K-9 Full-Time Registration 2021-22

[Message Currently Hidden] Please note that registration for the 2018-19 school year is closed. If you have any questions, please contact Dwayne Mills ( Dwayne.Mills@sd71.bc.ca )

K-9 Full-Time Registration 2021-2022

Have your identification documents handy:
Valid Residency Proof: BC Care Card, BC ID Card, BC Driver's License, or current utility bill
Student's Valid Canadian Citizenship Proof: Birth Certificate, Passport, or Permanent Resident Card
Confirm Program Selection
I confirm that I am registering as a full-time Navigate student*
- Yes
- No
Which program would you like to register for?*
- Online Only --- (Learning at Home)
- Compass --- Comox Valley
- Compass --- Nanaimo
- EXCEL --- Penticton
- North Shore Academy (only grades 8 & 9)
- NUKO --- Nanaimo
- Personal Best Academy --- Nanaimo
- Seven Summits --- Rossland
I confirm that I'm choosing a full-time distributed learning program, and that I am opting out of face-to-face contact days.*
- I understand
Student Information
Start Date*
- Immediate
- September 2021
Legal First Name*
Legal Middle Name*

Or 'None' if not applicable
Legal Last Name*
Usual Name
First Last
Date of Birth*
MM slash DD slash YYYY
Gender*
- Male
- Female
- Other
Are you of First Nations, Metis, Inuit Aboriginal ancestory?*
- None
- Status - On Reserve
- Status - Off Reserve
- Non Status
- Metis
- Inuit
Self-Identification
Self-identified means if a student (parent/guardian) identifies themselves as having Aboriginal ancestry then they qualify to receive service from Aborginal Education Services. No one is required to provide 'proof' of ancestry when they self declare (e.g. Status card.) Aboriginal ancestry can go back several generations and the student may not look Aboriginal.
Residency & Citizenship
You must be a resident of BC to register with Navigate-NIDES.

If you have any questions please contact us at 1-800-663-7925
Resident of British Columbia?*
- Yes
- No
IMPORTANT: If you are sending an image of your BC Driver's Licence and Services Card - please note that we only need an image of the FRONT of the card.
Proof of Residency Upload*
Max. file size: 6 MB.
Acceptable proof of Residency includes images of: BC Care Card, BC ID Card, BC Driver's License, or current utility bill.
Citizenship Status*
- Canadian Citizen
- Landed Immigrant
Proof of Student's Canadian Citizenship Upload*
Max. file size: 6 MB.
Acceptable proof of Canadian Citizenship: Birth Certificate, Passport, or Permanent Resident Card. We require proof of the student's citizenship - not parent's / guardian's citizenship information.
Student Information
Primary language spoken in the home*
Home Phone:*
Home Address:*
Street Address Address Line 2 City Province Postal Code
My mailing address is...
- the same as my home address
- different from my home address
Mailing Address*
Street Address Address Line 2 City Province Postal Code
Guardian / Parent #1 Information
Name of Parent / Guardian #1*
First Last
Relationship To Student*
Is this guardian/parent's home address the same as the student home address?*
- Yes, they live at the same address
- No, it's a different address
Primary Address*
Street Address City Province Postal Code
Phone - Home*
Phone - Work*
Phone - Cell*
Parent/Guardian #1 Email*
Would you like to add a second Parent/Guardian?*
- Yes
- No
Guardian / Parent #2 Information
Name of Parent / Guardian #2*
First Last
Relationship To Student*
Is this guardian/parent's home address the same as the student home address?*
- Yes, they live at the same address
- No, it's a different address
Primary Address*
Street Address City Province Postal Code
Phone - Home*
Phone - Work*
Phone - Cell*
Parent/Guardian #2 Email*
Living Arrangements
The student lives with ____________*
- Both Parents
- Mother
- Father
Legal Alert*
- Yes
- No
Court Order*
- Yes
- No
Other special considerations or comments:
Emergency Contact
Emergency Contact #1 Name:*
First Last
Emergency Contact #1 Phone Number:*
Emergency Contact #1 Relationship to Student:*
Would you like to add a second Emergency Contact?*
- Yes
- No
Emergency Contact #2
Emergency Contact #2 Name:*
First Last
Emergency Contact #2 Phone Number:*
Emergency Contact #2 Relationship to Student:*
Medical Information
Student's Care Card #*
Any allergies or health conditions?
(Enter 'none' if there are no allergies or health conditions)
Is it life threatening?*
- Yes
- No
Does your child require medication?*
- Yes
- No
Please indicate the medication and the procedure for administering it. For example - will someone at the school be required to assist with medication?*
Education
Has the student received learning assistance?*
- Yes
- No
Learning Assistance areas of focus
Has the student had an Individual Education Plan?*
- Yes
- No
- I don't know
When was Individual Education Plan done?
MM slash DD slash YYYY
Previous Education
Are you currently enrolled at navigate (NIDES)?*
- Yes
- No
Grade you are applying for:*
- K
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
K-9 Full Time
Grade you last completed:*
- None
- K
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
Name of last school*
Reasons for withdrawal:*

