The Linden School Registration Package 2023-2024

The Linden School Registration Package 2023-2024

Please fill out all applicable sections and return by Feb 11th, 2023
Student Information
Please click which one applies to you*

New StudentReturning Student
Grade in September 2023*
Student's Legal Name*

First NameMiddle NameLast Name
Student Home Address (skip to next section if no changes)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Lives With

Both ParentsBoth Parents, Shared TimeParent 1Parent 2Custodial
Parent 1 / Guardian 1
Name

PrefixFirst NameMiddle NameLast Name
Parent 1 / Guardian 1- Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email
example@example.com
Phone Number- Cell

Area CodePhone Number
Service Provider for phone number listed above*
Phone Number- Business

Area CodePhone Number
Please check which applies to you

Lives with studentRecipient of Report CardsResponsible for TuitionSchool CorrespondenceCustodialThis parent/guardian is permitted to pick up the student during the day or at dismissal
Parent 2 / Guardian 2
Name

PrefixFirst NameMiddle NameLast Name
Parent 2 /Guardian 2- Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email
example@example.com
Phone Number- Cell

Area CodePhone Number
Service Provider for phone number listed above*
Phone Number- Business

Area CodePhone Number
Please check which applies to you

Lives with studentRecipient of Report CardsResponsible for TuitionSchool CorrespondenceCustodialThis parent/guardian is permitted to pick up the student during the day or at dismissal
Parent 3 / Guardian 3/ Contact 3
Name

PrefixFirst NameMiddle NameLast Name
Parent 3 / Guardian 3 /Contact- Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email
example@example.com
Phone Number

Area CodePhone Number
Please check which applies to you

Lives with studentRecipient of Report CardsResponsible for TuitionSchool CorrespondenceCustodialThis parent/guardian is permitted to pick up the student during the day or at dismissal
The Community Directory is an important resource to enable parents to contact other parents of Linden students. The Community Directory will be accessible from the parent portal of our website which can be accessed by Linden families, but not by the general public.
OTHER FAMILY CONTACT INFORMATION

The contact information provided below for a student's chosen family member will allow us to add them to our The Linden Voice mailing list, contact them at Annual Giving time and directly invite them to school events.

FAMILY MEMBER INFORMATION

	NAME 1	NAME 2	NAME 3	NAME 4
NAME
PHONE NUMBER
EMAIL
RELATIONSHIP

The Linden School's Privacy Policy
Information provided by you is protected by The Linden School’s privacy policy practices as outlined on our website:

https://www.lindenschool.ca/privacy_policy_terms_of_use

By completing The Linden School’s registration and permission forms you authorize The Linden School to use this information for the purposes outlined in the above-mentioned link.

Please check the box that you have read and understood our privacy policy
Please check box:*

I accept and have read the privacy policy stated above

Emergency/Crisis Communication Procedures

In the event of an unexpected emergency, early school closure or crisis.
Cancellation Before School Begins

A school closure announcement will be sent by text to students and to parents/guardians by 6:45 am. The announcement will also be posted on our website’s homepage by 6:45 am, the school's telephone greeting by 7:15 am, and if the school is closed, After School Care and all extra-curricular activities scheduled for the day will be cancelled.

School Closure During The Day

If the school is already open, it will be kept open unless very unusual circumstances occur. In the event of an emergency school closure during the day:
- A school closure announcement will be posted on our website as soon as possible, prior to the early closure.
- Communication with parents/guardians will occur via telephone and email as indicated by you on the form provided on the reverse side.
- Direct contact with a parent/guardian is important before sending a child home. If no direct contact is made, the child/children will remain under the supervision of the principal and/or designated staff until contact is made.
- It is important that we have your accurate contact information at all times. The contact names and telephone numbers provided on student registration forms will be used. If this information changes, it is essential that you notify the school office as soon as possible.
I have read the above information and agree to share/update emergency contact information.*

I agree to the above statement
In an emergency, we contact the parents/guardians listed above first. In the event that parents/guardians are unavailable, please list additional emergency contacts below.
Emergency Contact 1

First NameLast Name
Phone Number

Area CodePhone Number
Service Provider for phone number listed above*
Service Provider (Fido, Bell)
Emergency Contact 2

First NameLast Name
Phone Number

Area CodePhone Number
Service Provider for phone number listed above*
Service Provider (Fido, Bell)
Please select from the following (new and returning families, please complete)*

Instruct the student to go directly home and telephone me when she arrivesRemain at the school until Emergency contact is contactedBe picked up my Emergency contactBe taken home by following senior studentSenior Student (Grades 9-12) - Permission not required
Emergency Information- Other
(Senior student, sister at the school, etc)

Medical Information

Please fill out all medical information below.
Doctor's name

PrefixFirst NameLast Name
OHIP NUMBER (all students)*
Please include the letters at the end
Current medications (list all)
Does the Registrant require assistance in taking their medication?
Immunization information

All children attending The Linden School between ages 4 to 17 need to be immunized according to Ontario’s Immunization Schedule. Under the Immunization of School Pupils Act, children need to have proof of immunization against diphtheria, tetanus, polio, measles, mumps, rubella, meningococcal disease, whooping cough, and – for children born in 2010 or later – chickenpox to attend school. Children who are not fully immunized may not be allowed to attend school.

