Array ( [0] => stdClass Object ( [id] => 66217 [title] => Acrobatics Class [slug] => //live-here/recreation/acrobatics-class [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [1] => stdClass Object ( [id] => 61292 [title] => Adult Beginner SUP Class [slug] => //live-here/recreation/adult-beginner-sup-class [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [2] => stdClass Object ( [id] => 43052 [title] => Adult Registration Form [slug] => //live-here/recreation/adult-recreation-programs [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 1 [special_page_module_id] => [allow_sub_pages] => 0 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [3] => stdClass Object ( [id] => 49078 [title] => After School Club [slug] => //live-here/recreation/after-school-club [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [4] => stdClass Object ( [id] => 49082 [title] => Babysitting Course [slug] => //live-here/recreation/babysitting-course [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [5] => stdClass Object ( [id] => 66207 [title] => Ballet & Jazz Classes [slug] => //live-here/recreation/ballet-jazz-classes [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => 0 [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [6] => stdClass Object ( [id] => 43406 [title] => Beaches [slug] => //live-here/recreation/beaches [visibility_id] => 1 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [7] => stdClass Object ( [id] => 49576 [title] => Blissful Babies Yoga [slug] => //live-here/recreation/blissful-babies-teen-yoga [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => 0 [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [8] => stdClass Object ( [id] => 50825 [title] => Breakdancing [slug] => //live-here/recreation/breakdancing [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 1 [is_vault] => 0 [depth] => 1 [children] => ) [9] => stdClass Object ( [id] => 61330 [title] => Canada Day Road Hockey Tournament [slug] => //live-here/recreation/canada-day-road-hockey-tournament [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [10] => stdClass Object ( [id] => 66233 [title] => Cardio Dance Class [slug] => //live-here/recreation/cardio-dance-class [visibility_id] => 1 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [11] => stdClass Object ( [id] => 43051 [title] => Child Registration Form [slug] => //live-here/recreation/child-recreation-program-registration-form [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 1 [special_page_module_id] => [allow_sub_pages] => 0 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [12] => stdClass Object ( [id] => 49079 [title] => Creative Dance [slug] => //live-here/recreation/creative-dance [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 1 [is_vault] => 0 [depth] => 1 [children] => ) [13] => stdClass Object ( [id] => 66229 [title] => Davison Orchards [slug] => //live-here/recreation/davison-orchards [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [14] => stdClass Object ( [id] => 41989 [title] => Facility Rentals [slug] => //live-here/recreation/facility-rentals [visibility_id] => 1 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [15] => stdClass Object ( [id] => 43056 [title] => Facility Use Permit Application [slug] => //live-here/recreation/facility-rentals2 [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 1 [special_page_module_id] => [allow_sub_pages] => 0 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [16] => stdClass Object ( [id] => 66215 [title] => Family Craft Nights [slug] => //live-here/recreation/family-craft-nights [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [17] => stdClass Object ( [id] => 66225 [title] => Floor Hockey with the Eagles [slug] => //live-here/recreation/floor-hockey-with-the-eagles [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [18] => stdClass Object ( [id] => 49575 [title] => Generation Pound Class [slug] => //live-here/recreation/generation-pound-class [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [19] => stdClass Object ( [id] => 49083 [title] => Home Alone Course [slug] => //live-here/recreation/home-alone-course [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [20] => stdClass Object ( [id] => 61288 [title] => Kids Beginner SUP Class [slug] => //live-here/recreation/kids-beginners-sup-class [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => 0 [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [21] => stdClass Object ( [id] => 49080 [title] => Kids Hip Hop [slug] => //live-here/recreation/kids-hip-hop [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 1 [is_vault] => 0 [depth] => 1 [children] => ) [22] => stdClass Object ( [id] => 50833 [title] => Kids Yoga [slug] => //live-here/recreation/kids-yoga [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [23] => stdClass Object ( [id] => 49574 [title] => Learn to Paint [slug] => //live-here/recreation/learn-to-paint [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [24] => stdClass Object ( [id] => 49577 [title] => Lunchtime Yoga [slug] => //live-here/recreation/lunchtime-yoga [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [25] => stdClass Object ( [id] => 66211 [title] => Musical Theatre [slug] => //live-here/recreation/musical-theatre [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [26] => stdClass Object ( [id] => 41987 [title] => Parks and Green Spaces [slug] => //live-here/recreation/parks [visibility_id] => 1 [image_file] => [image_alt_text] => [misc_field] => 0 [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [27] => stdClass Object ( [id] => 49087 [title] => Pickleball [slug] => //live-here/recreation/pickleball [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [28] => stdClass Object ( [id] => 49077 [title] => Pro D Days [slug] => //live-here/recreation/pro-d-days [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => 0 [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [29] => stdClass Object ( [id] => 41986 [title] => Programs [slug] => //live-here/recreation/programs [visibility_id] => 1 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [30] => stdClass Object ( [id] => 43049 [title] => Recreation Program Frequently Asked Questions [slug] => //live-here/recreation/frequently-asked-questions [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [31] => stdClass Object ( [id] => 43395 [title] => Recreation Program Registration [slug] => //live-here/recreation/recreation-program-registration [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [32] => stdClass Object ( [id] => 49086 [title] => Remote Control Flying Club [slug] => //live-here/recreation/remote-control-flying-club [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [33] => stdClass Object ( [id] => 43059 [title] => Site Plan Requirements for Facility Use Permit Applications [slug] => //live-here/recreation/site-plan-requirements-for-facility-use-permit-applications [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [34] => stdClass Object ( [id] => 43054 [title] => Special Event Mobile Vendor Application [slug] => //live-here/recreation/special-event-mobile-vendors [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 1 [special_page_module_id] => [allow_sub_pages] => 0 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [35] => stdClass Object ( [id] => 50834 [title] => Spring Break Camp [slug] => //live-here/recreation/spring-break-camp [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [36] => stdClass Object ( [id] => 63252 [title] => Strength Festival [slug] => //live-here/recreation/strength-festival [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 1 [is_vault] => 0 [depth] => 1 [children] => ) [37] => stdClass Object ( [id] => 49084 [title] => Summer Kids Club [slug] => //live-here/recreation/summer-kids-club [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [38] => stdClass Object ( [id] => 61284 [title] => SUP Kids Camp (Full) [slug] => //live-here/recreation/sup-kids-camp [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => 0 [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [39] => stdClass Object ( [id] => 43058 [title] => Supporting Documentation for Facility Use Permit Applications [slug] => //live-here/recreation/supporting-documentation-for-facility-use-permit-applications [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [40] => stdClass Object ( [id] => 49085 [title] => Swim Lessons [slug] => //live-here/recreation/swim-lessons [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [41] => stdClass Object ( [id] => 50835 [title] => Teen Yoga [slug] => //live-here/recreation/teen-yoga [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [42] => stdClass Object ( [id] => 66221 [title] => Tots Indoor Soccer [slug] => //live-here/recreation/tots-indoor-soccer [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [43] => stdClass Object ( [id] => 41988 [title] => Trails [slug] => //live-here/recreation/trails [visibility_id] => 1 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) [44] => stdClass Object ( [id] => 49081 [title] => Tumbling Class [slug] => //live-here/recreation/tumbling-class [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 1 [is_vault] => 0 [depth] => 1 [children] => ) [45] => stdClass Object ( [id] => 50836 [title] => Unplug & Play Week [slug] => //live-here/recreation/unplug-play-week [visibility_id] => 2 [image_file] => [image_alt_text] => [misc_field] => [special_page] => 0 [special_page_module_id] => [allow_sub_pages] => 1 [status_id] => 3 [is_vault] => 0 [depth] => 1 [children] => ) )
  • Beaches
  • Cardio Dance Class
  • Facility Rentals
  • Parks and Green Spaces
  • Programs
  • Trails

