time leave the school grounds during the school day. Students will always be under the direction of a teacher during such excursions and normally would be walking or in a bus contracted by the school. Examples of such excursions within the community would be: nature walks, Terry Fox Run/walk, walks to the Little Lake, Mc Bean and White Mountain, visits to the Elders Lodge, Fort La Cloche etc.

This form will allow your child/children to attend the events for the school year without signing individual consent forms for every trip.

Should you have any concerns or questions, please contact the school.

Miigwetch

-------------------------------------------------------------------------------------------------------------------------------

I hereby consent that my child may be taken on community excursions provided by Biidaaban

Kinoomaagegamik each year until their Grade Eight Graduation school year.

I understand that if my child does not adhere to the Biidaaban Kinoomaagegamik Code of

Conduct while on any excursion, that he/she may be returned to the school and may not be

able to participate in future school excursions the school may provide.

Student’s Name: ________________________________________ Grade: ______________

Signature of Parent/Guardian: ______________________________ Date: _______________



Tel.: 705 – 865 – 2387 Fax: 705 – 865 – 3411

Picture Taking and Release Consent Form

Throughout the school year, students will be participating in many school activities and events and we wish to capture these proud moments. We are requesting your permission to take your child’s picture from time to time and publish them for Class DoJo, See Saw, the school newsletter, Sagamok Newsletter, Biidaaban Kinoomaagegamik facebook page, Mid-North Monitor, Kenjgewin Teg Institute Annual Report, Sagamok Anishnawbek Reports etc. Please sign below allowing Biidaaban Kinoomaagegamik to take your child’s picture and to release them for publication.

Should you have any concerns or questions, please contact the school.

Miigwetch

I give my consent for Biidaaban Kinoomaagegamik to take pictures of my child and release

these photos for reporting school activities and events highlighting student successes

each year until their Grade Eight Graduation school year.

Yes No

Student’s Name: ________________________________________ Grade: ______________

Signature of Parent/Guardian: ______________________________ Date: _______________

Biidaaban Kinoomaagegamik 717 Sagamok Road P.O. Box 577

Sagamok Anishnawbek Massey, ON

P0P 1P0 Tel.: 705 – 865 – 2387 Fax.: 705 – 865 – 3411

Nurture the Child…Support the Student…Improve the Community

Responsible Use of Technology for Learning Student Application and Agreement Form

Directions: After reading the Biidaaban Kinoomaagegamik Policy regarding technology, the signature of a parent or guardian is required.

Usage of the School’s Devices, Network, Internet and Google Suite For Education Accounts Biidaaban School strives to foster spiritual, physical, intellectual, and social growth in all of our students. Recognizing the importance of technology in our world, we believe it is necessary to:

• Incorporate technology into the instructional process to encourage problem-solving,critical thinking, and global learning;

• Promote student-centered learning;• Use technology to increase the effective use of time for both students and staff;• Empower students and staff with technical literacy skills.

There are rules and guidelines to ensure effective student learning and to keep our technology equipment in good working order. All equipment belongs to the school and should remain on school property; students will not take their assigned Chromebook or iPad home. Administration and staff reserve the right to monitor any and all activity generated by students’ use of technology equipment. Students may use technology equipment only during teacher-directed activities. The use of iPads, Chromebooks, computers, and other technology equipment at Biidaaban School is a privilege that comes with responsibility. Failure to meet these responsibilities may result in losing the privilege and/or further consequences determined by administration, including being held financially responsible for the repair or replacement of stolen or damaged equipment. These student responsibilities are outlined below:

• I am responsible for my account, including the associated email address, storage andapplications

• I will not give my password to anyone, except my parents and teacher• I will log off from my account, exit all programs, return the technology to its proper

location, and plug it in when I am finished• I will not download or use software unless explicitly instructed to do so• I am responsible for how I treat others in online and offline digital environments• I will only use language that I would use in the classroom with my teacher• I will not write or publicly share anything that is hurtful or embarrassing to anyone• I will not use another person’s login name or password or pretend to be someone else• I am responsible for protecting the property of the school and others at the school• I will not plagiarize

Biidaaban Kinoomaagegamik 717 Sagamok Road P.O. Box 577

Sagamok Anishnawbek Massey, ON

P0P 1P0 Tel.: 705 – 865 – 2387 Fax.: 705 – 865 – 3411


Biidaaban Computer Use Agreement (Continued)

