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Returning Students

Returning StudentsShawn Stuart2023-12-04T14:44:19-05:00

Returning Student Form

Hi there, you are being directed to this form if you are currently participating in an OK program! We are very excited to be preparing for the winter semester. Please fill out and submit this form by December 15th. This semester a participation fee of $50 will be reimplemented to ensure commitment. However, we do not want the cost to be a barrier to anyone. If any student's family cannot provide the participation fee simply skip the payment option section, and no questions will be asked.

Returning Student Information

Will you be returning for OK Core Programs Winter 2024?(Required)
Please enter the returning student's (legal) first and last name.
If the returning student has a preferred name that is different than their legal name, please enter it in this field. If this does not apply to you enter n/a.
Prefered Gender or Pronoun

Address(Required)

Parent/ Guardian 1

Please enter the first and last name of parent/ guardian #1
Relationship with Student(Required)

Address(Required)
parent/ guardian #1
Address
Please enter the address of parent/ guardian #1
Would you like to add another parent/ guardian?

Parent/ Guardian 2

Please enter the first and last name of parent/ guardian #2
Relationship with Student

Address
parent/ guardian #2
Address
Please enter address of parent/ guardian #2

Emergency Contact Info

Name: First and Last(Required)
Address(Required)

Returning Student Health Information

Waiver and Agreement

The student named in this application has the permission of the undersigned to participate at Organized Kaos (OK). Students will be required to participate in safety training or they will be unable to participate. Students will be operating handheld and stationary power equipment. Each tool must be taught and the student must demonstrate safe usage in order to use. Safety equipment must be worn when using equipment. Mentoring will be done in ratios of no more than one trades person to five students.

In the event of an emergency affecting the health or welfare of this participant, the staff or volunteers have permission to administer first aid and/or transport the individual to the nearest doctor or hospital for further medical attention, as deemed necessary. The individual action in response to the emergency will be held blameless. Any medical expenses occurring will be borne by the parents or guardians of the participant. The undersigned agrees not to hold Organized Kaos or its employees/volunteers liable for injury, loss, or damage to person or property resulting from participating in these events.

1.(Required)
I grant to OK and its representatives the right to use photos/videos/written/audio of my child for promotion, education, fundraising, and advertising in connection to OK. I authorize OK to copyright, use and publish the material in print and or electronically. (Required)
2.(Required)
My young person has permission of the undersigned to participate in Organized Kaos related off-site retreats, events, and jobs/projects. (Required)
3.(Required)
I agree to allow my child to drive with OK volunteers, when two staff/volunteers are present in designated vehicle. (Required)
4.(Required)
I agree to allow my young person to meet one-on-one with the OK team in public, high traffic, visible areas in order to build strong mentorship relationships outside of the OK Shop.
 (Required)
Acknowledgement(Required)
Proper and respectful behaviour is expected from youth participating. By checking this box I state that I have read and hereby agree to all items stated above and I assume responsibility for the actions of my daughter/son.

Registration Fee $50

The Registration fee is payable through e-transfer to the email shawnstuart@organizedkaos.org. We do not want the cost to be a barrier to anyone. If any student's family cannot provide the participation fee simply skip the payment, and no questions will be asked.
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Mailing Address: 596 Bishopsgate Rd., Paris, ON N3L 3E3

BN: 77700 6693 RR0001

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