Adventure Academy Registration Form

Adventure Academy Registration Form

Participant Information

Name of Participant*

Date of Birth

Participant Phone Number*

Program

High School Credits

If the participant is an Alberta high school student, we are pleased to offer credit(s) in completion with your completion of our winter 2021 program. Please provide your Alberta Student Identification Number below, as well as proof of Canadian citizenship or residency with completion of this document. If you are missing one of these articles, you will not receive high school credit.

Alberta Student Identification Number

Proof of Residency/Citizenship/Birth Certificate

Parent / Guardian Information

Name of Parent or Guardian*

Parent or Guardian's Cell Phone Number*

Parent or Guardian's Home Phone Number*

Parent or Guardian's Email*

Home Address*

Secondary Emergency Contact Information

Please provide the information of a secondary emergency contact, should we be unable to reach the parent or guardian.

Name of Secondary Emergency Contact*

Secondary Emergency Contact Phone Number*

Medical Information

Allergies (2000 chars left)

Pre-Existing Medical Conditions (2000 chars left)

Any and All Medication Needed for the Duration of the Program (2000 chars left)

Any Current Injuries (2000 chars left)

Any past jnjuries that could affect your health on the program: (2000 chars left)

Cancellation Policy

Payment is due in full 45 days prior to day 1 of the program. For sign-ups within 45 days, payment is due in full with registration, and registration is not confirmed until full payment has been received. Cancellations made at least 45 days prior to the start of the program will receive a full refund. Participants who cancel 44 - 30 days prior to the program will receive a 50% refund. Cancellations within 29 days of the program are non-refundable.

Company of Adventurers reserves the right to cancel 7 days from the start of the program if minimum participant requirement is not met (6 participants minimum); or within 7 days of the start of the program should unforeseen circumstances warrant cancellation. This may include but is not limited to weather, wildfire or other force majeure. Paid participants will receive a full refund or be transferred to the next available program in this circumstance.

I hereby confirm that I have read and agree to the Cancellation Policy*

I hereby confirm that all the above information is true, will accept and follow all rules, and have disclosed all necessary medical information required.*

Attach Signed Waiver

Optional: attach your signed waiver to complete the registration process. If you do not submit your form at this time, you will be asked to submit it via email.

Upload your signed waiver

How did you hear about this program / Company of Adventurers?

I.e. word of mouth, repeat business, our social media channels, our website? We appreciate your feedback!

Describe how you heard about us

Thank you for registering with us!