Shelter Bay Public School looks forward to welcomingour future kindergarten students (Born in 2012)

Registration Appointments

Every Weekday Morning in January from 9:00-12:00 pmFebruary. 1st, 2nd, 3rd and 4th 9:00 am-3:00 pm and

from 4:30 pm to 7:30 pm on February 4th.To book an appointment for registration, please call 905-826-5516We welcome families from our school neighbourhood (see map on website)

Please bring to registration:

1.2.

Completed Registration Package the forms in this packageProof of child's age birth certificate, passport, citizenship card, permanentresident card, record of landing, or refugee permitProof of address a copy of an offer to purchase or formal lease agreement or a3.bank statement or utility bill with your name and addressProof of custody children must live with their parent(s) unless provided4.documentation supports an alternate living arrangementProof of immunization proof that your child has been immunized, according to the5.recommended immunization schedule in Ontario, to protect against the following:diphtheria, mumps, polio, red measles, rubella (German measles), tetanus. Forinformation about immunization, please call Peel Public Health at 905-799-7700. It'simportant to know that the required immunization information forms must becompleted before your child will be allowed to attend class.Special Needs: We include and welcome children with special needs. Families of6.Special Needs Children please see the information package for special needsregistration and complete the form.

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kindergarten Pagpaparehistro

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PEEL DISTRICT SCHOOL BO ARD STUD ENT REGISTR ATI ON FORMS H AD E D AR E AS F O R S CH O O L US E O NL Y

S T U D E N T I N F O R M A T I O N

R E S I D E N T I A L A D D R E S S

M A I L I N G A D D R E S S

G E N E R A L S T U D E N T I N F O R M A T I O N ( M u s t b e c o m p l e t e d i n f u l l )

st

Canada (yyyy-mm-dd)If Canada

H E A L T H F A C T O R S ( M u s t b e c o m p l e t e d i n f u l l )

AT SCHOOL?

S I B L I N G I N F O R M A T I O N ( M u s t b e c o m p l e t e d i n f u l l )

P A R E N T A L I N F O R M A T I O N ( M u s t b e c o m p l e t e d i n f u l l )

YES NO

YES NO

YES NO

CONTINUE OVER

CUSTODY

BOTH PARENTS FATHER ONLY SELF (16 & OVER) with letter MOTHER ONLY LEGAL GUARDIAN(S) CHILDRENS AID SOCIETY

LIVING WITH

BOTH PARENTS FATHER ONLY SELF (16 & OVER) with letter MOTHER ONLY LEGAL GUARDIAN(S) FOSTER PARENT(S)

MOTHER FATHER

Title Mr. Mrs. Miss Dr. Rev.

Last Name First Name Parent Speaks English

Home Phone Number

( )Cellular/Pager Number

( )Business Phone Number (including Ext.)

( )E-mail Address

MOTHER FATHER

Title Mr. Mrs. Miss Dr. Rev.

Last Name First Name Parent Speaks English

Home Phone Number

( )Cellular/Pager Number

( )Business Phone Number (including Ext.)

( )E-mail Address

Address if Different from Student (include Street Number, Name, City and Postal Code)

RelationshipTitle Mr. Mrs. Miss Dr. Rev.

Last Name First Name Parent Speaks English

Home Phone Number

( )Cellular/Pager Number

( )Business Phone Number (including Ext.)

( )E-mail Address

Address if Different from Student (include Street Number, Name, City and Postal Code)

LAST NAME FIRST NAME RELATIONSHIP TO STUDENT DATE OF BIRTH SCHOOL & GRADE

BROTHER SISTER BROTHER SISTER BROTHER SISTER BROTHER SISTER

HEALTH FACTORS

ASTHMA - Life Threatening YES NO ALLERGIES Life Threatening YES NO SEIZURES- Life Threatening YES NO OTHER Life Threatening YES NO DIABETES- Life Threatening YES NO Life Threatening YES NO

MEDICATION REQUIRED

YES NO

PREVIOUS SCHOOL DISTRICT PREVIOUS SCHOOL NAME PREVIOUS SCHOOL ADDRESS

PROOF OF AGE & NAME (copy for OSR)

CDN. BIRTH CERTIFICATE/ CDN. CITIZENSHIP CARDREGISTRATION CARD

CDN. PASSPORT IMMIGRATION DOC.

