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2020 – 2021
BCHS GRADE 10 Registration Package
All Registrations submitted MUST have the following completed to ensure your child has been successfully enrolled:
Most recent Grade 9 Report Card or High School TRANSCRIPT is attached
Copy of Birth Certificate or Passport is attached
Ensure both Student & Parent(s) email addresses are supplied (pgs 3 & 4)
Ensure DECLARATION page has been signed by Legal Guardian (pg 5)
Ensure FOIP pages have been read by Legal Guardian (pgs 6 & 7)
Ensure SIGNATURE PAGES are signed by both Parent and Student (pgs 9 & 10)
Ensure Course Selection sheet is completed (unless registering for GOALS, K&E, or IB)
꘎ If your child currently attends AKINS, CUTS, DEMKO, GISH, or SIMPSON, please return completed Registration Forms directly to your Jr High by Thursday March 19th, 2020
꘎ If your child currently attends a school not listed above, please return completed Registration Forms directly to Bellerose Composite High School by Friday April 17th, 2020 to maximize Course Requests
꘎ If you were unable to attend one of our Registration Information Sessions, please feel free to contact Student Services to schedule an appointment with one of our Counsellors
PLEASE NOTE:
• If your child wants to register in our IB Programme, please pick up our IB Registration Package and schedule an appointment with our IB Coordinator, Mr Clayton Beebe at [email protected].
• If your child wants to register in our GOALS or K&E Programs, please pick up our GOALS Package or K&E Program Package and schedule an appointment with our Inclusive Education Coordinator, Mrs Renee Miller at [email protected] or 780.460.8490 ext 144, to discuss the program and courses best suited to your child.
For more information, please visit bchs.spschools.org
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STUDENT REGISTRATION FORM (K – 12)
(PLEASE PRINT)
REGISTRATION INFORMATION
STUDENT INFORMATION Student’s Legal Last Name: Student’s Legal Given Name(s): Student’s Alberta Student Number:
Student Also-Known-As (if different than above) Last Name: Given Name(s): Date of Birth: (MM/DD/YYYY)
Street Address: City: Province: Postal Code: Gender: Male Female
Home Phone Number: Mailing Address (if different than street address): Student’s Cell Phone Number:
Citizenship: Canadian? Yes No Student’s E-mail address:
Citizenship, if not Canadian: (This section does not need to be filled out if student is Canadian).
Permanent Resident/Landed Immigrant Child of Canadian Citizen Other _______________
Child of Individual Lawfully Admitted to Canada for Permanent or Temporary Residence
Student Visa Authorization
Student Visa Expiry Date: (MM/DD/YYYY) (Attach Copy)
NOTE: The student’s Birth Certificate, Canadian Citizenship Certificate, Passport, Visa, Permanent Landed Immigrant document or other official document must be given along with this form in order to register. A photocopy will be placed in the Student Record.
Name of Official Document (please specify): Copy Attached
SCHOOL INFORMATION Name of School at which student is registering: Bellerose Composite High School
Grade Entering: Start Date: (MM/DD/YYYY)
Program Requested: (Please check one)
Regular Program GOALS or K & E Programs International Baccalaureate Programme
Do you require bus service? No Yes If yes, please contact Transportation at [email protected]
(If Applicable) Name of Previous School Attended: Grade Completed: School Withdrawal Date: (MM/DD/YYYY)
Address of Previous School: Phone Number of Previous School: Fax Number of Previous School:
A copy of the student’s most recent report card or transcript is required. Yes, I have attached one
FOR OFFICE USE ONLY: Date Rec'd _______________
Program _________________ ___ Added to Student Grid ___ Counted ___ Course Selections ___ Demographics Entered
Rec'd By _______________
IPP: Yes / No___ Transcript Rec'd___ Birth Certificate Rec'd ___ Signature Page Rec'd ___ Student File Requested
2020-2021 Grade: ____
Unspecified
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LEGAL GUARDIAN INFORMATION#1. Father Mother Guardian
Other (please specify):
#2. Father Mother Guardian
Other (please specify):
Mr. Mrs. Ms. Miss Dr. Mr. Mrs. Ms. Miss Dr.
