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New Student Registration Form

New Student Registration Form

2024-2025

This form must be completed by the parent, legal guardian, or the student (if living independently)

(Typed name acts as a digital signature of consent)

The information requested on this form is being collected pursuant to the Education Act (Student Record Regulation), the Freedom of Information and Protection of Privacy (FOIP) Act, and the Canadian Charter of Rights and Freedoms, Section 23. Information acquired through this form is kept secure and access is restricted. If you have any questions regarding the collection or use of this information, please contact your school Principal or the FOIP Coordinator, Living Waters Catholic Separate School Division, Box 1949 Whitecourt, AB T7S 1P6 or phone 780-778-5666.

For all other inquiries, Please contact your school

Documentation will be required to complete your registration. Your registration process will be fast and efficient if you already have the necessary documents scanned or photographed.

Please indicate the School you wish to enroll your student? *

Answer Required

STUDENT INFORMATION

Student Legal Last Name. A student's legal name is the name that appears on their birth certificate. *

Answer Required

Student Legal First Name*

Answer Required

Student Legal Middle Name

Answer Required

Preferred Last Name. Please enter a preferred name for this student for use on all records, reports, and formal written communications if it differs from the student's legal name.

Answer Required

Preferred First Name

Answer Required

Date of Birth*

Answer Required

Gender*

Answer Required

A copy of the student's Birth Certificate or Visa/Immigration documentation is required for all students new to Living Waters Catholic School Division. If you are a new student, please upload your birth certificate. You do not need to upload your student's Birth Certificate if you are a returning student and the school already has a copy.

Answer Required

Choose a file or drag it here.

Mailing Address:*

Answer Required

City:*

Answer Required

Postal Code*

Answer Required

Municipal Address (If different from mailing address). Required for bussing.

Answer Required

City

Answer Required

Postal Code

Answer Required

Lives With (collected to enable schools to direct communications to an appropriate address): *

Answer Required

Parent(s)

Legal Guardian(s)

Independent Student

Other:

Home Telephone:*

Number Required

Grade enrolling for the 2024-2025 School Year*

Answer Required

Please Select the Preferred Program*

Answer Required

Does the Student have any Siblings attending any Living Waters Schools? Please provide the sibling Last Name, First Name, School Attending, and Grade:

Answer Required

CITIZENSHIP / IMMIGRATION STATUS

A copy of the student's Birth Certificate, Passport, or Visa/Immigration Documentation is required.

Citizenship/Immigration Status: Is your student a Canadian Citizen?*

Answer Required

Yes

No. If No, Please complete the section below

Birth Country, If Not Canada

Answer Required

If your student is not a Canadian Citizen, Please select the information that applies to your student.

Answer Required

Temporary Resident (student has a study permit and living under the care of a legal guardian). Non-Refundable registration fee and international fees apply. Please upload the Student Visa.

A child lawfully admitted to Canada for permanent residence must present a permanent residency card.

A child living in Canada, with a biological or adopted parent who is a Canadian Citizen.

A child living in Canada, with a biological or adopted parent who has Landed Immigrant Status or Study Permit or Work Visa. Proof of parent’s documentation and copy of child’s passport required.

A step-child of a Canadian; student presents passport and study permit. Biological or adopted parents provide a passport and proof of application for permanent residency and fee payment to Citizenship and Immigration Canada.

A step-child of a Temporary Foreign Worker; student presents passport and study permit. Biological or adopted parent provides passport; step-parent provides passport and work permit.

Exchange Student - involved in an approved reciprocal exchange program (does not include Rotary exchanges). A student from outside Canada.

Custody or Guardianship rights:

Guardians of the student must be identified to ensure the rights of each party are respected. A child may be designated as “Protected” if a court has issued an order under the Child Welfare Act, the Domestic Relations Act, the Divorce Act, the Protection Against Family Violence Act, or the Young Offenders Act, or is the subject of a custody or access order including but not limited to parenting order under the Child, Youth, and Family Enhancement Act that is a predecessor to or a substitute for any of the said Acts. If your child is subject to any such order or agreement, please indicate below and discuss this situation with the school administration. If an order exists affecting guardianship rights or custody or access rights, a copy of the order or agreement will be required for the student’s record.

Does a Custody or Guardianship order or agreement exist? *

Answer Required

Yes. If yes, please complete below

Please upload documentation or any orders. Please select all that apply.

