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Job Readiness Program Registration Form

You are here: Home1 / Programs2 / Settlement Services3 / Welcoming Community for New Comers (WCN)4 / WCN Youth Program5 / Job Readiness Program Registration Form

Job Readiness Program Registration Form

The personal information you are about to enter in this online form shall remain confidential and will not be shared with any other person or organization. The information is intended solely for record keeping and reporting purposes.

"*" indicates required fields

Step 1 of 2

50%

Name*
DD slash MM slash YYYY
Gender*

Home Address*
Emergency Contact Person*

Parent Consent Form

Parents Of Youth Under The Age Of 18 Must Read And Sign The Consent Below!
Parent/Guardian's Name*
Any pre-existing medical issues or allergies that may affect your child's participation?*
I/We know that sufficient information has been provided by the Youth Worker with respect to the planned activity, duration, location, participants and supervision.*
I/We understand that the rules and regulations established for the program are designed for the safety and protection of the participants and hereby undertake to inform and expect my child to abide by these rules and regulations.*
I/We hereby give permission for photos and or videos of my child captured during the activity to be used by Regina Open Door Society in promotional materials through website, social media, newsletters, posters and publications waiving my rights of compensation or ownership thereto.*
I/We hereby allow my child to be captured and or interviewed by the press in the event of a media coverage.*
I/We consent to my child's in the program and I am aware of the risks of injury. These types of injuries may be minor or serious and may result from one's actions, or the inaction of others, or a combination of both. I consent to my child's participation in spite of such risks.*
I/We acknowledge that it is my responsibility to advise Regina Open Door Society of any medical or other conditions that may affect my child's participation in the program.*
In the event that my child requires medical attention, I consent to my child being transported to the nearest emergency facility including by ambulance if necessary, and accept that I am responsible for any costs of such service.*
Parent/Guardian's consent/signed*
DD slash MM slash YYYY
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    • Childcare Centre
  • About
    • About Us
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    • I’m Glad We’re Neighbours
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    • General Inquiries
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    • Presentation Requests
    • Media Contact
    • Housing Registry
  • Donate

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Who We Are

The Regina Open Door Society (RODS) is a non-profit organization that provides settlement and integration services to refugees and immigrants in Regina. RODS is committed to meeting the needs of newcomers by offering programs and services that enable them to achieve their goals and participate fully in the larger community.

Charitable Registration #: 119114205RR0001

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    2314 11th Avenue
    Regina , SK S4P 0K1

Media inquiries/requests send to media@rods.sk.ca

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