This information is required in order to register your child at this school and assist the school authority in
making an informed decision as to your child’s suitability and appropriate placement in the school. It will also
allow the school to respond immediately to an emergency. For more information, the privacy officer for
Highroad Academy is Mrs. Denise Kraubner who may be reached at 604-792-4680.
Highroad Academy acknowledges that there will be no disclosure of personal information to unauthorized
personnel or third parties who are not directly involved in school management or the care, supervision and
instruction of your child at this school, unless written authorization from a parent or legal guardian is
provided to the school. The school will securely store all digital and hard copy parent and student personal
information.
1.
I consent to having Highroad Academy collect personal information that may include student
identification information, birth certificate, legal guardianship, court order if applicable, parents’ work
numbers and e-mail address, behavioral, academic and health information, most recent report card,
emergency contact name and number, doctor’s name and number, health insurance number and any
similar information needed for registration.
I further consent to the use and disclosure of information contained in this form and otherwise collected
by or on behalf of Highroad Academy (1) for the purpose of establishing, maintaining, or terminating the
student’s and parent’s relationship with Highroad Academy, (2) for additional purposes identified when
or before personal information is collected, and (3) as otherwise provided in Highroad Academy’s
Personal Information Privacy Policy, a copy of which is available on request. I also consent to the
collection, use and disclosure of such personal information by and to agents, contractors, Highroad
Academy’s website and service providers of Highroad Academy.