SECTION 1 : STUDENT INFORMATION

School Bell Times

SECTION 2 - TRANSPORTATION INFORMATION

SECTION 3 - MEDICAL AND SPECIAL NEEDS INFORMATION

Submitted by

I have reviewed a copy of the transportation brochure and am aware of my responsibilities.

Last Name

First Name

Email

In case of emergency, permission is hereby given to the Toronto Catholic District and Toronto District School Board to release the above information to a medical practitioner. The pupil is to be taken to the nearest hospital for examination and, if necessary, x-rays. In addition, this information will be shared with the transportation carrier. Personal information contained on this form or general information collected on behalf of the Toronto Catholic District School Board and Toronto District School Board regarding the student is collected under the authority of the Education Act and in compliance with sections 14, 31 and 32 of the Municipal Freedom of Information and Protection of Privacy Act and will be used for education, transportation and health and safety purposes.