Last Name: First Name: Last Name: First Name:
Street Address (Note “same” if not different from student’s – page 1): Street Address (Note “same” if not different from student’s – page 1):
City: Province: Postal Code: Country: City: Province: Postal Code: Country:
Home Phone Number: Business Phone Number: Home Phone Number: Business Phone Number:
Cell Phone Number: Other: Cell Phone Number: Other:
Email: @ Email: @
CUSTODY/GUARDIANSHIP INFORMATION Student lives with
Both Parents Mother Only Father Only Guardian Foster Home Independently
Other (If other, please explain):
Are there any Court Orders affecting guardianship rights, custody, or access to the student? Yes* No
* If Yes, the school must be supplied with a copy of the Court Order (with the court seal evident). A photocopy will be placed in the Student Record.
Copy Provided
EMERGENCY CONTACTS It is essential that you provide the names and phone numbers of individuals who have given their permission to be contacted in the case of emergency (other than parents/guardians listed above). Name: Relationship to Student: Phone Number:
Name: Relationship to Student: Phone Number:
Name: Relationship to Student: Phone Number:
Name: Relationship to Student: Phone Number:
MEDICAL INFORMATION Does your child have any medical conditions or allergies the school should know about or that may affect his/her attendance at school?
Yes No If yes, please give a brief description: Doctor’s Name (optional): Doctor’s Phone Number (optional):
SPECIAL NEEDS INFORMATION Does your child have any physical, intellectual, behavioral or emotional needs which would impact our ability to provide an appropriate educational program? Yes No If yes, please, please explain: Has your child had any previous special needs testing or assistance? Yes NoIf yes, please provide program name and contact:
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DECLARATIONS INDEPENDENT STUDENT STATUS
Students 18 years of age and older, or “living independently”: 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) who is living independently by a board in accordance with section 6, or (b) who is a party to an agreement under Section 57.2 of the Child, Youth and Family Enhancement Act. Do you qualify for status as an “Independent Student” under the definition of the Education Act? Yes No If yes, please attach proof of independent status. (If claiming independent student status, you may complete this form and register in the school district without parental consent).
ABORIGINAL SELF-IDENTIFICATION If you wish to declare the student is Aboriginal, please select one:
First Nation (Status) First Nation (Non-Status) Métis Inuit
For further information, please refer to https://education.alberta.ca/system-supports/results-reporting/ 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 St. Albert Public School Board Superintendent Krimsen Sumners at 780.460.3712
SECTION 23 ELIGIBILITY (FRANCOPHONE EDUCATION) According to 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, or 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 under the terms of the Education Act?? Eligible Ineligible
NOTE: 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. To exercise your Section 23 rights you must enroll your child with a Francophone Regional Authority.
The provincial Student Record Regulation requires St. Albert Public Schools to release certain demographic information about the student and parent to the local Francophone Education Board upon written request from that school jurisdiction.
ADDITIONAL ENROLMENT INFORMATION The following questions are asked to assist in program placement and to assist in communication in an emergency.
Is English the student’s first language? Yes No What language is mainly spoken at home?
DECLARATION BY LEGAL GUARDIAN (OR STUDENT, IF STUDENT IS LIVING INDEPENDENTLY)I hereby declare I have read and understood the information contained on this Student Registration Form and that the information I have provided above is true, accurate and complete. I accept responsibility to advise the school if there are any changes to this information.
(Signature Required)
Name (Please Print): Signature: Date (MM/DD/YYYY):
Sign
atur
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equi
red
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FOIP NOTIFICATION Freedom of Information and Protection of Privacy (FOIP) Act
Collection of Personal Information Notice under s. 34 of the FOIP Act
The FOIP Act, which came into effect for school boards on September 1, 1998, sets controls and standards on how public bodies, such as school boards, collect, use and disclose personal information that is in their custody or under their control.
The FOIP Act requires that school boards collect personal information directly from individuals the information is about, that these individuals be provided with the legal authority for the collection, be explained the purpose of the collection and how the information will be used, and be provided a contact person should they have any questions relating to this activity.
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 Education Act and its regulations (e.g. for the establishment of a 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 policies under his administration (e.g. research, statistical analysis).