Adult Registration Form

Please complete all sections of this form and visit the District Office for payment prior to or on the first day of the program.

Medical Information

Enter N/A if not applicable.

Enter N/A if not applicable.

Enter N/A if not applicable.

Enter N/A if not applicable.

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Medication

If you are on medication please list details below

Medication 1

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Enter N/A if not applicable.

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Medication 2

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Enter N/A if not applicable.

Medication 3

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Informed Consent

By entering my name and today's date below, I acknowledge that I am aware that there are elements of risk inherent to this or any activity; that I have informed myself to my own satisfaction of the nature of the risks inherent to the particular program or activity named in this form and agree as follows:

PARTICIPANT TO INDEMNIFY AND SAVE HARMLESS: That in consideration of the fee to be paid and instruction or other services to be provided, I hereby agree to indemnify and save harmless the District of Sicamous (DOS) and its officers, servants, agents, and co-sponsoring organizations from any claims, demands, and causes of action that may arise out of my participation in the program named in this form.

PARTICIPANT TO RELEASE AND WAIVE CLAIMS: That on behalf of myself, my heirs and assigns, I hereby release, waive, and forever discharge the DOS and its officers, servants, agents, and cosponsoring organizations, from all claims, costs, causes of action, or demands that may arise out of any incident, accident, or other occurrence that may result in personal or bodily injury, loss of life, property loss, or any other damages to any person by or through my participation in the program identified in this form.

Privacy

Personal information on this form is collected under the authority of the Freedom of Information & Protection of Privacy Act (the Act) for administrative purposes of the District of Sicamous. Personal information is protected from unauthorized use and disclosure in accordance with the Act and may only be used and disclosed as provided by the Act. Questions regarding the collection of personal information can be directed to the Administrator or FOI Coordinator, District of Sicamous, PO Box 219, 446 Main Street, Sicamous, BC V0E 2V0, dco@sicamous.ca, 250-836-2477.