Answer Required

Access and/or Custody

Parenting

Guardianship

Protection

If this order affects communication regarding the student to anyone other than the first parent/guardian listed, please explain below:

Answer Required

Parent/Guardian Information: (Consult the Family Law Act for Guardianship Information)

It is important to fill out information for each parent or guardian, whether or not they are living together. Information is collected to ensure communications are directed to the appropriate address. All communications regarding the student will be directed to the first parent / guardian listed, unless noted above. Email is used only for non-confidential information.

#1 Parent or Guardian: Please select*

Answer Required

Parent

Guardian

#1 Relationship to Student (please specify)*

Answer Required

#1 Religion*

Answer Required

#1 Last Name*

Answer Required

#1 First Name*

Answer Required

#1 Home Phone*

Number Required

#1 Cell Phone*

Number Required

#1 Work Phone

Answer Required

#1 Email Address*

Answer Required

#1 Mailing Address*

Answer Required

#1 City*

Answer Required

#1 Postal Code*

Answer Required

#1 Municipal Address (if different from mailing address)

Answer Required

#1 City

Answer Required

#1 Postal Code

Answer Required

#2 Parent or Guardian

Answer Required

Parent

Guardian

#2 Relationship to Student (Please Specify)

Answer Required

#2 Religion

Answer Required

#2 Last Name

Answer Required

#2 First Name

Answer Required

#2 Home Phone

Number Required

#2 Cell Phone

Answer Required

#2 Work Phone

Answer Required

#2 Email Address

Answer Required

#2 Mailing Address

Answer Required

#2 City

Answer Required

#2 Postal Code

Answer Required

#2 Municipal Address (if different from mailing address)

Answer Required

#2 City

Answer Required

#2 Postal Code

Answer Required

EMERGENCY CONTACT INFORMATION

Must be someone other than the student's parent/guardian. This person will only be contacted in the case of an emergency.

#1 First and Last Name*

Answer Required

#1 Relationship to Student (Please Specify)*

Answer Required

#1 Cell Phone*

Answer Required

#1 Home Phone or Other Phone*

Answer Required

#2 First and Last Name

Answer Required

#2 Relationship to Student (Please Specify)

Answer Required

#2 Cell Phone

Answer Required

#2 Home Phone or Other Phone

Answer Required

#3 First and Last Name

Answer Required

#3 Relationship to Student (Please Specify)

Answer Required

#3 Cell Phone

Answer Required

#3 Home Phone or Other Phone

Answer Required

MEDICAL INFORMATION

You are under no obligation to provide this information.

Please provide your student's ALBERTA HEALTH CARE CARD #. Students with a Visa must register with the Alberta Health Care Insurance Plan within 3 months of arrival.

Answer Required

For the benefit of your student, please identify any medical diagnosis, treatments, or personal concerns of which your student's Teacher and School Administration should be aware.

Answer Required

Physical Disabilities

Allergies

Medical Diagnosis

Medical Treatment

Mental Health Issues

Personal Issues

Family Issues

Other

Please provide details regarding the above selections. (i.e. List all Allergies, Reactions, Treatments).

Answer Required

SPECIAL EDUCATION / INCLUSIVE EDUCATION

Has your student ever received a specialized education program (IPP - Individual Program or IEP - Individual Education Plan). *

Answer Required

Yes

Please explain any specialized learning needs your student may have (learning disabilities, giftedness, emotional/behavioural, physical, medical, reading, mathematical).

Answer Required

FAITH

Is Your Student or the Parent/Guardian Catholic?*

Note: All of the schools in this district are Catholic Separate Schools, the essential purpose of which is to fully permeate Catholic theology, philosophy, practices and beliefs, the principals of the Gospel and teachings of the Catholic Church, in all aspects of school life, including the curriculum of every subject taught, both in and outside of formal religion classes. Every course of study and educational program, all instruction and exercises will include subject matter that deals with religion. Students are expected to participate in all religious education activities. Please select all that apply.

Answer Required

Student or Parent is Catholic

Your Student has been Baptized in the Catholic Church. Please provide a copy of the Certificate of Baptism

Your Student has been Confirmed

Your Student received First Communion

Neither Student or Parent is Catholic

FRANCOPHONE ELIGIBILITY

According to the Education Act and Section 23 of the Canadian Charter of Rights and Freedoms, a parent who is a Canadian Citizen has the right to have all his/her children receive primary and secondary instruction in French if:

1. Either parent’s first language learned and still understood is French (mother or father’s native tongue is French) or,

2. Either parent received their primary school instruction in Canada at a Francophone school (K-12), or,

3. Any child in the same family has received or is receiving primary or secondary school instruction at a Francophone school in Canada.

