Array ( [0] => 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] => ) [1] => 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] => ) [2] => 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] => ) [3] => 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] => ) [4] => 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] => ) [5] => 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] => ) [6] => 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] => ) [7] => 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] => ) [8] => 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] => ) [9] => 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] => ) [10] => 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] => ) [11] => 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] => ) [12] => 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] => ) [13] => stdClass Object ( [id] => 49077 [title] => Spring 2019 Pro D Days [slug] => //live-here/recreation/fall-2018-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] => ) [14] => 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] => ) [15] => 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] => ) [16] => 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] => ) [17] => 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] => ) [18] => 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] => ) [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] => 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] => ) [21] => 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] => ) [22] => 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] => ) [23] => 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] => ) [24] => 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] => ) [25] => 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] => ) [26] => 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] => ) [27] => 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] => ) [28] => 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] => ) [29] => 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] => ) [30] => 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] => ) [31] => 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] => ) [32] => 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] => ) [33] => 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] => ) [34] => 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] => ) [35] => 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] => ) [36] => 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] => ) [37] => 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] => ) )
  • Programs
  • Parks and Green Spaces
  • Trails
  • Beaches
  • Facility Rentals

Child Registration Form

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

Children will not be allowed to leave with anyone not on this list.

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.

Enter N/A if not applicable.

Enter N/A if not applicable.

Medication: If the participating child is on medication please list details below

Medication 1

Enter N/A if not applicable.

Enter N/A if not applicable.

Enter N/A if not applicable.

Medication 2

Enter N/A if not applicable.

Enter N/A if not applicable.

Enter N/A if not applicable.

Medication 3

Enter N/A if not applicable.

Enter N/A if not applicable.

Enter N/A if not applicable.

Informed Consent

I, the parent and/or legal guardian of the participant, by entering the information below, hereby acknowledge that I have informed myself to my own satisfaction of the risks associated with or inherent in any program or activity offered by the District of Sicamous (DOS) and in which I have registered the Participant. I consent to participation by the Participant in all aspects of the program offered and further agree as follows:

PARENT AND/OR LEGAL GUARDIAN 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 DOS and its officers, servants, agents, and co-sponsoring organizations from any claims, demands, and causes of action that may arise out of participation by the Participant in the program named below.

PARENT AND/OR LEGAL GUARDIAN 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 co-sponsoring 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 participation by the Participant in the program identified below.

Consent

By entering my name and today's date below, I declare that I am the parent or legal guardian of the above participant, and consent that he/she may be a participant in the above program.

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.