This information will be made available to employees of St. Albert Public Schools and the Board of Trustees within the scope of their roles and responsibilities, and to individuals working with the children in schools and Alberta Education, on a need to know basis. Please read the following information about the types of activities for which personal information is collected. The information will be used for authorized programs and activities that are vital to a healthy, well functioning school life. We realize that there may be occasions where you have concerns relating to the safety of your child with respect to any of the uses of this information. In such cases, please contact the principal of the school where your child attends to discuss your concerns.
The uses to which the personal information collected on the registration form may be put, which are considered part of a vital, healthy and well functioning school are listed below. In order to assist the Board in maintaining a vital and healthy environment, participation of all students is important and encouraged. The activities where personal information may be used are:
• The use of student’s name, photograph or comments about the student in the school calendar, newsletter, year book,graduation book or other school publications.
• The taking of individual, class, club or team photos for school purposes and the use of student photos for the issuanceof student identification cards and student report cards.
• The use of student names on artwork or other creative work or material of students displayed at the school or divisionsites or at school or division sponsored displays within the community; provided that a copyright consent form hasbeen signed respecting the works created by each student.
• The use of student names, related contact information and telephone numbers for absenteeism verification, forkindergarten parents’ information or for distribution to parents regarding field trips.
• The use of family name and address information for the purpose of satisfaction surveys.
• The use of student names’ for recognition purposes on honour rolls, at graduation ceremonies, and for scholarships orreceipt of other awards or for birthday recognition purposes within the school or jurisdiction.
• The use of student names on class lists posted for the purpose of class placement for the coming school year.
• The use of student names and academic information necessary for determining eligibility or suitability for provincialfederal or other types of awards or scholarships in the event the Board applies on the student’s behalf.
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• The use of student’s name, address, parental and emergency contact information, for the provision of transportationservices.
• The taking of photos and/or videos of classroom or other school sponsored activities and their use by the media orother organizations where students are not identified by name or face, or interviewed. Where individual students areidentified or interviewed and the material will be used outside the school, a separate and specific consent will berequired. You will be contacted prior to such events taking place. Please note that photos and/or videos of EducationActivities that are open to the general public may be taken and used for purposes outside the school.
• The taking of photos or videos of classroom or other Education Activities by school board personnel or agents for non-profit and educational purposes, where the material will be used within the school. Where individual students areidentified or interviewed and the material is to be used outside the school, separate and specific consents will berequired. You will be contacted prior to such events taking place.
• The public may access school newsletters through the respective school websites. The newsletters regularly includenews items such as student activities, sports clubs and recognition of students who have received awards. Studentnames and/or pictures may also be included.
The information collected on the student registration form is required to allow the Board, through its administrators to make such decisions as are necessary in order for it to fulfill its obligation to provide students with an appropriate education program, to provide a safe and secure environment, to protect the student’s rights and to determine eligibility for particular programs and the funding available both under the Education Act and Regulations and through the Charter of Rights and Freedoms.
The information will be made available to employees of St. Albert Public Schools, its authorized agents, and the Board of Trustees, within the scope of their roles and responsibilities, and to individuals working with the students in schools and to Alberta Education on a need to know basis.
The information will be used for authorized programs and activities that are a part of normal school life. We realize that there may be occasions where you have concerns relating to the safety of your child with respect to any of the uses of this information. In this case, please contact the principal/administrator at the school where your child attends or the Division’s FOIP Coordinator, Michael Brenneis, Associate Superintendent of Finance at 60 Sir Winston Churchill Avenue, St. Albert, AB, T8N 0G4, phone (780) 460-3712.
If you wish to request that your child’s personal information be withheld for any reason, please contact the school principal directly.
I have read St. Albert Public Schools FOIP Notification and understand that my child’s personal information will be used to provide an educational program that meets their needs and provides a safe and secure school environment.
****READ THE ABOVE DOCUMENT AND SIGN THE SIGNATURE PAGE.****
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LEGAL GUARDIANSHIPEffective October 2005, amendments to the Education Act provide that a “parent” is: • the guardian as set out in section 20 of the Family Law Act (“FLA”); or• the guardian appointed under Part 1 Division 5 of the Child, Youth and Family Enhancement Act or Section 23 of
the FLA
(which definition governs the vast majority of situations); or • the individual who has care and control of the student if the student’s guardian resided in Alberta and has
changed residence so that it is outside of Alberta or unknown; or• the guardian appointed under a temporary or permanent guardianship order or agreement under the Child, Youth
and Family Enhancement Act; or• the Minister of Justice and Attorney General if the student is in custody.
