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OCDSB 913 Management Plan for the Care of a Service Animal for a Student-1- OCDSB 913 (January 2020) Appendix C: OCDSB 913 Management Plan for the Care of a Service Animal for a Student (Reference: PR.686.SCO) Name of Student: School: Name of Service Animal: Name(s) of Handler or Secondary Handler: Water Needs: (provision of water bowl, procedure for use, cleaning, etc.). Note: it is the expectation that the service animal will not be fed during school/work hours. Other needs of the service animal. Note: it is the expectation that service animal will be day trained. Are rest periods from work with student required? (frequency / location) Hot / Cold Weather considerations: -2- OCDSB 913 (January 2020) Recess (if the service animal is not able to work with the student in school yard) (location) Outline plan for the service animal where it is not permitted to accompany the student: Kitchen: Shop class: Pool: Other: I understand that the care of the service animal is NOT the responsibility of the Ottawa-Carleton District School Board and that the responsibility rests solely with the requesting party. Signature of parents/guardians/adult student: Print name: Date: The personal information on this form is collected under the authority of the Education Act (RSO.1990 c.E.2) ss. 58.5, 265 and 266 as amended, and in accordance with the Municipal Freedom of Information and Protection of Privacy Act (RSO.1990 c.M56), as amended. It will be used for student and education related purposes, such as administration, communication, and data reporting. In addition, the information may be used or disclosed to comply with legislation, for compelling circumstances affecting the health and safety or discipline, as required in circumstances related to law enforcement matters, and with third parties in accordance with established service agreements or in accordance with any other Act. Questions or concerns should be directed to the school principal or the District's Freedom of Information Coordinator, Ottawa-Carleton District School Board, 133 Greenbank Road, Ottawa, Ontario K2H 6L3, Telephone 613-596-8211, ext. 8607.