Penticton YAP Spring 2024 Registration 
Penticton YAP Mix it Up will have various activities such as Board & Card Games, Bowling, Escape Room night, evening at Just for Fun, Hikes, etc. The final schedule will be available to registrants closer to the start date... and once we start, we may change activities depending on what the group wants to do. You do not need to attend every week to take part in this program, but try to attend as much as you can, maybe even try something new!

For who? Individuals 16 years and older, living with autism or other neurodiversity (a formal diagnosis is not required)
*** Note that this program requires participants to be independent with self-care and safety, and they must be able to remain with the group. If this is challenging for them we ask that they attend with a personal support worker.  Our leaders and volunteers are not able to provide continuous ongoing one-to-one support.  Before and after each session, participants will be responsible for their own safety and transportation.

When Weekly on Mondays 6:00-7:30 pm from April 22 to June 17 (8 sessions, no session May 20 for Victoria Day)

Where: First session at Penticton Eagles Hall, 1197 Main St, Penticton,  remaining sessions at various locations.

Cost: $40 per person

Please e-transfer to treasurer@autismokanagan.ca

Important: On your e-transfer, in the message box PLEASE INDICATE YOUR NAME, THE PARTICIPANT'S NAME, AND THE NAME OF THE PROGRAM YOU ARE REGISTERING FOR.

If the fee would be a hardship for you, please send an email to info@autismokanagan.ca

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Name of person completing this form *
Participant's full name *
Participant's date of birth *
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Participant's Address *
Contact Phone number *
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Emergency contact name *
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Allergies, Medications and other relevant medical information:

Any other important information?
Does the participant consent to a photo or video taken for our website and/or social media?

We use photos and videos to give our community some insight into what our programs look like and the type of activities we do.
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I , and my parent/guardian/family member, have read and agree with the attached code of conduct for YAP participants *
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I , and my parent/guardian/family member, have read and agree with the attached liability waiver for YAP participants
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Payment
Please e-transfer $40 to treasurer@autismokanagan.ca. 
Important: On your e-transfer, in the message box PLEASE INDICATE YOUR NAME, THE PARTICIPANT'S NAME, AND THE NAME OF THE PROGRAM YOU ARE REGISTERING FOR.

CODE OF CONDUCT FOR YAP MEMBERS

I will support and respect all leaders and members of this group at all times.

I will try to participate in all activities, regardless of my personal interests.

I will follow the direction of the leaders.

I am able to legally make my own decisions and manage my personal care and safety.  If not, I will be attending with a support person who will assist me.

I am able to participate and interact in activities with other group members, with intermittent help from the leaders.  If not, I will be attending with a support person who will assist me.

I am aware that there is no supervision before and after these sessions.

I am aware that if I choose to leave during the session, the YAP leaders are unable to provide supervision and I will be responsible for my own safety.

I am aware that any disrespectful or unsafe behaviour will be reported to organizers.  This behaviour will be discussed with me.  If the behaviour continues, I may be requested to attend with a support person, or I may lose the privilege of attending this group.

I will respect the basic rules set out by the YAP members:

I will not swear.

I will take turns when speaking.  I will listen to others when they are speaking.

I will always be nice even if I don’t agree

I won’t  say or do things that make others uncomfortable.  If I do it by accident, I will say sorry and I won’t say or do it again.

If someone shares something private when we are talking in the YAP group, I won’t tell anyone outside of our YAP group unless that person says it is ok.

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LIABILITY WAIVER for YAP

I understand and acknowledge that participation in YAP has foreseeable and unforeseeable inherent risks, hazards and dangers that no amount of care, caution or expertise can eliminate, including without limitation, the potential for serious bodily injury, permanent disability, paralysis and loss of life;

I understand and acknowledge that Autism Okanagan has a difficult task to ensure safety and it is not infallible. They may be unaware of my fitness or abilities, may misjudge weather or environmental conditions, may give incomplete warnings or instructions, and the equipment being used might malfunction. I am participating voluntarily in all activities. In consideration of my participation, I hereby acknowledge that I am aware of the risks, dangers and hazards associated with or related to all activities.

I understand and acknowledge that Autism Okanagan Association and its respective directors, officers, committee members, members, employees, contractors, volunteers, participants, agents, sponsors, owners/operators of the facilities in which the program take place, and representatives (collectively the “Organization”) are not responsible for any injury, personal injury, damage, property damage, expense, loss of income or loss of any kind suffered by the me during, or as a result of, my participation in YAP, caused in any manner whatsoever including, but not limited to, the negligence of the Organization. 


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