Walton Elementary PAC
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    Walton After School Activity Waiver and Behaviour Policy Form 
    2015/2016 School Year

    A waiver form must be completed for each child each school year (September to June). 
    This waiver form is for the 2015/2016 school year.

    Child Information


    Guardian Information    


    Dismissal Procedure


    Waiver

    -I/We agree that our child(ren) will follow all reasonable directions and instructions given by the Program Instructor(s) in connection with the operation of any and all after school Programs offered at Walton Elementary School.

    -I/We release and forever discharge School District #43, school staff and program Instructors of and from all manner of actions,claims and demands of whatever nature which result from any accidental injury, loss of expense sustained, arising out of or in any way connected with participation in any After School School program, service or event.

    -In the event that our child(ren) is/are injured, ill or in need of immediate medical attention and I/we are unable to be contacted,I/we authorize school staff, Program Instructors and volunteers to seek medical attention on my/our behalf.

    -I/We understand that our child(ren) may be photographed while participating in Walton After School programs and authorize Walton Elementary or Walton PAC to use, at their discretion, any photographs containing our child(ren)’s images taken while participating in Walton After School Programs for the Walton or Walton PAC newsletter.

    -While Walton Elementary will take reasonable steps to prevent injuries to students, some degree of risk is inherent in the nature of the activities, and may occur without fault on the part of the student, school board, its employees or agents, or the facility where the activity is taking place.  By allowing my/our child to participate in this activity, I/we are agreeing that the activity described above is suitable for my/our child, and that there is a risk of injury associated with the activity.

    **Running Club** 
    - I/We understand that parent/guardian supervision is required to participate in running club. A parent/guardian must be present at all times during running club.

    Behaviour Policy

    Please ensure that your child wants to attend the program that they are registered for. These programs are not designed or staffed to deal with behaviour issues. A single child’s negative behaviour can seriously impact an entire program and impact the enjoyment for all other participants. Parents will be contacted regarding behaviour issues.
    Please ensure you have read and agree to our School District Code of Conduct and Walton Elementary’s Code of Conduct. 
    The District Code of Conduct can be found here:
    http://www.sd43.bc.ca/Board/Policies/Policies/POLICY%2017%20-%20District%20Code%20of%20Conduct%20for%20Students.pdf

    Walton Elementary’s Code of Conduct can be found here:
    http://www.sd43.bc.ca/elementary/walton/About/COC/Pages/default.aspx

    Students who are not able to meet the expectations outlined in the School District Code of Conduct and Walton Elementary’s Code of Conduct may be excused from the activity for the reasons of maintaining a safe and orderly learning environment.
    By typing your name in the above boxes, you are digitally signing this form.
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  • Home
    • 中文
    • 한국어
    • فارسی
  • About Us
    • About Us
    • Welcome Message
    • Traffic Safety
    • Volunteer
    • 2022-2023 PAC Executives and Officers
    • Calendar of Events
    • Newsletters, Reports, Memos
    • Garden Program
  • Fundraising
  • After School Activities
  • Useful Links