FOR FUNDING PURPOSES ONLYCountry of Birth Province/Territory 1 Entry Date into

WAS ENGLISH FIRST LANGUAGE STUDENT

LEARNED AT HOME? YES NO LANGUAGES STUDENT SPEAKS AT HOMEVOLUNTARY AND CONFIDENTIAL SELF IDENTIFICATION FIRST NATION MTIS INUIT

COMPLETE THIS SECTION IFSTUDENT LOCATION ISDIFFERENT FROM PROPERTYADDRESS.

APT. NO. STREET NUMBER STREET NAME/LINE OR SIDE ROAD

P.O. BOX TOWN/CITY POSTAL CODE

HOME PHONE NUMBER

( )UNLISTED

YESAPT. NO. STREET/EMERGENCY NUMBER STREET NAME/LINE OR SIDE ROAD

P.O. BOX TOWN/CITY PROVINCE POSTAL CODEMAILING ADDRESSSAME AS PROPERTYADDRESS

LEGAL LAST NAME LEGAL FIRST NAME MIDDLE NAME GENDER

MALE FEMALEUSUAL LAST NAME PREFERRED FIRST NAME BIRTH DATE (yyyy-mm-dd)

STUDENT NUMBER (If Transfer) ONTARIO EDUCATION NUMBER (OEN) GRADE/HOME FORM ADMISSION DATE (yyyy-mm-dd) GR 9 ENTRY DATE (yyyy-mm-dd)

E M E R G E N C Y C O N T A C T S I F P A R E N T ( S ) / G U A R D I A N ( S ) U N A V A I L A B L E I N O R D E R O F A V A I L A B I L I T Y ( # 1 E A S I E S T T O C O N T A C T )

IF THE CHILD IS NOT A PEEL DISTRICT SCHOOL BOARD STUDENT, I/WE AGREE THAT THE PEEL DISTRICT SCHOOL BOARD MAY CONTACT MYCHILD'S FORMER SCHOOL TO COLLECT INFORMATION FOR PURPOSES CONSISTENT WITH THE BOARD'S LEGISLATED RESPONSIBILITIES ANDAUTHORITY. YES NO If no, reason.

IS THE STUDENT CURRENTLY SERVING A SUSPENSION OR EXPULSION? YES NO If yes, reason.REGISTRATION IS CONDITIONAL UPON RECEIPT OF O.S.R./SCHOOL RECORDS FROM SENDING SCHOOL TO CONFIRM APPROPRIATENESS OFADMISSION.

PARENT/GUARDIAN OR STUDENT (18 OR OLDER) DATE

S E C O N D AR Y S C H O O L S O N L YENTER COURSE SELECTIONS IN THE SPACE PROVIDED

COU

2013 06 24Municipal Freedom of Information and Protection of Privacy Act: Personal information on this form is collected under the legal authority of the Education Act, R.S.O. 1990, c.E-2, as amended. This information willbe used for the Ontario Student Record and for administrative purposes. Questions regarding this collection should be directed to the Principal or Freedom of Information Co-ordinator, Peel District School Board,5650 Hurontario Street, Mississauga, Ontario, L5R 1C6. Tel: 905-890-1010, ext. 2019.

Counsellor Number of Credits Already Obtained

GRADE NINEENTRY DATE LITERACY DIPLOMA REQUIREMENT COMPLETED YES NO

(Verified on OST)ONTARIO STUDENT TRANSCRIPT

ATTACHED YES NOYEAR MONTH DAY40 HOURS COMMUNITY INVOLVEMENT COMPLETED YES NO(Verified on OST)

FIRSCOU

T CHOICE COURSESRSE CODE SUBJECT GRADE

ALTECOU

RNATE COURSESRSE CODE SUBJECT GRADE

IF THE STUDENT QUALIFIES TO BE TRANSPORTED FROM ALOCATION OTHER THAN THE HOME ADDRESS (e.g.BABYSITTER, DAY CARE CENTRE) COMPLETE ALTERNATETRANSPORTATION. FOR RURAL LOCATIONS SHOWMUNICIPAL/ EMERGENCY NUMBER IN STREET NUMBER ANDDESIGNATE THE TOWNSHIP NAME.

CONTACT NAME PHONE NUMBER

( )STREET ADDRESS (including Apt/Unit Number) TOWN/CITY

TITLE(CIRCLE ONE)

MR/MRS/MS./MISS/DR./REV.

1. LAST NAME TITLE(CIRCLE ONE)

MR/MRS/MS./MISS/DR./REV.

