T.A. Blakelock H.S. Startup Forms
Dear Parent/Guardian,

You have been provided with electronic copies of startup forms that we typically send home by paper. Due to the current COVID-19 situation, we are requesting that you complete and consent to the forms by completing this form. One form per child.

There are multiple sections to this form. Prior to starting please ensure you have reviewed the following information so that you can complete the form. There is no ability to save progress and complete at a later date.
- Authorization for Use of Student Photos/Videos and other Personal Identifying Information
- Informed Consent: Outdoor Experiential Education Learning (Walking)
- Elementary/Secondary Physical Education and Intramurals Information Letter and Acknowledgement of Risk, Consent to Participate and Medical Information Form 2021-2022
- Student Verification Form

Personal information is collected on this form in compliance with the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. M56, and is collected under the authority of the Education Act, R.S.O. 1990, c. E.2. Personal information will be used for purposes related to the regular operational requirements of the educational and administrative functions of the Halton District School Board. For additional information about how the HDSB uses personal information please see the HDSB Statement of Personal Information Practices or, contact your school Principal.

Thank you for completing these forms.


Jonathan Shoss
T.A. Blakelock H.S.
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Email *
Parent/Guardian or Student Name if over 18 (lastname, firstname) *
Halton District School Board Student Number *
This information is found on the Student Verification Form. This is different from the Ontario Education Number (OEN).
Student Name (last name) - legal name *
Student Name (first name) - legal name *
This information is found on the Student Verification Form.
Student Grade *
Student Period 1 Class *
This information is found on the Student Verification Form.
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