New Student Registration

I give consent for my child to participate in KIN-DIR Education Foundation’s screening process. I understand that this screening may include individual or small group sessions conducted by Learning Support Teachers (LST), Speech Language Pathologists, Occupational Therapists, Physiotherapists, Psychologists and /or their support staff. The purpose of those sessions is to provide more detail about my child’s learning and to determine whether additional assessment is recommended. I have been advised and acknowledge that screening results may be used to assist with access to resources and/or government funding. However, I understand that a screening completed by KIN-DIR Education Foundation does not necessarily mean that my child will receive early intervention services or guarantee that skills will be improved. It has been explained to me and I understand that the decision to access services can be postponed to a later date and that there are alternative options available. If areas of delay are identified, I give consent to Kin-Dir Education Foundation to complete a formal assessment with my child. I understand that I will be contacted by phone/email to discuss the results and will then have the option to set up an in-person meeting if I have further inquiries. Should funding be granted based on screening and assessment results, I understand and give consent to KIN-DIR Education Foundation employees, which may include therapists and support staff, along with the Learning Support Teacher (LST) to provide Early Childhood Services by way of direct one to one support in the classroom, therapy, consultation, and referral. I understand and acknowledge that the information gathered through services provided is considered private, confidential, and protected by law. I understand and acknowledge that information pertaining to my child or myself will not be released without my written consent or knowledge. KIN-DIR Education Foundation is obligated to release information, if requested, by Calgary Child and Family Services and the City of Calgary Police Department. I also acknowledge and understand that a copy of all student information will be added to my child’s Cumulative File housed in a locked environment at KIN-DIR Education Foundation’s main office. I understand and give consent for relevant information to be shared with my child’s preschool/daycare: so that targeted and individual strategies can be implemented in the Preschool/Daycare Name classroom and interventions or therapeutic support be applied more consistently. I understand and acknowledge that I may withdraw this consent at any time and that this signed consent for services and consultation form will only remain valid for the current school year.