Vets of Tomorrow Registration Form and Waiver

Thank you for your interest in the GTHS Humane Education Programs!

If you have registered your child for any GTHS Programming in 2023, you can skip the personal information section. If any information has changed since you submitted the form initially, please update it.

If you have any questions, please email our Humane Education Coordinator at education@gths.ca.
Have you registered your child in any of the GTHS Humane Education Programs in 2023?

YesNo
Would you like to sign up for our Newsletter to be among the first to know about new and upcoming programs and events?
I would like to receive newsletters and other electronic communications from the Georgian Triangle Humane Society GTHS I may withdraw my consent at any time using the unsubscribe mechanism provided to me in communications from GTHS.

Yes I would like to receive information about Humane Education Programs and receive our Monthly Newsletter - the Bark and Purr
Child's Name*
Age*
Grade*
Date of Birth*
Address*
Health Card Number*
Family Doctor's Name*
Parent/Guardian Contact Information:
Name*
Relationship*
Primary Telephone Number*

Area CodePhone Number
Secondary Telephone Number*

Area CodePhone Number
Email Address*
example@example.com
In the case of accident or serious illness, I request that the Georgian Triangle Humane Society contact me. If the Georgian Triangle Humane Society is unable to reach me, I authorize the Georgian Triangle Humane Society to make whatever arrangements deemed necessary, such as administration of an Epinephrine autoinjector.

Attendance Policy: The Humane Education Programs award certificates of completion to each registrant. Please note that certificates will not be granted to anyone who does not complete at least 90% of the program. Refund Policy: Please note that refunds will be available prior to the first day of programming. Payment is for the full eight-week session and therefore refunds for missed days will not be available. If a registrant must withdraw from the program before the end date, refunds may be given for special circumstances.

Participants' Code of Conduct:

The safety of both the participants of this program and the animals in our care is of utmost importance to the Georgian Triangle Humane Society. Participation in this program means spending time in a busy animal shelter and interacting with some shelter animals. Participants must adhere to the shelter's dress code which includes: long pants, closed toe shoes and a Tshirt or long sleeved top. It is expected that all participants will be respectful of the public, staff, volunteers and animals at the Georgian Triangle Humane Society and will follow the rules established by the Georgian Triangle Humane Society staff. Any behavior of a participant that places him/herself, or any other human or animal, at risk may result in the participant's immediate dismissal from the Afterschool Programs. If dismissed from the program, the parent/guardian of the participant must cover any expenses arising from such dismissal.
Please describe any allergies your child has.*
Does your child use a puffer?*
Carry an Epi pen?*
If yes, what for
Please describe any illnesses, behavioral concerns or medical conditions that we should know about:
Is your child currently taking any medication? If so, please describe in detail*
I, (Parent/Guardian) blanks give the GTHS staff permission to give (Participant)Participant's Name this medication Medication Name at this time Time .
In the case of accident or serious illness, I request that the Georgian Triangle Humane Society contact me. If the Georgian Triangle Humane Society is unable to reach me, I authorize the Georgian Triangle Humane Society to make whatever arrangements deemed necessary, such as administration of an Epinephrine autoinjector.

Attendance Policy: The Humane Education Programs award certificates of completion to each registrant. Please note that certificates will not be granted to anyone who does not complete at least 90% of the program. Refund Policy: Please note that refunds will be available prior to the first day of programming. Payment is for the full eight-week session and therefore refunds for missed days will not be available. If a registrant must withdraw from the program before the end date, refunds may be given for special circumstances.

Participants' Code of Conduct:

The safety of both the participants of this program and the animals in our care is of utmost importance to the Georgian Triangle Humane Society. Participation in this program means spending time in a busy animal shelter and interacting with some shelter animals. Participants must adhere to the shelter's dress code which includes: long pants, closed toe shoes and a Tshirt or long sleeved top. It is expected that all participants will be respectful of the public, staff, volunteers and animals at the Georgian Triangle Humane Society and will follow the rules established by the Georgian Triangle Humane Society staff. Any behavior of a participant that places him/herself, or any other human or animal, at risk may result in the participant's immediate dismissal from the Afterschool Programs. If dismissed from the program, the parent/guardian of the participant must cover any expenses arising from such dismissal.
I, parent's/guardian's name)
blanks* have read and understand the above policies.
Signature*

Clear
Date*

MonthDayYear
Date
Waiver and Release Form for Minors

Health and Safety Waiver

I understand that as part of the Afterschool Programs, my child will be interacting with Georgian Triangle Humane Society animals with adult supervision. I understand that, while all necessary precautions will be taken to avoid harm, there is a risk that my child may be scratched, bitten or come into contact with zoonotic disease as a result of participation in this program. I assume that risk.

I hereby agree to release, indemnify and hold harmless the Georgian Triangle Humane Society and its officers, employees or agents from any and all liability for any damage or injury arising from participation in this program. This release shall include, but is not limited to: accidents, illness, injuries, or damage to possessions.

Media Release Form

I grant permission to the Georgian Triangle Humane Society to use my child’s image (photographs and/or video and/or sound) for use in Georgian Triangle Humane Society publications including: videos, email blasts, recruiting brochures, newsletters and magazines, and to use my child’s image in electronic versions of the same publications or on the Georgian Triangle Humane Society website or other electronic forms of media and social media, like Twitter and Instagram.

I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image.

I have read and understand the terms described above. My signature below indicates that I agree to comply with these terms.
Participant*

First NameLast Name
Parent/Guardian*

First NameLast Name
Signature*

Clear

Vets of Tomorrow II January 18 - February 15

Wednesday evenings from 4:30-6:30. Please note Vets of Tomorrow I is a prerequisite for Vets of Tomorrow II.
January 18 - February 15
Vets of Tomorrow I May 17 - June 14

Wednesday evenings from 4:30-6:30. Please note Vets of Tomorrow I is a prerequisite for Vets of Tomorrow II.
May 17 - June 14
Vets of Tomorrow II September 20 - October 18

Wednesday evenings from 4:30-6:30 for 5 weeks. Please note Vets of Tomorrow I is a prerequisite for Vets of Tomorrow II.
September 20 - October 18

My Products

Vets of Tomorrow IIJanuary 18 - February 15

$199.00CAD

Vets of Tomorrow IMay 17 - June 14

$199.00CAD

Vets of Tomorrow IISeptember 20 - October 18

$199.00CAD

Enter coupon

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

September 20 - October 18
Please close the browser window after you submit your payment.
Should be Empty:

Vets of Tomorrow II January 18 - February 15

Vets of Tomorrow I May 17 - June 14

Vets of Tomorrow II September 20 - October 18