• I will obey copyright laws• I will not tamper with or vandalize hardware, software, or data• I will not alter or attempt to alter any settings or programs existing on the technology

equipment• I will maintain the technology equipment assigned to me in its original condition

STUDENT LAST NAME: _______________________ FIRST NAME: ________________________

START DATE: ______________ EXPECTED YEAR OF GRADUATION:

SIGNATURE: __________________________________ (Signature required for students age 12 and older)

DATE: ____________________

PARENT/GUARDIAN (a parent or guardian must also read and sign this agreement) As a parent or guardian of this student, I have read the procedural guidelines regarding technology in the Biidaaban Kinoomaagegamik Policy. I understand that this access is designed for educational purposes and Biidaaban School has taken reasonable precautions to eliminate controversial materials. I also recognize that it is impossible for Sagamok Anishnawbek to restrict access to all controversial materials acquired on the network. Further, I accept full responsibility for supervision, if any, when my child's use is not in a school setting. I hereby give my permission to issue an account for my child and certify that the information contained in this form is correct.

PARENT OR GUARDIAN (Printed): ______________________________ PARENT/GUARDIAN SIGNATURE: ______________________________

DATE: ______________________________ When your account is established, your site administrator will notify you of your user name and user password. NOTE: This form is to be completed upon Registration.

Balanced School Day Schedule

8:40 - 8:50 Bus Arrival, Enter School Breakfast Pro2ram 8:50 Opening Exercises

8:55 - 10:40 Instructional Block 1

1 0: 40 - 11 : 00 JK-Gr. 3 Activity Break Gr 4-8 Nutrition Break

11:00-11:20 Jk-Gr.3 Nutrition Break Gr 4-8 Activity Break

11 :20 - 1 :00 Instructional Block 2

1:00 - 1:20 JK-Gr. 3 Activity Break Gr 4-8 Nutrition Break

1:20 - 1:40 J k-Gr. 3 Nutrition Break Gr. 4-8 Activity Break

1 :40 - 3:20 Instructional Block 3

3:25 Dismissal

The Balanced School Day schedule supports learning in the classroom by promoting healthy

eating and encouraging daily physical activity. The schedule relies on a day that is nutritionally balanced allowing for students to eat/snack more appropriately and offer longer periods of uninterrupted learning blocks and physical activity.

Your child will have two nutrition breaks each day. Students will not need more food - they do need the same amount packed differently into Nutrition Break #1 and Nutrition Break #2.

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Tel.: 705 – 865 – 2387 Fax: 705 – 865 – 3411


Volunteering at Biidaaban Kinoomaagegamik

If you are interested in volunteering to help in your child’s class or on class outings such as sporting events, the fall harvest, ice fishing, sugar bush visit, Ritchie Falls overnight excursions, year-end school trips etc., you will need to submit a clear Vulnerable Sector Check (VSC) to the office.

If you wish to start the process you will need to 1. Ask for a letter from the principal confirming you are making a request to help at the

school. This will waive the fee when you submit your forms to APS or the OPP.2. Take your letter to the APS office and complete a Vulnerable Sector Check

(VSP)application.3. Wait several weeks and return to the APS or OPP office to pick up your VSC.4. Submit a copy of the VSC to the school principal.

The chart below should help you identify if you need a vulnerable Sector Check Category Definition Vulnerable Sector Check

Required

Parent/Caregiver Visitor Parental involvement in parental engagement activities throughout the school year I.e. Family Math, Literacy, Anishnaabemowin days, Open Houses, Mother’s Day Tea, Poetry Café etc.

Not required

Invited Guest Speaker/presenter Provides enhancement to student academic or social programming

Not Required

Chaperone, including one on one Assisting with supervision of your child and/or other children at events such as: sugar bush, fall harvest, swimming, overnight/year end trips

Required

Professional Service Providers Speech and Language, OT/PT, Behaviour Intervention etc.

Attestation Required

Student Placement A student placement engaged in learning, especially one enrolled in school (paid or unpaid) or on a summer placement

Required

We strongly encourage you to take the time to make the application for a VSC as we need parents involved in their child’s education here at Biidaaban Kinoomaagegamik.

student registration package

Documents