(Enter 'none' if student was not at another school)
Location of last school:*

(Enter 'none' if student was not at another school)
Navigate-Nides will become my home school (School of Record)*
- I understand
Permissions
We reserve the right to make changes to the following Permission Forms at any time. If we make any changes, we will update this website to include such changes. Such changes will be effective when posted.
Canadian Anti-Spam Legislation Consent

Canada’s anti-spam legislation came into force on July 01, 2014. As a result, School District No. 71 (Comox Valley) would like to ensure that we have your consent to send you newsletters, announcements and other electronic messages which may contain advertising or promotions including field trips, fundraising, yearbooks, student pictures, school activities, or similar events and offers that would be considered Commercial Electronic Messages under the legislation.

If you have any questions, please contact us at:

School District Information and Privacy Officer
Business Address:	607 Cumberland Road
	Courtenay, BC
	V9N 7G5
Telephone No.:	250-334-5500

You may withdraw your consent at any time by communicating directly with the school in writing. Failure to provide alternative consent, will mean you will not receive certain communications from the school or School Board Office that would be considered Commercial Electronic Messages.

Canadian Anti-Spam Legislation Consent*
- I have read the above text and consent to receiving newsletters, announcements and other electronic messages from Navigate-NIDES and Comox Valley Schools
- I do not consent
Google Apps for Education (GAFE) Permission
Link to the Google Apps for Education (GAFE) Permission Form
GAFE Consent:*
- I agree to the collection, use, disclosure and storage of my child’s personal information inside or outside of Canada while using the technology described above for the purposes of engaging in the class activities described above. I am aware of and understand the identifiable privacy risks as described above and will support the classroom teacher in minimizing the exposure of my child’s and other people’s personal information while my child is using the technology and review materials the teacher provides.
- I do NOT agree to the collection, use, disclosure and storage of my child’s personal information inside or outside of Canada while using the technology described above for the purposes of engaging in the class activities described above.
This consent is valid for the duration of the student’s enrollment at Navigate NIDES unless revoked by me in writing and delivered to the teacher.
Navigate-NIDES Code of Conduct
Link to the Code of Conduct
I have read the Code of Conduct and understand my child's responsibilities*
- I agree
Technology Rights and Responsibilities
Link to the Technology Rights and Responsibilities
I have read the Technology Rights and Responsibilities document and understand my child's responsibilities*
- I agree
School Emergency Program Guide
Link to the School Emergency Program Guide
I have read and understand the School Emergency Program Guide*
- I agree
Outside Media Consent
I have read the information contained in the Outside Media Consent and understand that outside media may on occasion be authorized by the school to be present at the school, at school events or at public events where students are present. I understand that the School does not control the images or material printed by external media, and that it is my responsibility to communicate with the school if I have a concern about the collection of my child's image or information by external media that are authorized by the school to be present on school property or at school events.
Outside Media Consent response:*
- Yes, I agree that my child's image may be published by outside media.
- No, I do not authorize outside media to have access to my child or any information or images of my child for publication. (I understand my child will not be in the graduation insert in the newspaper - if applicable.)
Personal Information Consent
