REG STRATIONÃ¢Â€Â”WAYOATA ELEMENTARY SCHOOL - Retsd.mb.ca

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REGISTRATION—WAYOATA ELEMENTARY SCHOOLPlease indicate if the student has utilized any of the following servicesQFFICE if any items have been checked off,forward to the school principal.El ResourceEl ReadingEl PsychiatryEl Social workEl PhysiotherapyEl Child in careEl School counsellor[I PsychologyEl Speech & languageEl Occupational therapyEl Outside agencyEl OtherIf any services above are checked (V), please complete details below.Name of agency/support service:_Address:______________________Contact person:Phone:Briefly describe the reason for service:•Name of agency/support service:Address:Contact person:__________________________Phone:____________________________Briefly describe the reason for service:__________________________________________________________________________The support services information is being collected so appropriate educational services may be provided for yourson/daughter. This information will only be shared with appropriate individuals. This information is protected by TheFreedom of Information and Protection of Privacy Act. Questions should be directed to the school principal.Page 4 of 4 Tyler SIS 12/2012River East Transcona
Wayoata Elementary School605 Wayoata Street,Winnipeg, Manitoba, CanadaR2C 1J8Phone: (204) 958-6840Email:way@retsd.mb.caPrincipal: Mrs. K. CressallWeb Site: http://www.way.retsd.mb.ca Fax: (204) 222-5053Dear Parent/Guardian,PARENTAL INFORMED CONSENT FOROUT OF SCHOOL ACTIVITIES IN THE LOCAL COMMUNITY201 3-2014The purpose of this letter is to inform you about some of the out-of-school activities or events in thelocal school community in which your child will participate during the course of this year. Yoursignature at the bottom of this form confirms that you are aware of the information provided in thisletter.The River East Transcona School Division and the staff of Wayoata School recognize that valuable andunique learning can take place outside of the school building. We are therefore encouraged to makeuse of the total resources of the local community to meet curriculum goals.During the course of the school year, student groups will engage in activities within the localcommunity that may take them out of the school building. These activities may include, but are notlimited to, visiting local destinations such as the museum, fire station, libraiy, Park Manor PersonalCare Home; walking to neighbouring schools to attend musical, theatre or sporting events or topractice school evacuation procedures; walking to local stores or a park; participating in physicaleducation activities or events such as Teriy Fox Walk, community cleanup, walkathon etc.The risk of injury exists in all student activity. However, due to the very nature of some activities, therisk of injury may increase. The safety and well being of students is a prime concern and every effort ismade to minimize the foreseeable risks inherent in any activity.While participating in school activities, which take them into the community, it is expected that studentswill conduct themselves appropriately during all aspects of schooling.If, for some reason, your child cannot or ought not participate in activities of this nature, please let usknow.PARENTAL INFORMED CONSENTIn signing this form Iacknowledge receipt of this letter and the information provided therein.Student’s Name (please pnnt):Parent/Guardian SignatureDate:
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REG STRATIONÃ¢Â€Â”WAYOATA ELEMENTARY SCHOOL - Retsd.mb.ca

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