Please read the information below and indicate which option you deem appropriate for your child.
This form will take effect for the remainder of the current 2021/2022 school year.

The Halton District School Board (HDSB) is asking parents/guardians for written authorization regarding
the use of student work, photographs, videos, and other personal identifying information that may be
shared publicly.  

During the school year, it is the practice of the HDSB to publicize many of the positive activities that occur
in schools. Your child may be involved in a school activity where photographs or video may be taken for
system informational purposes, such as event or school promotion, school or Board website content,
social media posts, media coverage, or for future use in teacher workshops.  

Photos/videos, and other personal identifying information will not be used in any commercial fashion or
without the permission of the school/HDSB. Should parent/guardian circumstances change during the
school year, or should parents/guardians wish to revoke their consent, a written statement revoking
consent must be provided to the school.

Note: It is the practice of the HDSB to use first names only when identifying elementary students
in photographs/videos on school or Board websites and social media platforms.

There are 3 options when indicating consent:

OPTION 1 - YES - by indicating "Yes" I give consent to the following examples:

- My child's work/photos/videos may be displayed on bulletin boards, multimedia work, school newsletters, yearbooks
- School PA announcements may share my child's birthday or their participation in school events
- Photos/videos of my child may be taken in classroom/school-wide activities (e.g., school plays, concerts, special events, School trips, assemblies, graduation)
- My child’s name may be posted on lists inside the school about class, clubs or team organizations
- Photos/videos of my child may be shared on school/HDSB websites
- Photos/videos of my child may be shared on school/HDSB social media platforms (e.g., Twitter, Facebook, YouTube, Instagram, etc.)

OPTION 2 - YES - but no posting on website or social media.  By indicating "Yes" above, I agree to the following examples:

- My child's work/photos/videos may be displayed on bulletin boards, multimedia work, school newsletters, yearbooks
- School PA announcements may share my child's birthday or their participation in school events
- Photos/videos of my child may be taken in classroom/school-wide activities (e.g., school plays, concerts, special events, School trips, assemblies, graduation)
- My child’s name may be posted on lists inside the school about class, clubs or team organizations
- DO NOT use photos/videos of my child on school/HDSB websites
- DO NOT use photos/videos of my child on school/HDSB social media platforms (e.g., Twitter, Facebook, YouTube, Instagram, etc.)

OPTION 3 - No - by indicating "No" I agree to the following examples:

- DO NOT Display my child's work/photos/videos on bulletin boards, multimedia work, school newsletters, yearbooks
- DO NOT share my child's birthday or their participation in school events on PA announcements
- DO NOT take photos/videos of my child in classroom/school-wide activities (e.g., school plays, concerts, special events, School trips, assemblies, graduation)
- DO NOT Post lists with my child’s name inside the school about class, clubs or team organizations
- DO NOT use photos/videos of my child on school/HDSB websites
- DO NOT use photos/videos of my child on school/HDSB social media platforms (e.g., Twitter, Facebook, YouTube, Instagram, etc.)

This form must be completed by a parent or guardian for each participating student.

The expectations in the Ontario Curriculum (K-12) can be met in a variety of settings, including the
outdoors. Students will participate in learning opportunities during the course of the year in the local
community, parks and trails. The Principal will approve these activities and teacher supervision will be
provided at all times. No motorized vehicles will be used for transportation.

When staff take students for outdoor experiential learning opportunities, the school office is always
informed when the class leaves and returns to school property.

Any out-of-school experience may involve hazards and certain elements of risk beyond those of normal
school routines. Please reinforce the counselling given at the school about the need for additional care
and cooperation. The risk of sustaining injuries results from the nature of the activity and can occur
without any fault of the participant, the school board, its employees/agents, or the facility/location where
the activity is taking place. By choosing to take part in these activities, you are accepting the risk that your
child may be injured, and you understand that you bear the responsibility for any injury that may occur.
The chance of an injury occurring can be reduced by carefully following instructions at all times while
engaged in the activity.

NOTE: The Halton District School Board does not provide accident insurance coverage for student injuries. The Board makes available the insuremykids® Protection Plan through Reliable Life. For more information visit: www.insuremykids.com. According to Provincial legislation, passengers who are injured would recover Accident Benefits coverage from their own or a parent/guardian's automobile policy. In the absence of a personal or family automobile policy, the passenger would then be eligible to recover benefits from the insurance policy covering the vehicle in which they were riding.

Please review EITHER the Elementary Physical Education and Intramurals Information form OR the Secondary  Physical Education and Intramurals Information form.

Parents/Guardians are requested to complete the following Acknowledgement of Elements of Risk Notice, Consent to Participate and Medical Information Form as presented below.

Personal information on this form is collected under the authority of the Education Act, R.S.O. 1990, c. E.2
and will be used only for purposes related to the HDSB policy on Risk Management. Questions with
respect to this collection should be directed to your school principal or to privacy@hdsb.ca.

*Note: An annual medical examination is recommended. If a medical condition requires further explanation please contact the teacher/supervisor.