I have read the information contained in the Personal Information Consent and understand that outside media may on occasion collect photographs, video or electronic images of students or their work for publication on the School's website or in other publications for the purposes of recognizing student or school achievement, promoting school activities or events, or informing the school community and members of the public about school programs and activities.
Personal Information Consent response:*
- Yes, I consent to the collection, use and disclosure of my child's image and work product for the purposes described above and in the Personal Information Consent.
- No, I do consent to the use of my child's image or work product as described above.
Media & Website Consent of Storage & Access of Information
Media & Website Consent of Storage & Access of Information link
I have read and understand the Media & Website Consent of Storage & Access of Information*
- I agree
Confirmations
The Applicant confirms that the information in this form is accurate and complete, that the Applicant(s) have the legal right to enroll the student in Navigate (NIDES); and that enrollment remains valid for seven months (extensions granted with Teacher permission.)*
- I agree
The Applicant agrees to meet formally with the assigned Navigate (NIDES) teacher (face-to-face or virtually) to develop and sign a Student Learning Plan document for each student candidate.*
- I agree
The Applicant confirms the legal guardian, student, and home facilitator’s commitments to working together with Navigate (NIDES) in completing the coursework agreed to by all parties during the normal academic calendar. Working together is defined by consistent and regular activity in the program of study, weekly submissions of student work according to the Student Learning Plan, and continuous communication with Navigate (NIDES) teachers on a weekly basis.*
- I agree
The applicant understands that if the student becomes inactive and does not meet the goals and outcomes established in the Student Learning Plan, that he/she may be referred to enroll in a school program elsewhere.*
- I agree
The Applicant hereby authorizes the release of all previous records to Navigate (NIDES), and authorizes Navigate (NIDES) to report to schools, school districts, or post-secondary institutions where records exist.*
- I agree
The Applicant agrees that he/she will submit official documents that confirm BC Residency (i.e. digital copy of Care Card, Drivers License, or recent utility bill), as well as proof of official citizenship status (i.e. digital copy of Birth Certificate, Permanent Resident Card, or Visas) upon registration.*
- I agree
The Applicant declares that the student and legal guardian are ordinarily resident in British Columbia, and if traveling outside of the province of BC, the Applicant will inform the registrar (registrar@sd71.bc.ca) in writing of their intended return date to British Columbia.*
- I agree
By completing this form and submitting it, it is assumed that the Applicant agrees to the above conditions of enrollment.*
- I agree
I consent to receive Aboriginal Student Support from Navigate.*
- I agree
Questions/Comments
Parent/Guardian's Signature:*
*IMPORTANT* - Email Confirmation of Submission*
- I am aware that I will receive an email confirmation within 15 minutes of submitting this form. If no confirmation arrives, then my registration was not received and I will need to resubmit. [Please check that it is not in your junk mail folder.]
Phone
This field is for validation purposes and should be left unchanged.

K-9 Full-Time Registration 2021-2022

Confirm Program Selection

Student Information

Residency & Citizenship

IMPORTANT: If you are sending an image of your BC Driver's Licence and Services Card - please note that we only need an image of the FRONT of the card.

Student Information

Guardian / Parent #1 Information

Guardian / Parent #2 Information

Living Arrangements

Emergency Contact

Emergency Contact #2

Medical Information

Education

Previous Education

Permissions

Canadian Anti-Spam Legislation Consent

Google Apps for Education (GAFE) Permission

Navigate-NIDES Code of Conduct

Technology Rights and Responsibilities

School Emergency Program Guide

Outside Media Consent

Personal Information Consent

Media & Website Consent of Storage & Access of Information

Confirmations