Bushkids Waitlist Form
Thank you for your interest in the Bushkids Program. While we would love to accept everyone, due to our limited capacity we are only able to accept a small number into the Program. As spots open up, we will contact those on this list.

For more information visit: https://bushkids.ca/bushkids-program/
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Parent/Guardian's Name *
Parent/Guardian's Phone number *
Parent/Guardian's Email Address *
Child’s Name *
Child's Age *
Child's Date of Birth (year/month/day) *
How does your child describe their gender? For example: female (including transgender girls), male (including transgender boys), non-binary, gender fluid, agender, another term, prefer not to say
Optional: Please self identify as Indigenous or of another minority group.
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