The Linden School requires all students to provide immunization documentation or confirmation of exemption to the school. The principal can defer entry to the classroom/school if this is not submitted.
Date of last tetatnus shot*

MonthDayYear
Date
Allergies (list all)
Does the registrant carry an epi-pen?*

YesNoOther
Other pertinent medical information
The Linden School is a NUT-FREE environment!

Knowing that there are students who have severe food allergies, sometimes severe, we request NO nuts or nut products be included in student lunches or snacks.
- It is the responsibility of each family to inform the school on this medical information form about allergies.
- This information will be communicated to the students teachers and will a accompany them on any field trips.
- We ask that students are made aware of ingredients which may be harmful to them.
- We request your help in ensuring that The Linden School remains a scent-free enviornment
Please select the following:*

I agree to the above mentioned NUT FREE Policy
In the event of an emergency, the school is authorized to request emergency treatment.

I hereby consent to the disclosure of health information, which will enable the school personnel to meet my child's needs.
Date*

MonthDayYear
Date
Signature of Parent/Guardian*

Clear

In-Class/Short Excursion Field Trip Permission
1. To participate in extracurricular activities and field trips provided such extracurricular activities and field trips are supervised by an adult.

2. To travel to and from such extracurricular activities and field trips by any of chartered bus, taxi, TTC or private car driven by a staff member or parent.

I agree to release and discharge The Linden School, members of it's staff and its agents, from any liability or loss, damage or injury in connection with and consent to any medical treatement by a qualified practioner that may be necessaray should an emergency arrive.
Please select which boxes apply to you*

I give permission for my daughter to participate in the above mentioned In-Class/Short Excursion Field Trips, and agree to the above terms.I do not give permission for my daughter to participate in the above mentioned
Student Media Release Consent Form

Please provide your consent for us to include your daughter in our publications by completing the form below.
We celebrate and promote our school community and student achievements by sharing photos, videos, audio recordings, and written articles that include our students in school publications, advertisements, and communications.

We would like to have your consent for us to include your daughter in our publications by completing the form on the next page. You have the choice of allowing us to publish your daughter’s photo or school work with or without her name. Your daughter’s name will not be used for advertising purposes, including school brochures and signage.

If you decide against giving your consent please understand that this means if your daughter is in a photo with other students, we will not be able to include that photo in the school newsletter or the website.
Part 1- School Activities and Events

I agree and give permission for my daughter's image, student work and performance to be photographed, filmed, audio-taped or videotaped for the purpose of being displayed on school premises, published and/or posted on Linden's website, newsletter and digital media channels, and used for advertising as determined by THE LINDEN SCHOOL.
Please mark boxes that apply to you*

Please mark this box if you AGREE that your daughter may participate in recorded school activities and events described above.With her first nameWithout her namePlease mark this box if you DO NOT WISH your daughter to participate in recorded school activities and events.
Part 2 - Media Coverage

I also understand that external media organizations may attend school events. I give permission for my daughter's name, image, student work and performance to be photographed, filmed, audio-taped or videotaped for the purpose of being published and/or broadcast online, on television or radio.
Please mark boxes that apply to you*

I give permission for my daughter to participate in media events, that may be published or broadcast by organizations external to The Linden School.I DO NOT give permission for my daughter to participate in media events, publishing, or broadcasting.
I have read this Student Media Release Consent Form and I fully understand the contents and meaning of this release.
Date

MonthDayYear
Date
Signature of Custodial Parent/Guardian

Clear

Disclosure Requirement

Providing a quality education with attention to each student’s particular learning needs is important to The Linden School. While we do provide accommodations for students with special learning needs, there are some we cannot manage. To avoid admitting students with needs we cannot meet, we require full disclosure of student learning or behavioural challenges in the admissions process. With the signature below, I/we confirm that we have shared any documentation or information available regarding student learning, behaviour, medical conditions, or anything else pertinent to their ongoing needs as a student.
Fee Agreement
With the completion of this registration form, I/we agree to pay all school fees, interest and other disbursements incurred by the Registrant or on the Registrant’s behalf in accordance with the Fee Schedule in effect at this time (included), and comply with and ensure that the Registrant complies with all rules and regulations of The Linden School as outlined in the Family Handbook.
Date

MonthDayYear
Date
Signature of Custodial Parent/Guardian

Clear
Office Use Only

Re-registration fee paid on or prior to Feb. 11, 2023
Should be Empty:

The Linden School Registration Package 2023-2024

Student Information

Parent 1 / Guardian 1

Parent 2 / Guardian 2

Parent 3 / Guardian 3/ Contact 3

OTHER FAMILY CONTACT INFORMATION

The Linden School's Privacy Policy

Emergency/Crisis Communication Procedures

Medical Information

In-Class/Short Excursion Field Trip Permission

Student Media Release Consent Form

Part 1- School Activities and Events

Part 2 - Media Coverage

VOLUNTEERING AT LINDEN

Disclosure Requirement

Fee Agreement