Personal Information & Protection Consent

Personal Information Protection Act – Consent Form 2021-22

  • I consent to having Island Pacific School collect personal information that may include student identification information, birth certificate, legal guardianship, court orders if applicable, parents’ telephone numbers and email addresses, behavioural, academic and health information, most recent report card, emergency contact names and telephone numbers, doctor’s name and telephone number, health insurance number and any similar information needed for registration. I also consent to the collection, use and disclosure of such personal information by and to agents, contractors and service providers of Island Pacific School.

    I further consent to the use and disclosure of information contained in this form and otherwise collected by or on behalf of Island Pacific School

    1. (1) for the purpose of establishing, maintaining, and terminating the student’s or parent’s relationship with Island Pacific School,
    2. (2) for additional purposes identified when or before personal information is collected, and
    3. (3) as otherwise provided in Island Pacific School’s Personal Information Privacy Policy for Parents and Students, a copy of which is available on request.
  • IPS takes photos throughout the year and uses these to create the IPS annual yearbook, highlight student work, achievements and school programs in our newsletters, on our website and on school social media platforms. In addition we will sometimes use IPS photos for print materials and advertising. We also post videos, such as Masterworks, on the school's Youtube channel. In addition, we may at times create and use videos for marketing purposes that will be posted on the school's website.

  • The school will prepare a family contact list for the use of Island Pacific School families and staff. This contact list will include phone number(s), address and email address(es).

  • This form should be signed by both parents/guardians. However, in some cases, and where legally authorized, one parent/guardian may sign this form on behalf of both parents.

    Please select below where applicable.

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