Just For Girls Social Group - Registration Form
Event Timing: September 2018 - June 2019 - 2nd Friday of each month. Our first social is on September 14 2018
John@spectruminsights.ca
613.220.5920
http://www.spectruminsights.ca/just-for-girls-camp--social-nights.html

Email address *
Students Name: *
Your answer
All potential applicants must have been previously interviewed or already attended a S.I event before registering.
Dietary Restrictions *
Parents Name(s) Please include phone number and email *
Your answer
Date Of Birth *
Your answer
Medical Concerns / Conditions *
Your answer
Emergency Contact info. *
Your answer
Individuals Authorized to Pick up / Drop Off *
Your answer
Photo Permission - Any photos/videos taken may be used to help promote and document the activities of Spectrum Insights events through our website, Facebook, Twitter and Instagram. Names and personal information of the students WILL NOT be used. *
I understand that a non refundable payment of $250 guarantees my child a spot at the social group. We will not be reimbursing for missed days. Should there be a scheduling error on our part where a monthly social is cancelled and not rescheduled later in the month, we will reimburse the cost of the night missed. *
Required
Waiver: It is my understanding that an activity of this nature has inherent risks involved. All reasonable precautions for the safety and health of the participant will be taken. He/she will be properly supervised in activities. In the event of accident or sickness, Spectrum Insights, sunnyside Weslyan Church, its staff and volunteers are released from any liability. In the event of injury requiring medical attention, I authorize treatment for the participant and understand that reasonable attempts will be made to contact me, should such a situation occur.Please note this group is not appropriate for any aggressive behaviours or students that may potentially run off. Students must be able to exhibit independence and ability to follow complex group instruction. *
Required
There are two options for registration: A full time spot from September 2018 to June 2019, $250. Drop in availability at $25/social. *
I will pay Via: *
By typing my name below, I confirm that I have read and understood the Registration Form. I also confirm that the information I have provided on this form is true, correct, and complete. *
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