2. LAST NAME TITLE(CIRCLE ONE)

MR/MRS/MS./MISS/DR./REV.

3. LAST NAME

FIRST NAME FIRST NAME FIRST NAME

RELATIONSHIP TO STUDENT: RELATIONSHIP TO STUDENT: RELATIONSHIP TO STUDENT

HOME PHONE NUMBER

( )CELLULAR / PAGER NUMBER

( )HOME PHONE NUMBER

( )CELLULAR / PAGER NUMBER

( )HOME PHONE NUMBER

( )CELLULAR / PAGER NUMBER

( )BUS. PHONE NUMBER & EXTENSION

( )

SPEAKSENGLISH

YES NO

BUS. PHONE NUMBER & EXTENSION

( )

SPEAKSENGLISH

YES NO

BUS. PHONE NUMBER & EXTENSION

( )

SPEAKSENGLISH

YES NO

ADDITIONAL FAMILY INFORMATION OF WHICH SCHOOL SHOULD BE AWARE:

PLEASE ADVISE IF ALTERNATE COMMUNICATION (e.g. LARGE PRINT, BRAILLE, SIGN LANGUAGE) REQUIRED

MULTICULTURAL, SETTLEMENT AND EDUCATIONPARTNERSHIP (MSEP) CONSENT FORM

Are You New to Peel?

Welcome to your new school! The Peel District School Board in partnership with Citizenship andImmigration Canada (CIC) offers settlement information and support in the school for newcomerfamilies through MSEP, part of the Settlement Workers in Schools (SWIS) program. MSEPsettlement workers assist parents to become familiar with the Canadian way of life, and work withschools to identify the needs of newcomer students and families.

Get information and support on: learning English finding a job housing schools and education

Date:

health care law immigration other issues

School:

Name of Student: Date of Birth:Please print day/month/year

Name of Parent/Guardian: (if student is under 16)_

Permanent Residence Card, FOSS Client ID/GCMS, Temporary Resident, Ministers Permit,IMM5292, IMM5509, IMM1000 Number:

Telephone Number: Best time to contact:

Email Address:

Languages Spoken at Home:

I give permission for a Settlement Worker to contact me and provide me service.

I do not give permission for a Settlement Worker to contact me.

Signature of Parent/Guardian: (or student if 16 years and older)

Municipal Freedom of Information and Protection of Privacy Act: personal information on this form is collected under the legal authority of theEducation Act, R.S.O. 1990, c.E-2. This information will be used for the purposes of: facilitating the Peel District School Board arrangementwith Citizenship and Immigration Canada, Brampton Multicultural Community Centre, Dixie Bloor Neighbourhood Centre, Newcomer Centre ofPeel, Malton Neighbourhood Services and Polycultural Immigrant and Community Services within the context of the MSEP program, to providenewcomer parents and secondary school students accessing publicly funded education with settlement information and referral to communi tyresources. Questions regarding this collection and use of personal information should be directed to: Communications and Stra tegic PartnershipsSupport Services, Peel District School Board, HJA Brown Education Centre, 5650 Hurontario Street, Mississauga, Ontario, L5R 1C6. Tel: 905890 1010, Fax 905 890 1112, www.peelschools.org.

If your school does not have a settlement worker, please send this form viacourier to the Communications and Community Relations Support Services

Department at the CBO, or fax this consent form to 905-890-1112Questions? Please call 905-890-1010 ext. 3527

PARENT CONSENT FORMSCHOOL ELECTRONIC COMMUNICATION

Dear Families:

Canadas anti-spam law, which came into effect on July 1, 2014, requires the Peel District School Board and its schools to haveconsent from families to send any electronic communication that contains commercial information.

While the majority of electronic (email) communication to families is about school and/or Peel board initiatives and activities, wemay also include commercial information, such as details about fundraisers, field trips, the sale of yearbooks, student pictures,book sales, event tickets, special offers for Peel students and families, or similar events and offers.

In order to be compliant with the anti-spam law, we must receive your consent (in writing) to send electronic communicationfrom our school to you.

If you wish to receive information, including school newsletters, from your childs school via email or other electroniccommunication, please provide your consent by filling out and submitting the online form available athttp://subscribe.peelschools.org

You may also choose to provide your consent by filling in the information required below and returning this form to yourchild's school. If you do not provide your consent, you will not receive any electronic (email) communication from your childsschool.