4. This does not include French Immersion (programming offered by Living Waters Catholic Schools).

Note: Francophone eligibility rights are not multi-generational, and refer only to the native tongue of the parent(s).

Do you claim entitlement to a Francophone education under the terms of the Education Act?*

Answer Required

Yes

If yes, do you wish to exercise these rights?

Answer Required

Yes

ENGLISH AS A SECOND LANGUAGE (English Language Learner)

A student may be eligible for ELL support when the primary language spoken at home is a language other than English.

Is your Student's primary language English?*

Answer Required

Yes

If No, my student's primary spoken language is:

Answer Required

The language spoken at home is:

Answer Required

ABORIGINAL STATUS

For further information, please refer to: www.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 Mr. Trevor Mitchell, Living Waters Deputy Superintendent at 780-778-5666.

If you wish to voluntarily declare that your student is an Aboriginal person, please select from below

Answer Required

First Nation (Status)

First Nation (Non-Status)

Metis

Inuit

Does this student have a status card?

Answer Required

Yes

If YES, please provide Treaty #

Answer Required

On-Reserve Resident Information. Please provide the First Nation of Residence and Student Indian Registry Number below

Answer Required

LAST SCHOOL ATTENDED

Permission is given to contact the school for an transcripts, achievement and aptitude test scores, pertinent health information, and any psychological or other individual assessments.

Name of last school attended

Answer Required

Address

Answer Required

Phone Number

Answer Required

Fax Number

Answer Required

Parent Signature (typed name acts as a digital signature of consent)

Answer Required

SCHOOL DIVISION USE OF PERSONAL INFORMATION

The personal information is collected pursuant to the provisions of the Education Act and its regulations, and pursuant to the Section 32 of the FOIP Act as the collection is related directly to and is necessary to a school boards obligation to provide students with an education program that meets their needs and to provide a safe and secure school environment. The FOIP Act requires that parents/guardians be advised of the collection and use of personal information that is not authorized under the Education Act. Living Waters CSSD believes that the activities listed below are part of the normal operation of a school.

Please read this list of activities carefully and complete the consent by signing in Section A or Section B:

1. The use of a student’s name, school, grade, photograph, academic information and/or written material in a school newsletter, yearbook or other school board publication.

2. The taking of individual, class, team, group or club photographs for school activities and the display of these photographs for recognition purposes in school or school board sites.

3. The use of a student’s name, address, birth date, school, grade, and photograph for identification purposes in a school or school-related activity.

4. The use of a student’s name, school and grade on art work, written work or other creative work or material displayed at the school or school board sites.

5. The use of a student’s name, school, grade, photograph and academic information for honor rolls, graduation ceremonies, and other recognition awards at the school or school board sites.

6. The use of a student’s name, school, grade birth date and academic information for determining eligibility or suitability for awards or scholarships or school board sponsored athletics.

7. The use of a student’s name, address, and related contact information for the provision of transportation services.

8. The taking of photographs or videos of classroom or other school sponsored activities within the school for non-profit and educational purposes, as well as video monitoring used in schools and buses.

9. The use of a student’s name, telephone number, grade and related contact information by assigned classroom assistants and volunteers for absenteeism, emergencies, field trips and other school sponsored activities.

10. The use of a student’s name, school, grade and photo for athletic events, fine arts productions, celebrations and other school sponsored activities at the school or school board sites. As well as copyright for artwork and creative writing which will be reproduced for use outside of the school.

11. The use of a student’s name and any health and/or related personal information to assist authorized individuals in responding to emergency health situations or to assist students who have severe or life-threatening medical or other conditions.

This list does not include all the activities or programs that take place in a school. School personnel will contact parents/guardians for written consent if activities occur that are inconsistent with those listed above.

Photos/videos of school activities (e.g. athletic events, concerts, graduation or other ceremonies) that are open to the general public may be taken and used for purposes within and outside the school. The school is not able to fully restrict such activity at public events.

Schools will ensure that email addresses are not used in a fashion that would make them available for public use.

