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: ______________________________________