Winter Junior Youth Camp Registration (ages 11-14) — South-East Ottawa Youth Education Centre

JUNIOR YOUTH EMPOWERMENT camp REGISTRATION

Junior youth (ages 11-14) have immense potential to act as determined agents of social transformation and have a desire to contribute to the betterment of society. This summer they will have the opportunity to use their potentialities to contribute to the well-being of the community and to develop their own skills and talents.

Each week they will focus on the development of certain capabilities that will help them participate more effectively in the planning, decision-making and development of their communities. This will be done through the study of materials designed to build capacity in this age group along side workshops and projects that help them put into practice what they are learning.

Day Camps: January 2-4, 2025

Location: 22-4 Lorry Greenberg Drive

Time: 10 am - 3 pm

Cost: $5

Name (Prénom et nom)

First Name

Last Name

Email (Courriel)

Phone (Numéro de telephone)

(###)

###

####

Name of Parent/Guardian (Nom du parent)

First Name

Last Name

Parent/Guardian Phone Number (Numéro de téléphone du parent)

(###)

###

####

Have you participated in SEO Youth Education Centre camps before?

I have participated in camps before (no need to complete the information below)

This is my first camp (please complete the information below)

Further Information (for first time registrants only)

Birthday (Date de naissance)

MM

DD

YYYY

Address (Adresse)

Dietary Restrictions (Restriction alimentaire)

Photo Release (Utilisation des images photographiques)

I authorize the use of all photographic and video images captured during the program. To ensure the privacy of individuals and children, images will not be identified using full names or personal identifying information without written approval from the photographed subject, parent or legal guardian. If you do not want us to use a photo or video of you, please contact gbncentre@gmail.com before the program. J'autorise l'utilisation de toutes les images photographiques et vidéo prises pendant le programme. Afin de garantir la confidentialité des personnes et des enfants, les images ne seront pas identifiées à l'aide des noms complets ou des informations d'identification personnelle sans l'autorisation écrite du sujet photographié, de ses parents ou de son tuteur légal. Si vous ne souhaitez pas que nous utilisions une photo ou une vidéo de vous, veuillez contacter gbncentre@gmail.com avant le programme.

Yes (Oui)

No (Non)

I am registering with the following friends (Je m'inscris avec les amis suivants):