Game On Registration Form - In School YRDSB

  • Thank you for your interest in the Game On! program. Once your submission has been reviewed by our team, you will receive an email confirmation with more details about the program.

  • MM slash DD slash YYYY
  • This response is voluntary and will be used for statistical purposes only.
  • This response is voluntary and will be used for statistical purposes only.
  • We realize that this information can be of a sensitive nature and it will be treated with confidence and respect.
  • We ask because some of the group discussion will be on healthy balanced eating and we want to make sure we are sensitive to each participant’s dietary needs when holding these discussions.
  • Ex. religious or cultural views, stressors, other existing issues?
  • Media Consent

  • Please select your response to the Media Consent statement listed above.
  • Informed Consent

  • I have read and understand this agreement. By checking YES, I acknowledge that I am the parent/guardian of the child for whom I am applying and that I hereby request Big Brothers Big Sisters service for my child. I give my child permission to participate in one or more group programs offered by BBBSY. I am aware of and understand the risks, dangers and hazards associated with the above service and agree such service is suitable for my child.
  • Parent/Guardian Signature