You may withdraw your consent and unsubscribe from school communications at any time by clicking the unsubscribe link in anyfuture email or by contacting your childs school. If you have any questions or concerns, please call your childs school.

**Please note this consent request is separate from the school websites subscription service. Even if you have already providedconsent to receive emails from your childs school website, you must still complete and submit this form in order to receiveinformation updates from the school via other electronic means.

CONSENT TO RECEIVE ELECTRONIC COMMUNICATION

I hereby consent to receive electronic communication from my childs school at the email address I have provided below. Iunderstand this consent will be effective for the duration of my childs education with the Peel District School Board. Iunderstand this information may be shared with the School Council (co-)chair(s) for the purposes of sending School Councilinformation to me via email.

Date: Parent/guardian name(s):

I am/We are the parent(s)/guardian(s) of

(include student(s) full name(s), grade(s) and pupil number(s))

Email address(es):

Parent/Guardian signature(s):

Please note: If you do not provide your express consent, you will not receive any electronic communication from your childsschool.

This form is for Peel families who have not provided their consent (in writing) to receive electronic communication from theirchild(ren)s school. If you have already provided your consent, you do not have to do so again as your consent is effective for theduration of your childs education with the Peel District School Board. If you are unsure if you have provided consent, pleasecontact your childs school.

SHELTER BAY PUBLIC SCHOOL

CLASS ASSIGNMENT FORM

Each year following the registration of the students for the new September Kindergarten classes,the principal has the responsibility to create and staff the number of class warranted by theenrollment and then, in consultation with staff, to assign the new students to their classes.

There are many factors taken into consideration in determining when the classes will bescheduled and the particular class to which each child will be assigned.

The purpose of this memo is:

To request that you record any factors which you wish to have considered when the classassignment for your child is made.

To make each parent/guardian aware that, although we will make every effort to consideryou preferences, there may be circumstances that make it impossible to have your wishesaccommodated fully.

Name of Child Date of Registration( Please Print)

OFFICE USE ONLY

BUSSING YES NO DATE OF BIRTH JK SK

EXTENDED PROGRAM

Interested Not InterestedESL

Male Female

Pre K ExperienceNone SomeTransitionSpeech

Health ConcernsAllegeries(life threatening)Asthma

Kindergarten QuestionnaireHelp us get to know your child

This information will be used by your child's teacher, and school and board staffto better meet the needs of your child.

1. Date

2. Child's name Male Female_

3. Date of birth (day) (month) (year)

4. Parents/guardians Home Phone Work Phone

5. Brothers or sistersNames Age School

6. Daytime caregiver Home Babysitter Daycare

Phone NumberName

7. The following individuals may pick my child up from school:

Name Relationship

8. Special medical information (allergies, asthma, hearing, medications)

Page 1 of 3

9. Languages your child understands well

10. Languages your child speaks well

11. Does your child have a hoarse voice? Yes No

12. Has your child's vision been tested? Yes NoWhere When

Results

13. Has your child's hearing been tested? Yes NoWhere When

Results

14. Has your child had an ear infection? Yes NoMore than 5 # of sets of tubes Age(s) when tubes inserted

15. Does someone read out loud to your child?How often? Daily Weekly Rarely

Yes NoLanguage used _

16. Can your child rhyme (e.g. "SandyDandy")? Yes No

17. Is your child interested in letters (e.g. singing the alphabet song, magnetic letters, reading signs)? Yes No

18. Is there any history of speech/language or reading/writing problems in your family? Yes NoPlease explain

19. Pre-Kindergarten experience Yes No

Page 2 of 3

Organization/Facility Starting age Length ofparticipation

Daycare

Nursery School

Peel Hub or ReadinessCentre

Recreational experiences

Support service (e.g.occupational therapy,speech therapy)

Other

20. Please share any additional information that you believe would help us get to know your child.

Page 3 of 3

Kindergarten Communication QuestionnaireThis information will be used by Peel District School Board staff to better meet the needs of your child.

