ATTENTION: This is a legal document. Please read carefully the contents of
this consent form
and clarify any
concerns with the staff at
school organizing the event or the School Principal before completing each section.
It is important that this form is completed in its entirety, and electronically signed, in order for your child to
participate in this activity.
Waverley Memorial Elementary School is collecting the personal information requested in this form to: obtain lawful consent for your child to participate in the activity; coordinate the
activity; respond and report respecting
injury or medical condition that may arise during, or as a result of the activity; and update School records where necessary.
The information will only be accessed by authorized School staff and will be dealt with in accordance with the privacy requirements of the Nova Scotia Freedom of
Information and Protection of
The information will not be disclosed to any other person or agency unless it is for a purpose stated above, the disclosure is authorized or required by law, or you have given the School permission for the information to be
IN CONSIDERATION of Waverley Memorial Elementary School offering my child, an opportunity to participate in the activity described below on November 10th, I hereby give and
provide my consent, and acknowledge by my signature that my child may participate.
We will be walking to the Waverley Legion on November 10th between 10 and 11:00 am to lay wreaths and observe a moment of silence. Students will be supervised by staff members of WMES.
Please complete this form by Monday, November 6th.