CISV Mar 21 - To Peace and Beyond Registration
Register early to avoid disappointment as registration is limited to 45 participants. Once 45 participants have been reached this online registration form will be closed.

Complete the registration form to sign up for our event
Saturday March 21 2020
The International Day of the Elimination of Racial Discrimination
Registration 9:30AM
Activities begin at 10:00AM
Activities conclude at 9:00PM the same day

Location Beaver Creek Camp (15km south of Saskatoon, just east of highway 219.)

There is not cost for this event thanks to the generosity of #RisingYouth Community Service Grants (Taking IT Global, Canada Service Corps and Government of Canada). Who provided funding to ensure cost would not be a barrier or participation for anyone.

Age: 8-17

You may register up to 4 children on the same form
Participant #1 Name & Pronouns *
Your answer
Participant #1 Age? *
Your answer
Participant #1 Dietary Requirements (special dietary needs, allergies etc)
Your answer
Participant #2 Name & pronouns
Your answer
Participant #2 Age
Your answer
Participant #2 Dietary Requirements
Your answer
Participant #3 Name & pronouns
Your answer
Participant #3 Age?
Your answer
Participant #3 Dietary Requirements
Your answer
Participant #4 Name & pronouns
Your answer
Participant #4 Age?
Your answer
Participant #4 Dietary Requirements
Your answer
Parents/ Legal Guardian Names
Your answer
Parents/Legal Guardian Phone Number
Your answer
Parents/Legal Guardian E-mail Address
Your answer
I would like my e-mail address to be added to the CISV Email list?
CISV T-Shirt
To Peace and Beyond t-shirts are $15 each
Payment must be made ahead of time by cheque or e-transfer

Deadline to order is MARCH 1st - Orders placed after March 1st may not be available or might be a different size than requested.

Cheques mailed to: CISV Saskatoon C/O Renee Trischuk 328 Carleton Dr, Saskatoon SK, S7H4C1
Please include a note that the cheque is to pay for a To Peace and Beyond T-shirt

E-transfer to: I will send my full payment by etransfer ( - please write "To Peace and Beyond T-shirt" in the comments section Password should be: mars

Shirts will not be ordered if they are not paid for before the deadline. Thanks for your cooperation.
I would like to order a To Peace and Beyond T-shirt for $15.00
If yes, How many shirts would you like?
Your answer
If yes, What size (s) would you like to order? (Youth XS, S, M, L, or Adult S,M,L,XL,XXL,XXXL)
Your answer
CISV Membership 2020
A CISV Saskatoon membership is 75$ per family per year, and helps support our chapter’s activities and programs.

Membership benefits include a discount on Mini Camps fees, the opportunity to attend an international or national program, the chance to provide input into CISV Saskatoon’s direction, development, and local programming, and the opportunity to join the adult or junior board to help make great things happen!

Memberships are valid from January 1st -December 31 of each year
I would like to renew my annual CISV membership at this time?
How will you pay
Legal Release & Responsibility to Pay for Damage
I understand the nature of the CISV Programme noted above and consider my child to be capable of taking part
in it. I understand my child will be participating in content-heavy activities that may include, but are not limited to:
Racism, Equality, Human Rights, and Gender and Social Justice, which can be intense at times. These activities are
facilitated without bias but may bring out strong emotions.

I agree not to make a claim or file a lawsuit against CISV if my child is injured while participating in this CISV
Programme, unless there has been gross negligence on the part of CISV.

My child and I understand that CISV participants are expected to conduct themselves in accordance with
local laws and CISV rules. If my child engages in inappropriate behaviour they may be sent home before the
end of the Programme at CISV’s discretion. I agree to collect my child from the workshop, at anytime at CISV’s discretion,
and to cover costs associated with such trip. I also agree to pay for any damage or injury caused by my child.

Permission to Use of Images, and Art or Written Work
I agree that CISV may use and publish photographs, written work or video created as part of participation in this
CISV Programme for use in the production of educational or promotional materials including web pages and
Facebook Pages. These items may be used and published with the participant’s first name, age
and nationality. Unless my specific parental consent is obtained, participants will not be identified by full name.

By checking the box I agree to:
- Permitting my child to participate in the CISV program;
- Authorizing CISV personnel to provide consent for medical treatment
- Accepting my obligations and the release and conditions / terms noted above;
Name of parent or legal guardian who is agreeing to the terms above
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy