Growing Chefs! Ontario Fall 2024 Beginner Culinary Program Registration Form

Participant Information

Participant's Name*

First NameLast Name

Participant's Pronouns

For example, "she/her" or "they/them"

Age of the first day of class (must be between age 5-7)*

If selecting "other", this must be pre-approved with Christy@growingchefsontario.ca. This option is only for older participants with disabilities.

Address*

Street Address

Street Address Line 2

CityState/ Province

Postal/ Zip Code

Health Card Number*

Parent/Guardian Information

Name*

First NameLast Name

Home Number

Area CodePhone Number

Cell Number*

Area CodePhone Number

E-mail*

example@example.com

Secondary Emergency Contact Information

please do not use the same information as the parent/guardian above, we need a secondary contact in case we are not able to contact you, the primary contact

Secondary Emergency Contact's Name*

First NameLast Name

Relationship*

Home Number

Area CodePhone Number

Cell Number*

Area CodePhone Number

Additional Pick-Up/Drop-Off Contacts

*please note anyone picking up a participant must be listed in advance by the parent/guardian and must show valid photo ID*

Name/s of pick-up/drop-off contact/s

Full name/s required

Additional Information

Does the participant have any dietary restrictions? If yes, please describe. If your child has a life-threatening food allergy, please consult our Allergen Statement before signing up: https://growingchefsontario.ca/news/allergen-statement*

If yes, please describe in detail. For example, "Dylan has a dairy allergy, and can come into contact with dairy while cooking, but cannot consume it. Dairy will trigger an anaphylactic reaction, and an epipen is kept in their backpack for emergencies."

Does the participant have any allergies, chronic illness, or medical conditions that require accommodation? If yes, please describe.*

Does the participant have any accessibility needs? If yes, please describe.*

Please list and provide instructions for any medications the participant may require. *Participants must bring any medication with them as required.

By signing below, I hereby give consent for program staff to manage and administer my child's medication in accordance with the specific instructions I have provided.

By signing below, I hereby give consent for my child to be photographed or filmed and for those photos to be featured in Growing Chefs! Ontario promotional materials

Informed Consent: By signing below, I hereby give my approval for my child’s participation in any and all activities prepared by Growing Chefs! Ontario during the selected program. In exchange for the acceptance of said child’s candidacy by Growing Chefs! Ontario, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Growing Chefs! Ontario and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of, traveling to, participating in, or returning from selected program sessions. In case of injury to said child, I hereby waive all claims against Growing Chefs! Ontario including all program staff and participants, and, if applicable, owners and lessors of premises used to conduct the program. *

Medical Release and Authorization: By signing below, and as Parent and/or Guardian of the named participant, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named camper. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to Growing Chefs! Ontario and its staff members to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered program. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence. *

My Products*

Growing Chefs! Ontario Beginner Culinary Program - 8 weeks$160.00CAD

Cost includes all programming fees, a safe chopper, and small snack each week. Growing Chefs! Ontario is committed to providing low-cost food education experiences for youth. If cost is a barrier to registration, please contact christy@growingchefsontario.ca to explore subsidy options.

Food Education Subsidy Fund Donation$15.00CAD

Pay it forward by adding a donation to our Food Education Subsidy Fund, which helps others to have an opportunity to attend our programming regardless of financial barriers.

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