Please answer the following questions based on the language that you and your child speak at HOME:

1. What age did your child begin to talk using single words? (e.g., "no," "more")

2. Did your child combine words by two years of age and use simple sentencesby three years of age? Yes No

3. Does your child speak in complete sentences using age-appropriate grammar? Yes No

4. Does your child stutter, stammer or struggle to get words out when talking?(e.g., repeats words many times; stretches or repeats the first sound in a wordsuch as mmmmmmme or c-c-c-c-cat) Yes No

5. Can your child talk about things they or others have done in the right order? Yes No

6. Can your child follow 2-3 simple directions given at once?(e.g., "Put your blocks away, turn off the TV and get your coat.") Yes No

7. Can your child ask and/or answer questions correctly? Yes No

8. Does your child pronounce words clearly in his/her HOME language similarto others his/her age? Yes No

9. Do people outside the family understand most of what your child says? Yes No

12. Does your child engage in step-by-step pretend play?(e.g., pretending to be a teacher, pretending to give a doll a bath) Yes No

10. Has your child ever received speech/language support?(e.g., Erinoakkids, private speech and language services, etc.)

If yes, is there a report you can share with the school?

Yes

Yes

No

No

No11. Do you have any concerns about your child's speech and language development?If yes, please describe

Yes

SLP see reverse Kindergarten Registration Questionnaire (Revised October 2015) Page 1

Childs Name:

Childs Date of Birth: (yyyy/mm/dd)

Parent Name:

Parent Phone Number:

Languages Spoken in the Home:

Please share any additional information that would help us get to know your child.

SCHOOL USE ONLY

Reviewed by School SLP

SLP see reverse Kindergarten Registration Questionnaire (Revised October 2015) Page 2

SLP Follow-up:

Called parent to discuss information

Referred parent to community resources (e.g., Ontario Early Years Centre, Child and Family ResourceCentre, etc.)

Referred parent to ErinoakKids

Suggested hearing evaluation

Suggested medical follow-up

Provided resources to parents

Other

Any other additional information:

Information that Helps us Know Your Child Better

How does your child feel about coming to school?

What activities do you do with your child?

What responsibilities does your child have at home?

How does your child react in new situations?

What have you found to be effective when your child is upset?

Please share with us any special customs, foods, days of celebration.

Is there any other information you would like to share with us? (e.g. behaviour,special interests, talents)

Do you have any special concerns or questions you would like to discusspersonally with the teacher before the September start of school?

Yes (please explain below)

NoWe are looking forward to meeting with you on

Welcome to Kindergarten Night!

You are invited to attend our

Welcome to Kindergartenevent on Thursday, May

26, 2016 from6:30-7:30

in the Shelter Bay gymnasium

This event is an orientation for your Kindergarten child and you.

Please R.S.V.P. via email to shelterbay.ps@peelsb.com

School personnel and community partners will share fun activities

that you can do at home with your child.

You will receive a Welcome to Kindergarten bag with magnetic letters and numbers,books, crayons, scissors, paper, glue, playdough and more!

Siblings are also welcome to attend with their parents.

Extended-day program for kindergarten students

Families have the option of enrolling their child in before and after-school programsdeveloped by the Ministry of Education to complement the full-day kindergarten program.

These programs are run by qualified, experienced staff from our childcare partners. Atregistration, we will ask families to tell us whether they are interested in the extended-dayprograms. The programs can only run if there is enough interest among families.

Our Extended Day Partner is the PLASP Child Care Services. PLASP provides Before and AfterSchool programs at Shelter Bay Public School for both Kindergarten and School Age Children.For more information and to register, please contact:

https://www.plasp.com/1.888.739.4102

Name: _

Dear Families:

Thank you for registering your child in our school's kindergarten program.

To ensure continuity of child care service for families with young children, the Peel District School Board is working withthe Region of Peel service system manager for child care and local child care providers.

In an effort to plan together, it would be helpful to learn more about your child care choices.

1. Please check all that apply that describe your current child care situation:

family/friend/neighbour

licensed home child care provider (name of provider _))child care centre (name of centre

other

2. Would you be interested in registering your child in the fee-based extended day program offered at our schoolbeginning in September? Yes No

a) If yes, please check which of the following services you'd be interested in:

Check all that apply 5 days a week 1-4 days a week

Before school (7 a.m. to the start of the school day)After school (school dismissal to 6 p.m.)Lunch program

Professional Development Days (7 a.m. to 6 p.m.) March Break (7 a.m. to 6 p.m.)

b) If no, please check all that apply that describe your tentative child care plans for September:

family/friend/neighbourlicensed home child care provider (name of provider )child care centre (name of centre )other

Thank you for taking the time to fill out this survey. We look forward to working with you to ensure that your child has asmooth transition to kindergarten, and that he or she has a safe and caring school experience.