Section A: I have read and understand the uses that will be made of ALL of the personal information as listed and described in the School Activities Consent List and hereby consent to the collection and use of this information as they relate to my student. Signature of Parent: (typed name acts as a digital signature of consent)

Answer Required

Date of Signature

Answer Required

Section B: I have read and understand the uses that will be made of the personal information as listed and described in the School Activited Consent List and hereby consent to the collection and use of this personal information EXCEPT for the following activities. Please provide the activity numbers and the specific concerns:

Answer Required

Signature of Parent: (typed name acts as a digital signature of consent)

Answer Required

Date of Signature

Answer Required

CASL Legislation: I give consent to Living Waters Catholic Schools to send to my email or text information relating to the activities or events related to my student's school. I also understand that I can unsubscribe from these messages at any time by contacting my school or email the school Principal. Please use the below link for our School listings and contact details*

Answer Required

Yes

Living Waters Catholic Schools Listings and Contact Details

LIVING WATERS CATHOLIC SEPARATE SCHOOL DIVISION WEBSITE NAME & PHOTO RELEASE

Schools in our division have created school websites to showcase student work, projects, or activities that students are involved in. Student names, work (art or literary), and photographs often are included on the website and may be posted for an undetermined period of time during the school year. In order to protect your child(ren) and their identity, Living Waters Catholic Separate School Division has developed content guidelines for division and school websites in this regard. The following points will be addressed by the school before any student names, work, or photographs are posted on a website.

• The full name, address, phone number, or email address of a student will never be provided on a school website. Students will only be identified by their initials and class. (For example, John Smith from Ms. Smith’s grade one class would be J.S. from class 1A).

• Photographs of large groups of students may be posted on a school website without parental permission as long as individual students are not singled out or identified in any way (e.g. a school assembly, sporting activity, or music festival.

• Parental permission must be obtained before photographs of individual children or small groups of children (e.g. class photos) are posted on a school website. Please complete and return this form to your child’s teacher.

Student First and Last Name*

Answer Required

Permission IS granted to display my student's art or literary works accompanied by their initials on the School or Division website:*

Answer Required

Yes

Permission IS granted to display photographs of my student on the School or Division website:*

Answer Required

Yes

Parent / Guardian Signature (typed name acts as a digital signature of consent):*

Answer Required

Date of Signature*

Answer Required

INDEPENDENT STUDENT STATUS

The Education Act defines an independent student as someone who is 18 years of age or older or 16 years of age and living independently or who is party to an agreement under 57.2 of the Child Youth and Family Enhancement Act. Independent students may complete this form and register without parental consent.

Are you claiming 'Independent Student' status as defined in the Education Act?*

Answer Required

Yes

DECLARATION

I hereby declare that I have read and understand the information contained in this Student Registration Form and in the 'School Division User of Personal Information' section and that the information I have provided is correct.

If any information provided on this form changes, please contact your Student's school immediately.

Student First and Last Name*

Answer Required

Parent / Guardian Signature (typed name acts as a digital signature of consent):*

Answer Required

Date of Signature*

Answer Required

LIVING WATERS CATHOLIC SEPARATE SCHOOL DIVISION FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY PROVISIONS OF HEALTH SERVICES INFORMATION FORM

In accordance with section 5 (4) of the Student Record Regulation Living Waters Catholic Separate School Division will disclose specific student and parent/guardian information to the Regional Medical Officer of Health upon written request. This information will be used for the purposes of contacting parents regarding voluntary health programs. (immunization, dental health, vision and hearing screening) and for communicable disease control purposes.

You may wish to provide other health information to the school and Regional Health Authority for safety and health purposes.

The information, which will be kept in confidence by the School Division and Regional Health Authority, is required for the purposes of immunization, communicable disease control, and speech and dental services.

My Student has the following medical conditions (please check where applicable):

Answer Required

Rheumatic Fever

Epilepsy or Convulsion

Congenital Heart Conditions

Heart Murmur

Allergies (Please specify below)

Other (please specify below)

Please specify any allergies or other medical conditions your Student may have:

Answer Required

TECHNOLOGY ACCEPTABLE USE AGREEMENT - STUDENT

LIVING WATERS CATHOLIC SCHOOLS

Living Waters Catholic Schools recognizes the value of computer and other electronic resources to improve student learning and enhance the administration and operation of its schools. Living Waters also recognizes the importance of upholding all Catholic moral imperatives, especially with respect to people being treated with dignity and respect. To this end Living Waters Catholic Schools encourages the responsible use of computers; computer networks, including the Internet; and other electronic resources in support of the mission and goals of Living Waters Catholic Schools.

Because the Internet is an unregulated, worldwide vehicle for communication, information available to staff and students is impossible to control. Therefore, Living Waters Catholic Schools adopts this agreement governing the voluntary use of electronic resources and the Internet in order to provide guidance to individuals and groups obtaining access to these resources on jurisdiction-owned equipment.

