Our Lady Of Fatima Youth Centre
Our Lady Of Fatima        Youth Centre

2017- 2018 PROGRAM REGISTRATION 

  INCLUDES THE 2017 SUMMER PROGRAM REGISTRATION

 

PLEASE FILL OUT ONLINE AND SEND IT BACK TO OLFYCOTTAWA@GMAIL.COM OR PRINT A COPY AND BRING IT ON JULY 7 2017 FOR THE FIRST NIGHT OF THE SUMMER PROGRAM.

 

 11055297_957940980905218_3169822292352094911_n (1).png

 

 

 

 

 

 

 

June,2017

 

Dear Parents/ Guardians:

 

We welcome you to the Our Lady of Fatima Youth Centre & Thank you for choosing us as your local youth centre. We are thrilled to announce that we will remain open for the Summer of 2017. We have an exciting program lined up for your youth this summer. Special thanks to Our Lady of Fatima Parish, Ottawa Champions Baseball & Youth ConXtions Inc. We’re able to run a program this summer like no other. This summer because Dr.F.J.Macdonald School will be closed, we will be offering what is called a “Satellite Program”. This means that we will operate out of a home based location, which for this particular centre will be the front of Dr.F.J. Macdonald School on the field side. We will put up a gazebo where we will be meeting at 6:30pm. The program will be run as long as there is no inclement weather in the forecast. Please visit our website OLFYOUTH.CA. The decision to cancel the program that evening will be made by 5:00pm of that Friday evening so please check the website before heading over.

 

We have enclosed a copy of the calendar for this summer. Please note that ALL ACTIVITIES & TRANSPORTATION will be included FREE OF CHARGE. Please note that we can only take a maximum number of participants so the faster we get your forms returned to us the better chance your child will have to participate in the program this summer. IF YOU KNOW THAT YOU WILL BE AWAY PLEASE DO NOT CHECK THE BOX OF THAT NIGHT TO GIVE OTHERS AN OPPORTUNITY TO PARTICIPATE. If you sign your Youth up to participate and they can’t make it then please notify us by phone so we can call another child who is on a waiting list to participate.

 

PLEASE ALSO MAKE SURE YOU FILL OUT BOTH SIDES OF ALL FORMS IN THIS PACKAGE, any missing portions will not be counted as completed and will be sent home and your child will not be allowed to participate until it is signed.

 

This registration form will be valid from June,2017 until June,2018.

 

Any questions or concerns you may reach Trevor Lach - Owner of Youth ConXtions & Director of OLFYC at OLFYCOTTAWA@gmail.com

 

OLFYOUTH.CA

 

Youth’s First and Last Name

 

 

Address

 

 

Home Phone Number

 

 

Birthdate ( Month / Day / Year )

 

 

 

I/We acknowledge that my/our son/daughter has been medically diagnosed and treated for life threatening health conditions or health issues that require medications for control of:

 

Diabetes (     )             Asthma   (     )                Allergies  (     )            Other (     )    

 

Please provide details

 

 

 

 

I/We have provided my son/daughter with the following prescription medications while they attend the OLFYC program on Friday evenings.

 

 

 

 

 

Please indicate where these medications will be carried or kept during the program

 

 

 

Please provide any additional information that you feel would help benefit your child while participating at the OLFYC on Friday evenings. (Ie. Autism, Behavioural issues etc... )

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parent/Guardian First & Last Name

 

 

Address (Same as child just leave blank)

 

 

Home Phone & /or Cellphone where you can be reached at 6:00pm - 10:00 pm)

 

 

Relationship to Youth

 

 

 

Second Parent/Guardian First & Last Name

 

 

Address (Same as child just leave blank)

 

 

Second Home Phone & /or Cellphone where you can be reached at 6:00pm - 10:00 pm)

 

 

Relationship to Youth

 

 

 

I/We allow our Son/Daughter to walk home after the youth program is done on their own       YES (  )    NO (  )

I/We allow our Son/Daughter to walk to Britannia Wood’s with a staff member in a group       YES (  )    NO (  )

I/We will be picking up our Son/Daughter from the program at the end of the night                   YES (   )   NO  (   )

Additional Pick Up Person Full Name (If anyone other than either parent or guardian)

 

 

 

I agree that the above information is correct and the following statements are to be true, I understand that should a change occur that I will notify the OLFYC to ensure that the safety of my child is not compromised and that I can be reached should something happen. I am also aware that any injury that happens that Our Lady of Fatima Youth Centre nor Youth ConXtion’s will be held responsible for any injury or accidents that may occur. I understand that the program may be closed for emergency reasons, act of nature or inclement weather and will check the website before sending my child over to participate. I am aware that space is limited and therefore understand that if my child is not registered for the program that he/she will be on a waiting list. I am aware that the OLFYC staff are responsible for the safety to the best they can of my child. I am aware that if a custody or legal custody agreements had been made that we would need a copy to make sure we keep your child safe. I am aware that the program ends by a certain time 8:00pm Friday Nights during the school year & various times during the summer months, I am aware that what I am signing is a contract between myself & Youth ConXtions & OLFYC. This program is 100% non-denominational and is open to everyone, violence, racism or harassment will not be tolerated.

