Trail Adventures Registration


Saturday 3.30pm to 5.30pm on 7 and 21 September, 26 October, 9, 16, and 30 November.

Contact: Melissa Shadforth +852 9856 5785 | melissa@thecollectivejourney.org
Email address *
Name of participant *
Your answer
Preferred name
Your answer
Date of birth *
MM
/
DD
/
YYYY
Parent or carer's name *
Your answer
Parent or carer's mobile number *
Your answer
Alternative emergency contact number *
Your answer
Please describe any history of medical conditions (allergies, injuries, illnesses) or current medical care received by your child
Your answer
Is there any other information that is important for the counsellor to know about your child?
Your answer
What are your hopes from the program for your child?
Your answer
Would you prefer to discuss these responses in person?
I understand my child has a right to confidentiality in order to create a safe and secure environment in the group. If the counsellor is concerned about my child’s safety or the safety of others, or other’s property, this confidentiality may be broken. I have the right to exit the program at any time, as does my child. All confidential records remain the property of The Collective Journey Limited and will not be released without my written consent. *
Required
I acknowledge that I have read and fully understand the Injury Wavier and General Liability Release Form: https://drive.google.com/file/d/149LqylItmD8vKMbC9NTbGcT_w1msmwyu/view?usp=sharing *
Required
I hereby grant, release and quit claim to The Collective Journey Limited the right and authority to use photographs or video for promotional purposes as The Collective Journey Limited in its sole discretion will deem appropriate and respectful of the child. *
A full refund will be processed for a cancellation up to and including 24 hours before the first session of the program. A pro-rated refund or credit will be issued after the first session for planned withdrawl from the program. There are no refunds or credits for absences during the program. Extenuating circumstances will be considered on a case by case basis. *
The Collective Journey reserves the right to cancel a program at any time due to unforeseen circumstances, site issues, registrations, weather, or other issues beyond our control. More specifically: If the Hong Kong Observatory raise a weather warning in relation to a Typhoon or Rainstorm, the session will be cancelled or, if possible, rescheduled to another day and time that works for the majority of participants. If the pollution exceeds a healthy level (i.e. High on the HK AQHI), the session will be cancelled or, if possible, rescheduled to another day and time that works for the majority of participants. While it is disappointing for everyone to reschedule, it is a great way to demonstrate the importance of being aware of our environment and responding in a way that minimises harm to our health. In the case of a cancelled session due to weather or air quality, parents/carers will be notified via WhatsApp by 12.00pm on the day of the session and appropriate rescheduled dates, credits, or pro-rated refunds will be issued. *
Once my child's participation in the program has been confirmed by email, I will transfer HK$1,800 to HSBC Account 848841516838 The Collective Journey Limited *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service