Wild Explorations for Youth - Spring Session 2021 Application Form

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Wild Explorations is an outdoor recreation program for youth aged 12-15 years. We are taking applications for our Spring Session which runs from April 22nd until June 17th (9 weeks). We meet every Thursday from 4:00 to 6:30 pm. We have up to 10 spaces available. Participants will be considered based on need and opportunity. Please complete all the relevant fields below and we will be in touch by April 20th regarding a spot for your child.

Email *

First and Last Name of Participant *

Wild Explorations is an outdoor program which is held in most weather conditions (storms excepted) every Thursday after school for 9 weeks. Please consider if your child has any conditions that would prevent them from being physically active in the outdoors for 2.5 hours each week. We want to make sure this program is a good fit for all participants. We are limited in the accommodations we are able to make. Please confirm the following: *

Yes, I and my child understand this is an active outdoor Spring program and feel it is a good fit for their participation.

In what ways do you think this program would be good for your child / the participant? *

Date of birth of participant (Month and Year) *

Where does your child live? (Name of town or village only) *

Name of parent / guardian *

Parent/Guardian phone number *

Flying Squirrel Adventures is strongly committed to fostering diversity and inclusion within our programs and encourages applications from all qualified candidates. Candidates who belong to equity-deserving groups are particularly encouraged to apply; including Black, Indigenous and People of Colour, members of the 2SLGBTQ+ community, people with disabilities and other equity-deserving individuals. Candidates who identify as being from any of these groups are encouraged to voluntarily self-identify in this section. This information will be kept strictly confidential.

What aspects of the program are you most interested in for your child / is your child more interested in? *

Social contact with others

Learning about nature / building outdoor skills

Physical activity

Adult support & mentorship

Other:

Required

Does your child have any dietary restrictions (yes/no)? If yes, please describe. *

Does your child require transportation support? *

Yes

If you require transportation support, please let us know the pick and drop off locations (civic address(s)). This info will be used for transportation planning purposes.

The cost to deliver this program is $295/participant. We are pleased to have secured grant funds from Nature Canada and the Wellness Fund to provide some full and partial bursaries to cover this fee. If you are able to pay we ask you do so, however, we are committed to making this program financially accessible to all. Please indicate below if you are applying for a bursary:

I am applying for a full bursary

I am applying for a partial bursary

I can pay the full amount

Clear selection

How did you find out about this program *

Do you have any comments or questions?

Thank you for your application. We will be in touch within a few days.

Send me a copy of my responses.

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