While a parent is usually the legal guardian of their child, that is not always the case. Guardianship rights can be shared by parents or can be lost. As a student’s right to attend any particular school is based upon the residence of the “parent”, and as it is the parent who exercises the various powers, responsibilities and entitlements as a guardian under the Education Act, it is important that a school board determine who the legal guardians are for any particular child.
The FLA provides that, subject to any order of a court regarding guardianship of the child, the mother and father of the child are both the guardians of the child where the mother and the father: • were married to each other at the time of the birth of the child; or• were married to each other and the marriage was terminated by a decree of nullity of marriage, or a judgment of
divorce granted less than 300 days before the birth of the child; or• married each other after the birth of their child; or• cohabited with each other for 12 consecutive months during which time the child was born; or• were each other’s adult interdependent partners at the time of the birth of their child or became each other’s adult
interdependent partners after the birth of their child.
If the above does not describe your relationship, guardianship is determined based on residence of the child. Section 20(3) of the FLA provides that the mother and the father are both the guardians of the child until such time as the child usually begins to reside with one of the parents, at which time that parent becomes the sole guardian of the child; or if the child lives with both parents, or alternatively, with each parent for substantially equivalent periods of time, both parents become the guardians of the child.
Despite subsection 20(3) of the FLA, if both parents agree in writing, both parents continue to be the guardians of the child even after the child begins to usually reside with only one of them. A parent with whom the child has usually resided for one year is the guardian of the child, even if the child no longer resides with that parent.
The FLA is provincial legislation that defines guardianship rights in Alberta. Parental rights may also be described using the terms of custody and access in cases where the parties are divorced or have commenced legal proceedings under the Divorce Act. The Education Act provides that 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 that person to provide proof of the claim. Please provide copies of any current orders or agreements addressing guardianship rights, responsibilities, and entitlements or otherwise affecting the custody of or access to your child or child’s information to school administration.
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Issued as of FEBRUARY 2020
Bellerose Composite High School
This portion of your child’s REGISTRATION is crucial for successful enrolment at Bellerose Composite High School for the 2020/2021 School Year
Various School Division Policies require that parents and/or students acknowledge an awareness of several school policies, and access to particular programs is impossible without these consents and acknowledgements involved. Over the years, the human resources at the school used to ensure the forms are signed and returned has been tremendous; thus, we are attempting to streamline the process with this package. We will only process a timetable for a student once this Registration Package is completed in its entirety and returned along with all required requisite signatures.
In order to simplify the process, we have combined all the necessary signature blocks on one piece of paper. The remainder of the material provides all the information related to the various signatures required. As you read the material, you will become aware of the impact not providing consent would have on things such as computer use, behavioural expectations and information provision. Thank you in advance, and if you have questions, please email me at [email protected]. We appreciate your help with this process.
STUDENT NAME: __________________________, __________________________ DATE: _______________________ Last Name First Name 2020-2021 GRADE: ________
SIGNING AGREEMENTS PERTAINING TO THE REGISTRATION INFORMATION PKG
(Refer to GREY DOCUMENTS contained in this package):
1. Student Acceptable Use of Technology (pgs 1-2) 2. Freedom of Information and Protection of Privacy Act (pgs 3-4) 3. License to Use School Locker (pg 5) 4. Froshing - Assault & Abduction Contract (pgs 6-8) 5. Drug Free Schools & Drug Free Protocol (pgs 9-14) 6. Code of Student Conduct (pgs 15-18) 7. Fitness Centre Waiver (pg 19)
1. STUDENT ACCEPTABLE USE OF TECHNOLOGY AGREEMENTStudent Section: I have read the Acceptable Use of Technology Agreement. I agree to follow the rules and expectations contained in this agreement. I understand that if I violate the agreement, my account can be terminated and I may face other disciplinary measures. I understand that my computer and network use may be monitored at any time.
