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Encounters With Canada CBRG and Gladstone Secondary Application
First Name
Your answer
Last Name
Your answer
email
Your answer
I am a student
My age on June 26, 2017 to July 3, 2017
What are your reasons for attending Encounters with Canada? Explain why you would be a good candidate to represent your school in Ottawa and what you hope to gain from this experience.
Your answer
Have you ever been on a camp lasting 3 to 5 days or more with other youth? What behavioural expectations do you think would be expected in a camp like this? Name a few and comment on your ability to follow them
Your answer
Provide the name and email of a principal or vice principal so I may contact them regarding your readiness for such a program
Your answer
provide the name and email of a counsellor who has known you for at least two years so I may contact that individual with regards to your readiness for Encounters With Canada
Your answer
provide the name and email of a teacher at your school who will recommend you so I may contact that individual with regards to your participation in this program
Your answer
The fee for Encounters with Canada will be between $600 to $675 depending on our group size. Please answer the following
Please have the parent or guardian fill out the form: Parent or guardian full name:
Your answer
I certify that I am the parent or guardian of (write student name)
Your answer
I allow my child to attend the Encounters With Canada program as it is described in this website https://www.ewc-rdc.ca/pub/en/node/955
I agree that my child can abide by the Vancouver School District and West Vancouver School district drug and alcohol policy as outlined here: "No student may be in possession of or under the influence of illegal or non-prescribed drugs or alcohol in the school, in the vicinity of the school, or at school sponsored functions. Any infraction will be considered serious and will result in the immediate implementation of school and Board policies dealing with student discipline. This may include possible suspension, withdrawal and transfer of the students involved." http://go.vsb.bc.ca/schools/gladstone/About/Pages/School-Policies.aspx
If my child does not follow school policy for behaviour on overnight field trips, then he or she can be sent home at the parent's expense
I understand that the students will be staying at the Terry Fox Centre where there will be a separate girls and boys sleeping area. My child will abide by the rules that state that they are to stay in their own designated area at night
Parent or guardian can attend a mandatory info night at Gladstone Secondary to learn more about this program and go over expectations on September 29 5:30 to 6:30 pm Room C202
I grant permission for my child to attend this field trip and will fill out any necessary permission forms provided by the school
Parent or guardian full name
Your answer
Parent or guardian email
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Parent or guardian phone number
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