CK Registration In-Person Home Alone

In-Person Home Alone Course

Please read the registration process before continuing.
1. Complete online registration (continue this page)

2. Waiver, Terms & Conditions. You will be directed to the Waiver page when you submit this form.

3. Send etransfer payment to cksafetycourses@gmail.com. Cost for the Home Alone Course is $60.

4. Once the waiver & payment are received, we will email you a confirmation email, confirming your child's registration & that we have received your payment. This email will contain all the instructions you need for arrival at the course venue. Please read this email carefully.

**Please ensure that you add cksafetycourses@gmail.com to your "safe" email addresses, so that the confirmation email does not end up in your SPAM folder. **

5. If you need to cancel your child's registration, we require 48 hours’ notice, and a $20 cancellation fee will apply. If you cancel less than 48 hours in advance of the date of the course, no refund will be given. In the case that your child cannot attend due to flu-like symptoms, one (1) transfer will be given to either an online course, or a date at least 14 days after the onset of symptoms.
I understand *

Yes. I understand and agree.

Covid-19 Compliance Requirements

Please read the Covid-19 compliance attendance requirements before continuing.
In-person courses will be Covid-compliant, and each participant will be required to adhere to health requirements at the venue, including:

- adhering to local mask-wearing bylaws where applicable

- answering screening questions

- signing in upon entrance with both name & phone number to provide a record of individuals entering in the venue

- adhering to hand-hygiene

- following physical distancing requirements

- bringing personal snacks and beverages (if desired)

In order to reduce contact at each venue, the Waiver Terms & Conditions will be signed digitally.

Anyone who is sick with cold-like symptoms such as cough, fever, runny nose, sore throat or shortness of breath, MUST NOT be in the building/classroom. Instructors or students with any of these symptoms will not be allowed in the building/classroom and will be advised to return home.
I understand *

Yes. I understand and agree.

Register for In-Person Home Alone
Parent/Guardian Name *

First Name Last Name
Child's Name *

First Name Last Name
Child's Birthdate *

Month Day Year
Date
Child's Age *
To register for Home Alone, the following age restrictions apply: children must be 9 years old ON THE DATE of the course to register. Canada Safety Council recommends that children be 10 years old before staying home alone for any length of time.
Address *

Street Address

Street Address Line 2

City Province

Postal Code
Phone Number *

Area Code Phone Number
E-mail *
example@example.com
Please select the Course date: *

Wed, Aug 24: 9am (morning session) - Mount Olivet Lutheran Church, Sh Pk (1 space left) Wed, Aug 24: 1pm (afternoon session) - Mount Olivet Lutheran Church, Sh Pk Mon, Aug 29: 9am (morning session) - Heartland Alliance Church, Sh Pk Mon, Aug 29: 1 pm (afternoon session) - Heartland Alliance Church, Sh Pk Tues, Aug 30: 9am - Enjoy Life Church, Edmonton
Other information:
If your child is registering with a friend, please let us know in advance.

Viking-Beaver FCSS is offering a cost-share subsidy for residents of Viking who self-identify as being low-income.
I self-identify as a low-income family and would like to apply for subsidy. *

Yes No
Cost-share subsidy will cover $10 of your child's registration.

Parents will only be required to pay $50 to reserve your child's spot. Viking-Beaver FCSS will pay the remaining balance of $10.
I understand that the cost for my child's registration is $50. *

Yes

I am a resident of Wetaskiwin County. *

Yes No
County of Wetaskiwin FCSS is subsizising the cost of county Home Alone Courses.

Parents will only be required to pay $20 to reserve your child's spot. Wetaskiwin FCSS will pay the remaining balance of $40.
I understand that the cost for my child's registration is $20. *

Yes

Wait-List Alert!
You are submitting a registration form for a course that has a wait-list.

Please do not submit payment until you have been contacted that your child is able to attend.
*

I understand.

Where did you hear about us? *

School Handout Canada Safety Council Word of mouth/Through a friend Social Media post (FB/Raising Edm/Instagram) Community League Newspaper
I understand that *

I understand that payment & waiver must be received by e-transfer to cksafetycourses@gmail.com within 48 hours of submitting for registration to be complete.
I understand that *

If payment or waiver is not received within 48 hours of registration, my child's name will be removed from the attendance list.
Cancellation Policy: *

If I need to cancel my child's registration, we require 48 hours’ notice, and a $20 cancellation fee will apply. If I cancel less than 48 hours in advance of the date of the course, no refund will be given.
Please verify that you are human *
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In-Person Home Alone Course