Shoresh Outdoor School Winter 2022: Tuesdays in Cedarvale Ravine
Please fill out this form to register your child for the following session of Shoresh Outdoor School Program:

*Tuesdays* in Cedarvale Ravine
Time: 4:00-5:30pm (Before Care available starting at 3:30pm; Walking Bus available from Leo Baeck Day School and Robbins Hebrew Academy)
Dates: Tuesdays, January 31 - March 7 (6 sessions)
Cost: $216/participant

Please note this program is for children in SK through Grade 3. Participants are responsible for carrying their own school bag for the entirety of the program and must be able to use the washroom independently.

Please fill out separate registration forms for each child registered.  Thank you!

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Email *
CHILD INFORMATION
First Name *
Last Name *
Birthday *
Grade in January 2022 *
Gender *
GUARDIAN INFORMATION
Name *
Relationship *
Email *
Phone Number *
Address *
City *
Postal Code *
Is anyone else approved to pickup your child? *
If yes, please list their names here.  
EMERGENCY CONTACT INFORMATION
Please include the information of someone other than yourself that we may contact, in the event of a (G!d forbid) emergency, if we are unable to get a hold of you.
Emergency Contact Name (Must be someone other than Guardian listed above) *
Emergency Contact Phone *
Emergency Contact Relationship *
HEALTH AND WELLNESS
Does your child have any allergies? *
If yes, please list here.  
Does your child use an epipen or inhaler? *
If yes, please provide more information here.  
Is there any other information about your child's physical, mental, or emotional health that we should know in order to best support them?
GETTING TO KNOW YOU BETTER
What is your child's first language? *
What school does your child attend? *
Are you interested in a Walking Bus (i.e. we pick your child up from school and walk them to Cedarvale Ravine for the Shoresh Outdoor School) or Before Care?   *
Required
What gifts and skills will your child be bringing to this program?  What do you expect/hope they will take away from this program?   *
How does your family identify Jewishly?
Does your family observe/practice/honour any additional religious or cultural traditions?  
Does your child participate (or has your child participated) in any other Jewish programs?
If yes, which one(s)?
Have you been to a Shoresh program in the past?
How did you hear about the Shoresh Outdoor School? *
If you were referred by someone, please let us know who!
SHORESH COVID PROTOCOLS
In order to ensure the health and safety of Shoresh participants, staff, and their families, we have put measures in place that are in line with the Canadian Federal Government, Public Health Agency of Canada (PHAC), and Health Canada's recommendations in light of the current COVID-19 situation. *
While participating in the Shoresh Outdoor School, children are required to bring a clean mask and hand sanitizer.  When unable to maintain two metres (6 feet) from others, participants and staff will be required to wear masks, covering both their mouth and nose.  Participants should avoid touching their eyes, nose, or mouth as well as face masks.  Participants must avoid touching/sharing personal artifacts, including backpacks, water bottles, and activity materials.  You (parent/guardians) will be required to complete and submit a daily COVID-19 screening questionnaire when dropping off participants for Shoresh programs. Please note that masks, covering both your mouth and nose, are mandatory during drop-off.  Your children must be kept home if they are displaying any signs or symptoms of illness.  You must notify program leadership when your child is sick.  Please work with your healthcare provider should you or any member of your household demonstrate symptoms of COVID-19.  Should you or any member of your household test positive for COVID-19, or should you find out that you a known exposure to an individual who has tested positive for COVID-19, you must report this immediately to the program leadership.  
WAIVERS
Release and Waiver of Claims *
Please understand that we will take every measure possible to keep your child safe and to ensure that they will not be put in harm’s way.  By selecting "Yes, I accept this release and waiver of liability" below, I acknowledge that I have voluntarily enrolled my child in Shoresh Outdoor School at Cedarvale Ravine (443 Arlington Avenue, Toronto). Cedarvale Ravine is an outdoor recreation space with hiking trails in forested areas. As such, insects, running water, exposed tree roots, prickly plants, and other such hazards inherent to outdoor forest activities exist in the space and may pose a danger to my child. I, by selecting "Yes, I accept this release and waiver of liability," on behalf of myself, and my child, hereby release and hold harmless Shoresh Jewish Environmental Programs and its officers, directors, employees and volunteers from any and all liabilities resulting from any injury my child may sustain in connection with and arising out of such hazards. I confirm that I have disclosed to Shoresh all relevant information which may be necessary or advisable to make Shoresh fully aware of any medical or other condition pertaining to my child, which may require special attention.
Photo Release *
We would love to take and share smiley photos of your children participating in our activities!  Photos and/or videos are used on Shoresh's website and social media platforms, as well as in Shoresh promotional materials.  Please note that names will not be published along with images.  
A copy of your responses will be emailed to the address you provided.
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