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  1. Program Choice:






  2. Participant's Information:















  3. Parent or Guardian Information:

  4. Waiver and Medical Information:




  5. Note: Participant must have health insurance. If the do not have a Provincial Health Card and/or are from outside Canada, please complete the alternate Health Coverage section.



  6. If YES, a Medical Waiver Form must be completed before the participant can attend ROBSI. A Medical Waiver Form can be downloaded "HERE" and completed after the registration process has been completed.



  7. Note: Medications should be brought to ROBSI and given to School Directors at time of sign in. All medications should be clearly labelled with the patient’s name, purpose of the medication and dosage instructions.



  8. Our exciting school activities include daily swimming, hiking, canoeing and other physical activities: Is there any reason (physical or emotional) that would make participating in these activities difficult for your child? and/or is the participant subject to asthma, bed wetting, convulsions, ear trouble, headaches, menstrual cramps, phobias, nightmares, other chronic or recent illnesses?
  9. Note: Medications should be brought to school and given to School Directors at time of sign in. All medications should be clearly labelled with the patient’s name, purpose of the medication and dosage instructions.



  10. Important: When possible, we will try to accommodate dietary restrictions based on health, moral and/or religious beliefs, unfortunately we are unable to accommodate individual food likes and dislikes. Also, given our limited access to specialized foods while at the schools, we cannot commit to meeting dietary restrictions that are not identified on this form.





  11. Note: Medications should be brought to school and given to School Directors at time of sign in. All medications should be clearly labelled with the patient’s name, purpose of the medication and dosage instructions.




  12. Note: In the event that a participant requires medical treatment, this question may be asked at the local hospital.
  13. Note: Available from school or doctor's records.

  14. Parent or Guardian Consent:

  15. Parent or Guardian's Consent: By choosing "YES" it is understood that you hereby give permission for your child and/or ward to attend the above noted school and to participate in all supervised activities including those that may require transportation to and from the main school, and authorize those in charge at the school to secure such medical advice and services for the above named as may be deemed by them as necessary, and agree to accept financial responsibility for any charges incurred (i.e. not paid by provincial medical insurance)



  16. Note: A group photo is normally taken at ROBSI and given to those attending. Also candid photos are sometime used for advertising purposes on our website, in emails and printed brochures.

  17. Alternate contact if the parent or guardian is not available in an emergency.
  18. Note: Contact must be able to come to the school location if required.

  19.  

  • After you click the "Submit" button be sure to complete the Payment Cart to guarantee your registration!.