Living Waters Catholic Schools Rights and Responsibilities

It is the policy of Living Waters Catholic Schools to maintain an environment that promotes ethical and responsible conduct in all online network activities by staff and students. It shall be a violation of this agreement for any employee, student, or other individual to engage in any activity that does not conform to the established purpose and general rules and policies of the network. Within this general agreement, Living Waters Catholic Schools recognizes its legal and ethical obligation to protect the well-being of students in its charge. To this end, Living Waters Catholic Schools retains the following rights and recognizes the following obligations:

1. To log network use and to monitor file server space utilization by users, and assume no responsibility or liability for files deleted due to violation of file server space allotments.

2. To remove a user account on the network – including an email account.

3. Living Waters maintains the right to monitor the use of its equipment, software, and user activity to ensure that network maintenance and performance monitoring maintains compliance with applicable laws and policies.

4. To monitor the use of online activities. This may include real-time monitoring of network activity and/or maintaining a log of Internet activity for later review.

5. To provide internal and external controls as appropriate and feasible. Such controls shall include the right to determine who will have access to jurisdiction-owned equipment and, specifically, to exclude those who do not abide by the Living Waters Catholic Schools’ acceptable use agreement or other policies governing the use of school facilities, equipment, and materials. Living Waters Catholic Schools reserves the right to restrict online destinations through software or other means.

6. To provide guidelines and make reasonable efforts to train staff and students in acceptable use and policies governing online communications

Staff Responsibilities

1. Staff members who supervise students, control electronic equipment, or otherwise have occasion to observe student use of said equipment online shall make reasonable efforts to monitor the use of this equipment to assure that it conforms to the mission and goals of the Living Waters Catholic Schools.

2. Staff should make reasonable efforts to become familiar with the Internet and its use so that effective monitoring, instruction, and assistance may be achieved.

User Responsibilities

1. Use of the electronic media provided by Living Waters Catholic Schools is a privilege that offers a wealth of information and resources for research and learning. Where it is available, this resource is offered to staff, students, and other patrons at no cost. In order to maintain the privilege, users agree to learn and comply with all of the provisions of this agreement.

2. It is understood that using personal or division assigned technology in Living Waters buildings or in the course of duties, results in diminished privacy rights.

Acceptable Use

1. All use of the Internet must be in support of educational and research objectives consistent with the mission and objectives of Living Waters Catholic Schools.

2. Proper codes of conduct in electronic communication must be used. In newsgroups, giving out personal information is inappropriate. When using e-mail, extreme caution must always be taken in revealing any information of a personal nature.

3. Network accounts are to be used only by the authorized owner of the account for the authorized purpose.

4. All communications and information accessible via the network should be assumed to be private property.

5. Subscriptions to mailing lists and bulletin boards must be reported to the system administrator. Prior approval for such subscriptions is required for students and staff.

6. Mailing list subscriptions will be monitored and maintained, and files will be deleted from the personal mail directories to avoid excessive use of file server hard-disk space.

7. Exhibit exemplary behavior on the network as a representative of your school and community. Be polite!

8. Living Waters Catholic Schools will make determinations on whether specific uses of the network are consistent with the acceptable use practice.

Unacceptable Use

1. Giving out personal information about another person, including home address and phone number, is strictly prohibited.

2. Any use of the network for commercial or for-profit purposes is prohibited.

3. Excessive use of the network for personal business shall be cause for disciplinary action.

4. Any use of the network for product advertisement or political lobbying is prohibited.

5. Users shall not intentionally seek information on, obtain copies of, or modify files, other data, or passwords belonging to other users, or misrepresent other users on the network.

6. No use of the network shall serve to disrupt the use of the network by others. Hardware and/or software shall not be destroyed, modified, or abused in any way.

7. Malicious use of the network to develop programs that harass other users or infiltrate a computer or computing system and/or damage the software components of a computer or computing system is prohibited.

8. Hate mail, chain letters, harassment, discriminatory remarks, and other antisocial behaviors are prohibited on the network.

9. The unauthorized installation of any software, including shareware and freeware, for use on jurisdiction owned computers is prohibited.

10. Use of the network to access or process pornographic material, inappropriate text files (as determined by the system administrator or building administrator), or files dangerous to the integrity of the local area network is prohibited.

