Youth Retreat Spring 2023 - Adoption Council of Ontario

Additional Information

Details

Youth sessions and activities will take place all day Saturday and on Sunday morning. Youth aged 16+ are invited to attend. Youth under the age of 18 must be accompanied by a parent or guardian.

Accommodations for youth and their parent(s)/guardian(s) will be provided during the retreat.

Covid-19 and Group Health Considerations

If you or a member of your family is suspected to have Covid-19 you understand that it is within your and the groups best interest to stay home. You also understand that by attending a group event there is a risk of being exposed to Covid-19 or other viruses.

Things to consider for group safety:
- Wear a mask is enclosed group spaces
- Bring hand sanitizer
- Consider testing yourself at home before attending

Masks are not currently a government mandate; you understand that other attendees may or may not be wearing a mask as per their individual comfort level.

By checking this box you acknowledge having read and understood the Covid-19 and Group Health considerations

Yes

Commitment to Safety and Responsibility

We are all looking forward to a fun, productive, challenging and inspirational weekend. In order to ensure that all participants feel both welcomed and secure, we ask that everyone comply with the following:

Confidentiality
Confidentiality will be respected at all times.

Respect
All attendees are expected to treat everyone with respect and dignity.

Expectations
Attendees are expected to participate in all sessions and activities, arriving on time and prepared. This is an opportunity for networking, shared learning and team building.

While cell phones are permitted throughout the weekend, we ask that you get permission from other youth and staff to post any pictures. We also ask that you curb your contact with the “outside world” during the retreat so that you can concentrate on the tasks, activities and events throughout the weekend.

The use of alcohol or drugs during the course of the retreat is strictly forbidden.

Please indicate that you agree to comply with the commitment to safety and responsibility outlined above.(Required)

I agree

Name(Required)

First Last Preferred Name

Pronouns(Required)

Examples: she/her/hers, he/him/his, they/them/theirs

Age at the time of the retreat(Required)

Phone(Required)

Email(Required)

T-shirt size.(Required)

Address(Required)

Street Address Address Line 2 City Province Postal Code

A parent or guardian will be attending the retreat with me. (Note: parent/guardian required for any youth under 18 years of age.)(Required)

Yes

No

Name of Parent or Guardian

First Last

Phone number of parent or guardian attending

Email of parent or guardian attending

Emergency Contact

Name(Required)

First Last

Relationship(Required)

Phone(Required)

Alternative Phone Number

Attending the Retreat

Tell us a bit about who you are in the world. What personal accommodations should we be aware of?(Required)

Personal accommodations can include medical, emotional, or behavioral support, or anything you feel would be important for us to know.

What are you hoping to take away from this retreat?(Required)

Is there any additional information that you would like to share to help ensure this is a positive experience for you?(Required)

Consent Policy

I recognize that there are risks, including those relating to COVID-19, associated with participating in the recreational activities planned for the Pathways retreat.

I have read and understood the Consent Policy.(Required)

Yes

No

Photo Release

I consent to the use, by the Adoption Council of Ontario (and those acting with its permission and authority), of any and all photographs and videos taken, in whole or in part, unlimited use, for training purposes in any form or medium, including, without limitation, its use through or on any electronic media, including the Internet.

I waive any right to inspect or approve the finished product or products or the advertising copy or printed matter that may be used with the finished photograph(s) or video(s).

Further, I relinquish all rights, titles and interests I may have in the finished photograph(s), negative(s), video(s) and reproduction to any responsible business firm or publication. It is understood that the Adoption Council of Ontario retains copyright of images at all times under the express understanding and agreement that the Adoption Council of Ontario shall have exclusive reproduction rights to the images.

I hereby release the Adoption Council of Ontario from any and all claims in connection with the photograph(s), including any and all claims of libel.

I agree to the Photography Release terms.(Required)

Please note, if under the age of 18, a parent or guardian will also be required to consent to the photography release conditions on your behalf.

Yes

No

I confirm that I am available and committed to this event and I am open to an intake call from our youth leads.(Required)

Yes