Region of Waterloo Form

Required fields are marked with asterisks (*)

Student No Smoking Or Vaping Violation Form

First Infraction. Consequences: A) TBD by School Administration.

Was a vapour device e.g. electronic cigarette seized?
 
Was a tobacco product e.g. cigarettes seized?
 

Second Infraction. Consequences: A) TBD by School Administration, and B) Notification to Tobacco Enforcement Officer.



Contact Us