 

PRINT NAME OF PARENT OR GUARDIAN

 

 

 

SIGNATURE OF PARENT OR GUARDIAN

 

 

DATE OF SIGNATURE (MONTH/ DAY/ YEAR)

 

 
 
SUMMER 2017 PROGRAM REGISTRATION
------------------------------------
 
 

 OLFYC SUMMER 2017 11055297_957940980905218_3169822292352094911_n.png11050736_957940537571929_8852213166404554718_n.png

PROGRAM REGISTRATION

 

YOUTH INFO

 

FIRST AND LAST NAME:

 

ADDRESS:

 

HOME PHONE NUMBER:

 

BIRTHDATE:

 

MEDICAL ISSUES:

 

PLEASE NOTE THAT SPACE FOR THIS SUMMER IS LIMITED, SIGN UP NOW TO AVOID NOT HAVING A SPOT FOR THIS SUMMER. IF YOUR YOUTH IS SIGNED UP BUT UNABLE TO PARTICIPATE PLEASE INFORM US AS EARLY AS POSSIBLE BY EMAIL OLFYCOTTAWA@GMAIL.COM OR LEAVE A MESSAGE AT (613)698-4250.

PLEASE ALSO MAKE SURE TO CHECK OUR WEBSITE BEFORE ARRIVING TO MAKE SURE THE PROGRAM IS NOT CANCELLED THAT NIGHT BY 5:15 P.M.

PARENT/GUARDIAN INFO (ONE OR BOTH)

FIRST AND LAST NAME:

 

ADDRESS:

 

EVENING PHONE NUMBER:

 

EMAIL ADDRESS:

 

PICK UP:

  • MY YOUTH CAN WALK HOME ON THEIR OWN

  • MY YOUTH CAN NOT WALK HOME ON THEIR OWN & I/SOMEONE WILL PICK THEM UP

 

PICK UP DIFFERENT FROM EITHER PARENT/GUARDIAN:

 

FULL NAME OF PICK UP PERSON:

 

EVENING PHONE NUMBER:

OLFYC SUMMER POLICY

I AM AWARE OF THE EVENT MY YOUTH WILL BE ATTENDING AND UNDERSTAND THAT I AM RESPONSIBLE FOR MAKING SURE TO CHECK THE WEBSITE FOR CANCELLATION OF THE NIGHT ACTIVITY BEFORE MY YOUTH GOES TO THE MEET UP LOCATION. I AM AWARE THAT MY CHILD WILL BE WALKING, TAKING PUBLIC TRANSPORTATION &/OR CHARTERED TRANSPORTATION. I AM AWARE THAT THE ACTIVITY FOR THE EVENING HAS A MAX CAPACITY TO ENSURE THAT ALL YOUTH ARE WELL SUPERVISED AND THE RATIO IS MAINTAINED FOR SAFETY. I AM AWARE THAT WHEN DROPPING OFF OR  PICKING UP MY YOUTH THAT I MY YOUTH IS TO ARRIVE NO LATER THAN 10 MINUTES FROM THE START AND END TIME OF THE PROGRAM.  I AM AWARE THAT THE PROGRAM THIS SUMMER WILL BE RUNNING OUTSIDE AND THAT THERE ARE NO FACILITIES ON SITE THAT WILL BE USED, THEREFORE, I WILL CHECK THE WEBSITE BEFORE COMING TO THE EVENT TO MAKE SURE THE PROGRAM IS NOT CANCELLED DUE TO  INCLEMENT WEATHER IN THE FORECAST WHICH  WILL RESULT IN THE PROGRAM CANCELLATION FOR THE EVENING. WE ASKED THAT IF YOU MUST  CANCEL YOUR SPOT IN THE PROGRAM UP TO DO IT NO LESS THAN 24 HOURS BEFORE THE EVENT. I AM AWARE THAT THE YOUTH CENTRE WILL NOT TOLERATE DRUGS, VIOLENCE,ABUSE OR ALCOHOL. I VERIFY THAT ALL INFORMATION IN THIS CONTRACT IS VALID FROM THE DATE SIGNED.

 

______________________________________________________________________

(PARENT/GUARDIAN SIGNATURE)

 

________________________              _______________________________________

       (DATE SIGNED)                                             (PLEASE PRINT NAME)

 

FORMS & CALENDAR ARE  AVAILABLE ON OUR WEBSITE AT OLFYOUTH.CA

WEBSITE WILL BE UPDATED BY 5:15 P.M. THE EVENING OF THE PROGRAM

 

FORMS DUE NO LATER THAN JULY 7,2017 UNLESS NEW MEMBER STARTS AFTER DUE DATE

 

OFFICE USE ONLY                                                          MEMBERSHIP ID:

 

 

 

 

 

 

 

 

 

 

 

Print Print | Sitemap
© Youth ConXtions Inc. - 1&1 MyWebsite