youth centre activity schedule arts and culture centre ... · march monday tuesday mondaywednesday...
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March Monday Tuesday Wednesday Thursday Friday
6 7
4 p.m. to 6 p.m.
Bingo
8
9
10
13 14
Closed
15
16
17
20 21
4 p.m. to 6 p.m.
Movie MOANA and popcorn
22 23 Volunteer 4.p.m. to 5 p.m. Rockland Manor Registration required
24
27 28
4 p.m. to 5:30 p.m.
Sport activities at the YMCA (Bring running shoes and gym clothes) Registration required
29 30 31
The Youth Centre is open every Tuesday from
2:30 p.m. to 6 p.m. for youth 11 to 16 years old.
(1500 du Parc Avenue, Rockland).
FREE activities!
For more information or to register, please contact
Julie Lalonde at 1 800 675-6168,
extension 4736 or by email at
julalonde@valorispr.ca.
Monday Tuesday Wednesday Thursday Friday
3 4
4 p.m. to 5 p.m.
Zumba
5 6 7
10 11
4 p.m to 5 p.m.
Cooking
workshop
12
13
Volunteer
4 p.m. to 5 p.m.
Rockland Manor Registration required
14
17 18
4 p.m. to 5 p.m. Kickboxing workshop
19 20 21
24 25
4 p.m. to 5 p.m. Scavenger hunt
26 27 28
April
Youth Centre Activity Schedule Arts and Culture Centre - 1500 du Parc Avenue, Rockland Youth Centre Activity Schedule Arts and Culture Centre - 1500 du Parc Avenue, Rockland
Registration Form CTC Volunteer Activities at the Rockland Manor
9045 County Road 17, Rockland, ON
Name: _______________________________________________________________________________
Address: _______________________________________________________________________________
Town: ___________________________________ Province:___________________________________
Telephone: __________________________________ Sex: □ M □ F
Date of birth (jj/mm/aa): ______/______/______
Email: _________________________________________________________________________________
Allergies/Health problems: _________________________________________________________________
School: ________________________________________________________________________________
PERSON TO CONTACT IN CASE OF EMERGENCY
Name: _______________________________________________________________________________
Address: _______________________________________________________________________________
Town: ___________________________________ Province: __________________________________
Telephone: _________________________________ Cellular: ____________________________________
Relationship: ____________________________________________________________________________
CONSENTEMENT FORM
THIS FORM MUST BE SIGNED BY A PARENT OR LEGAL GUARDIAN IF THE PARTICIPANT IS UNDER
THE AGE OF 18.
There is always the risk of injury with any activity. Injuries can occur without there being neglect on the part of the
participant, volunteers or staff of Valoris and CTC, or employees where the activity takes place. Youth supervision is
provided at the Centre or during the activities only. By voluntarily choosing to participate in this activity, you are accepting
the risk of accident for you or for your child. Risks of injury can be greatly reduced by attentively following directions from
staff and/or volunteers. If you choose to participate in this activity, you understand that you accept responsibility for all
injuries that may occur.
□ I authorize the volunteers and employees of Valoris, CTC and Rockland Manor to take photos and to use them in their promotional material or media.
□ I authorize the volunteers of Valoris and CTC to send me information regarding upcoming activities by email.
DECLARATION :
I HAVE READ THE ABOVE AND I UNDERSTAND THAT IF I PARTICIPATE IN THESE ACTIVITIES I ACCEPT ALL
RISKS ASSOCIATED WITH THEM.
I allow _________________________________________ to participate in the CTC volunteer activities on
_________________________________________________________(dates) and to use
the Rockland Manor bus to get to the activity (Bus departure from the Youth Center: 3:45 p.m.
Return: 5:15 p.m.). Please register in advance to reserve your seat in the bus (places are limited).
Name of parent/tutor: _______________________________________ Date: ____________________
Signature of parent/tutor: ______________________________________
Registration Form CTC Activities at the Youth Centre - 1500 du Parc Avenue, Rockland
Name: _______________________________________________________________________________
Address: _______________________________________________________________________________
Town: ___________________________________ Province:___________________________________
Telephone: __________________________________ Sex: □ M □ F
Date of birth (jj/mm/aa): ______/______/______
Email: _________________________________________________________________________________
Allergies/Health problems: _________________________________________________________________
School: ________________________________________________________________________________
PERSON TO CONTACT IN CASE OF EMERGENCY
Name: _______________________________________________________________________________
Address: _______________________________________________________________________________
Town: ___________________________________ Province: __________________________________
Telephone: _________________________________ Cellular: ____________________________________
Relationship: ____________________________________________________________________________
CONSENTEMENT FORM
THIS FORM MUST BE SIGNED BY A PARENT OR LEGAL GUARDIAN IF THE PARTICIPANT IS UNDER
THE AGE OF 18.
There is always the risk of injury with any activity. Injuries can occur without there being neglect on the part of the
participant, volunteers or staff of Valoris and CTC, or employees where the activity takes place. Youth supervision is
provided at the Centre or during the activities only. By voluntarily choosing to participate in this activity, you are accepting
the risk of accident for you or for your child. Risks of injury can be greatly reduced by attentively following directions from
staff and/or volunteers. If you choose to participate in this activity, you understand that you accept responsibility for all
injuries that may occur.
□ I authorize the volunteers of Valoris and CTC to take photos and to use them in their promotional material.
□ I authorize the volunteers of Valoris and CTC to send me information regarding upcoming activities by email.
DECLARATION :
I HAVE READ THE ABOVE AND I UNDERSTAND THAT IF I PARTICIPATE IN THESE ACTIVITIES I ACCEPT ALL
RISKS ASSOCIATED WITH THEM.
I allow _________________________________________ to participate in the CTC activities every Tuesday,
at 1500 du Parc Avenue in Rockland.
Name of parent/tutor: _______________________________________ Date: ____________________
Signature of parent/tutor: ______________________________________
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