New Brunswick School Registry Form

New Brunswick School Registry
Disclosure of Personal Information
Consent to Disclose Personal Information

Before proceeding with registration, please read and provide your consent to the collection and use of your personal information by Circular Materials (CM). CM is requesting that you provide your consent to the collection and use of your personal information for purposes of managing school recycling services and to comply with regulatory requirements under the New Brunswick Stewardship Plan for Packaging and Paper. The Information collected may include your school address, telephone and email address and/or building related information. The personal information collected by CM will be stored securely on CM systems and will only be used for the above purposes. Your information may be shared with third-party service providers responsible for recycling collection , and as may be required by law with regulatory authorities. Your personal information will be retained only for the period necessary to fulfill these purposes or as required by law, after which it will be securely destroyed and/or deleted by CM. You have the right to access, correct, or withdraw your consent for the use of your personal information at any time by contacting us at privacy@circularmaterials.ca. For further details about how we protect your privacy, please review our Privacy Policy (https://www.circularmaterials.ca/privacy-policy). By continuing to the New Brunswick School Registry, you acknowledge that you have read and consent to the collection and use of your personal information for the purposes listed herein.
Consent to disclose personal information acknowledgement: I consent to the collection and use of my personal information by, and the release of personal information to Circular Materials for the purposes listed above. I understand that my consent is only valid for the time it is needed to achieve the purposes herein, unless I withdraw it. I understand that I can withdraw my consent at any time. However, doing so may prevent Circular Materials from providing me with the necessary waste management service details and related recycling services. I agree that this electronic version of the acknowledgement shall be as valid as the original.
School/District Contact Information
School or District Name
Contact person for recycling (janitor, operations, etc.)

First NameLast Name
Contact person's role
Contact Person's Telephone Numbers

OfficeMobile
Contact's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Please select the option that applies to your school or district
Building(s) Information
Instructions for Completing the Chart
Please carefully follow the instructions below when entering information for each school in the chart.

1. Enter Building Information

School Name: Enter the full name of the school.
Civic Number: Provide the street number of the school's address.
Street Name: Input the name of the street where the school is located.
City/Town: Specify the city or town of the school's location.
Postal Code: Enter the postal code for the school's address.

2. Managing Multiple Buildings

If you manage more than 25 schools, please submit an additional form to provide all necessary details.

Use the table below to enter the address(es) of your school (s). If you manage more than 25 schools, please submit an additional form.

Rows	School name	Civic Number	Street Name	City/Town	Postal Code
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

Is there any additional information you wish to share?
Should be Empty:

New Brunswick School Registry

Disclosure of Personal Information

Consent to Disclose Personal Information

School/District Contact Information

Building(s) Information