11. Living Waters Catholic Schools’ network may not be used for downloading entertainment software or other files not related to the mission and objectives of Living Waters Catholic Schools for transfer to a user's home computer, personal computer, or other media. This prohibition pertains to freeware, shareware, copyrighted commercial and non-commercial software, and all other forms of software and files not directly related to the instructional and administrative purposes of Living Waters Catholic Schools.

12. Downloading, copying, otherwise duplicating, and/or distributing copyrighted materials without the specific written permission of the copyright owner is prohibited, except that duplication and/or distribution of materials for educational purposes is permitted when such duplication and/or distribution would fall within the Fair Use Copyright Law.

13. Use of the network for any unlawful purpose is prohibited.

14. Use of profanity, obscenity, racist terms, or other language that may be offensive to another user is prohibited.

15. Playing games is prohibited unless specifically authorized by a teacher for instructional purposes.

16. Establishing network or Internet connections to live communications, including voice and/or video (relay chat), is prohibited unless specifically authorized by the system administrator.

17. The use of personal or jurisdictional electronic devices to record audio, video, and/or photos of a staff member(s) or student(s) without their express permission is prohibited. Living Waters staff may access student(s) personal or division

18. issued digital devices if there is reasonable grounds to believe that there has been a breach of school rules or policies and that a search of the device would reveal evidence of that breach. This includes, but not limited to audio and video recordings, and photos taken on Living Waters property that violated the privacy of others or is related to bullying.

19. The use of any proxy avoidance software, web sites or hardware devices whose intent is to circumvent the division firewall and filter systems is prohibited.

20. Connecting to the wired networks with personal devices.

21. Peer-to-peer software use is prohibited on the jurisdictions wireless network.

22. Student owned devices are to be used only with the permission of the school staff and in accordance with the school’s conduct policy.

Definitions:

Network - to be defined as any method of electronic information access either through wired, wireless or cellular connection while either in a division building or utilizing division owned hardware.

File server space - to be defined as any data or file storage resource made available to students or staff. This includes site file servers and cloud resources obtained through the division.

Disclaimer

1. Living Waters Catholic Schools cannot be held accountable for the information that is retrieved via the network.

2. Living Waters Catholic Schools will not be responsible for any damages you may suffer, including loss of data resulting from delays, non-deliveries, or service interruptions caused by our own negligence or your errors or omissions. Use of any information obtained is at your own risk.

3. Living Waters Catholic Schools makes no warranties (expressed or implied) with respect to: the content of any advice or information received by a user, or any costs or charges incurred as a result of seeing or accepting any information; and any costs, liability, or damages caused by the way the user chooses to use his or her access to the network.

4. Living Waters Catholic Schools reserves the right to change its policies and rules at any time.

5. Living Waters Catholic Schools is not responsible for the loss, theft, or damage of any personal devices. Responsibility for personally owned devices remains with the owner of the device at all times.

User Agreement (to be signed by all adult users and student users above grade 5)

I have read, understand, and will abide by the above Acceptable Use Agreement when using computers and other electronic resources owned, leased, or operated by the Living Waters Catholic Schools, including accessing the jurisdictional network via personally owned devices. I understand school and district staff members may access my personal devices if there are reasonable grounds to believe there has been a breach of school rules, the Code of Conduct, or the Law and that a search of the device would reveal evidence of the breach. This may include, but is not limited to, audio and video recordings, photographs, etc. taken on school property that violate said policies. I further understand that any violation of the regulations above is unethical and may constitute a criminal offense. Should I commit any violation, my access privileges may be revoked, school disciplinary action may be taken, and/or appropriate legal action may be initiated.

Signature of Parent / Guardian / Student (typed name acts as a digital signature of consent): *

Answer Required

Date of Signature*

Answer Required

Parent Agreement (to be signed by parents of all student users under the age of eighteen)

As a parent or guardian of my student, I have read the Acceptable Use Agreement. I understand that this access is designed for educational purposes. Living Waters Catholic Schools has taken reasonable steps to control access to the Internet, but cannot guarantee that all controversial information will be inaccessible to student users. I agree that I will not hold Living Waters Catholic Schools responsible for materials acquired on the network. Further, I accept full responsibility for supervision if and when my child's use is not in a school setting. I hereby give permission for my child to use network resources, including the Internet that are available through Living Waters Catholic Schools.

Signature of Parent / Guardian (typed name acts as a digital signature of consent):*

Answer Required

Date of Signature:*

Answer Required

Confirmation Email

Confirmation Email *

Email Required

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