Student Signature __________________________________
Parent Endorsement: I have reviewed this document and each paragraph with my child. I have discussed the importance of this agreement with my child. I understand that computer access is for educational purposes. I will instruct my child regarding acceptable use, including that which is set forth in the Acceptable Use of Technology Agreement. I will emphasize to my child the importance of following the rules for personal safety. I understand that my child’s computer and network use may be monitored at any time. I understand that some materials on the Internet may be objectionable, and that my child may manage to access those materials despite efforts of the Division and its staff. I hereby release St. Albert Public Schools and its personnel from any and all claims and damages arising from my child’s use of, or inability to use, the St. Albert Public Schools’ computer systems. I give permission to allow internet access for my child and certify that the information contained in this form is correct.
Parent Name: __________________________________Signature _________________________________
SIGNATURE PAGES
Please check that all 7 (seven) Agreements have been read (refer to GREY documents included in this Registration package)
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2. FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY (FOIP) ACT Parent & Guardian Section: I have read St. Albert Public Schools FOIP Notification and understand that my child’s personal information will be used to provide an educational program that meets their needs and provides a safe and secure environment.
Parent Name: __________________________________Signature _________________________________ Over 18 Student Signature _________________________________
3. LICENSE TO USE SCHOOL LOCKER Students Section: I have read the acceptable guidelines. I understand that, if I violate the rules, my account can be terminated and I may face other disciplinary measures.
Student Signature _________________________________
4. FROSHING – ASSAULT & ABDUCTION CONTRACT Students Section: I hereby acknowledge, and have read and understood the Froshing - Assault & Abduction Contract.
Student Signature _________________________________
5. DRUG FREE SCHOOLS & DRUG FREE PROTOCOL Students Section: I hereby acknowledge, and have read and understood the Drug Free Schools & Drug Free Protocol information and notification.
Student Signature _________________________________
6. CODE OF STUDENT CONDUCT AGREEMENT Students Section: I hereby acknowledge, and have read and understood the Code of Student Conduct Agreement.
Student Signature _________________________________
7. FITNESS CENTRE WAIVER AGREEMENT Students Section: I hereby acknowledge, and have read and understood the Fitness Centre Waiver Agreement.
Student Signature _________________________________ Witness Name: __________________________________Signature _________________________________
Parent Section: This is to certify that I, as parent/guardian with legal responsibility for the Student who has signed above, do consent and hereby agree to his/her release and waiver as provided in this Agreement.
Parent Name: __________________________________Signature _________________________________ Witness Name: __________________________________Signature _________________________________
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Credit Credit Credit
ELA 10-1 5 Math 10 Extended (Full Yr) 10 PE 10 (Co-ed) 5
ELA 10-2 5 Math 10C 5 PE 10 & CALM 20 6
Math 10-3 5 PE 10 & Yoga 15 6
Social 10-1 5 Science 10 5
Social 10-2 5 Science 14 5
# Credit # Credit # Credit
Art 10 5 Digital Media & Design 10 5 Instrumental Music 10 5
Choral Music 10 5 Digital Photography 10 5 Mechanics 10 5
Computer Science 10 6 Drama 10 5 Medical Studies 10 5
Construction Tech 10 5 Fashion 10 5 Personal Fitness 10 5
Cosmetology 10 5 Food Studies 10 5 Spanish 10 5
Creative Music 15 5 French 10 5 Sports Medicine 10 5
CrossFit® 5 Instrumental Jazz 15 / Vocal Jazz 15 5
Total Credits Total Credits Total Credits
Parent signature:__________________________________________
Students can sign up for opportunities in Leadership, Outdoor Education, and Performing Arts in the fall.
Please check here if you are interested in taking RAP or Work Experience.
Social Studies Sciences
OPTIONS: Choose 6 options from the list below, with #1 being your first choice.
Option Courses
A minimum of 40 credits must be selected by all Grade 10 students. All course offerings are subject to enrollment, pre-requisite requirements, and availability. Please refer to the 2020-2021 Guidebook at
bchs.spschools.org for descriptions of each course and a full list of high school diploma requirements.
Core Courses: Make 1 choice from each category below.
English Language Arts Mathematics Physical Education
BELLEROSE COMPOSITE HIGH SCHOOL GRADE 10 COURSE SELECTIONS
2020-2021
Last Name:____________________________________ First Name:_____________________________________ Jr. High School:___________________
Parent Email:__________________________________________________________ Parent Cell:____________________________________________________
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