Permission Forms

Student Accident Insurance

The Halton Catholic District School Board does not provide accident insurance coverage for student injuries that occur on school premises or during school activities. Since accidents can happen, and some injuries result in medical, dental or other expenses that are not covered by provincial health care or employer group plans, as a parent, you may wish to consider purchasing student accident insurance.

Student accident insurance can provide you with financial piece of mind against the possible expenses that can be incurred if a child is injured at school.

The Board makes available an Accident and Life Insurance Program for students exclusively through Old Republic/Reliable Life Insurance Company. Participation is voluntary and the costs for the program are paid by the parent or guardian. The program offers a variety of plans and benefits, which can be tailored to suit your needs. The coverage provided by the policy is comprehensive and reasonably priced ($13.00 to $33.00 per year depending on plan chosen).

The insurance agreement is between the parent or guardian and the insurance company. If you wish to subscribe or for more information, please visit: or call 1-800-463- KIDS (5437).

More information can be found at http://www.insuremykids.com

Day Trip Permission Form

The form below can be downloaded, printed and completed should your child require an additional field trip form. Kindly contact the office and the details of the trip will be provided to you.

Parent Consent Form – Day Trip

Administration of Prescription Medication Form

The form below can be downloaded, printed and completed should your child require prescription medication to be administered to them at school. Kindly contact the office to provide the school with details.

Administration of Prescription Medication

Administration of Non- Prescription Medication Form

The form below can be downloaded, printed and completed should your child require non-prescription medication to be administered to them at school. Kindly contact the office to provide the school with details.

Administration of Non-Prescription Medication

No Child Without Program

MedicAlert is the most trusted, most recommended medical ID service provider in Canada. For more than 55 years, MedicAlert has protected the lives of over one million Canadians by offering exclusive services to those in need. Through the No Child Without charitable program, founded by MedicAlert in 2006, students attending participating schools can receive a free MedicAlert medical ID and free MedicAlert service plan coverage until their 14th birthday.

Parents and guardians, please consider this program if your child lives with: Anaphylaxis, Asthma, Diabetes, Autism, and other congenital diseases.  Medical devices, such as insulin pump and cochlear implant. Medications like prednisone, insulins, and EpiPen®

For a more comprehensive list of conditions or to simply learn more about the No Child Without program, visit nochildwithout.ca.

Elementary School SecretaryPermission Forms