CAFE Q In-Person Registration Form [May 2022]
Every Friday,   a diverse and dynamic group of youth meet at Kind for an evening of low-pressure hanging out. Care, support and harm reduction are a key practice at Café Q and is run by Jo and their support facilitators.  Join other youth for game nights, art making, snacks or just to chill and check in with friends.

Confirmed youth mentors who are former attendies who help during programs should contact jade@kindspace.ca, if they are attending any of these days.


Kind Space is at 400 Cooper, Unit 9001 on Floor 9!

kindspace.ca

COVID 19 Safety Plan: https://drive.google.com/file/d/1blvooiA9NR9P0DDcpSm0bJ6bIZay4SXG/view?usp=sharing4

We will still require proof of COVID-19 vaccination upon arrival. Proof of vaccination will be accepted if the person’s name and date of birth on their identification document matches the vaccination receipt with name and date of birth, and if the person is fully vaccinated. We also understand that that the name used on the identification, may not be the name you use. The name and pronouns given to us, are the name and pronouns that will be used.

Accepted identification, including expired identification, includes: Birth certificate, Citizenship card, Driver’s licence, Government (Ontario or other) issued identification card, including health card, Indian Status Card /Indigenous Membership Card, Passport, Permanent Resident card.
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Email *
Name *
Please provide the name you go by or would like us to call you by!
Last Name *
Age *
Required
Pronouns
Emergency Contact Name *
First and last name of parent, guardian, emergency or support contact in case of emergency
Emergency Contact Info *
 What is the phone number or contact information of emergency contact. This can include phone and/or email
What days will you attend? *
Make sure your mark these dates in your calendar! We have a restricted cap of 30 people. Confirmed participants will recieve an email confirming the in-person event. If you think you are not going to attend one or more of these dates after selecting them, please let us know ASAP! So we can open it up for another person! You can also select later dates, at a later time if there is space. But we have all the dates this winter/spring provided here. We will announce spaces left in the Kind Space Youth Discord Server.
Required
Dietary Restrictions or Allergies
Accessibility Notes
If there are any accessibility notes or needs or conditions that may require assistance that you wish to disclose, let us know, and we will pass it on to the facilitator. You can also contact jade@kindspace.ca
Is this your first time at this program? *
A copy of your responses will be emailed to the address you provided.
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