Parent/Responsible Person Consent Form Consent to Transfer Student Information from Previous School I give do not give Consent for information about my child DOB / / to be transferred from his/her previous school (name and address) to his/her new school Champion Bay Senior High School 90 Highbury Street RANGEWAY WA 6530 I understand that: The principal (or delegate) of my new school may request and/or receive information from my previous school verbally and/or in writing. child’s It may include all details contained on the Student Information Transfer Form. Additional information may be required by my new school. This information will child’s only relate to information on the flagged field on the Student Information Transfer Form. The Principal (or delegate) of my new school may contact the Principal (or child’s delegate) of my previous school both verbally and/or in writing. child’s I can request to see the information that is received from my previous school. child’s I understand that my new school will take all reasonable steps to protect the personal child’s information about me from misuse and loss, and from unauthorised access, modification or disclosure. Date / / Signature of parent/responsible person is defined as either the school at which the student is enrolled OR the school at ‘New School’ which the student is seeking enrolment. The consent process should be initiated at the point of application for enrolment so that information is received before the enrolment process is finalised. PRINCIPAL’S APPROVAL ______________________________
Parent/Responsible Person Consent Form Consent to Transfer Student Information from Previous School I give do not give Consent for information about my child DOB / / to be transferred from his/her previous school (name and address) to his/her new school Champion Bay Senior High School 90 Highbury Street RANGEWAY WA 6530 I understand that: The principal (or delegate) of my new school may request and/or receive information from my child’s previous school verbally and/or in writing. It may include all details contained on the Student Information Transfer Form. Additional information may be required by my child’s new school. This information will only relate to information on the flagged field on the Student Information Transfer Form. The Principal (or delegate) of my child’s new school may contact the Principal (or delegate) of my child’s previous school both verbally and/or in writing. I can request to see the information that is received from my child’s previous school. I understand that my child’s new school will take all reasonable steps to protect the personal information about me from misuse and loss, and from unauthorised access, modification or disclosure. Date / / Signature of parent/responsible person ‘New School’ is defined as either the school at which the student is enrolled OR the school at which the student is seeking enrolment. The consent process should be initiated at the point of application for enrolment so that information is received before the enrolment process is finalised. PRINCIPAL’S APPROVAL ______________________________
ENROLMENT-PACK-APPLICATION-AND-ENROLMENT-FORM-website-version..docx