St. Paul the Apostle Challenge & Conquest Registration

St. Paul the Apostle, Burlington

CHALLENGE & CONQUEST

Registration Form

(September 2026 - June 2027 season)

Sponsored by Regnum Christi, Love Christ, Serve People, Build the Church
Meetings held every Tuesday from 6:30pm to 8:15pm at:

St. Timothy Catholic Elementary School

2141 Deer Run Ave, Burlington, ON L7M 4C7

Jk- Grade 8 Annual membership Fee $150 per child

Grade 9-12 Annual membership Fee $70 per child

Family discount: 10% off for 2 siblings, 20% off for 3 or more siblings. The first child will be charged the full regular price and the discount is not applicable.

Example of Annual Membership Fees for multiple children being registered from the same family:

Jk- Grade 8 (2 children registered)

1st Child: $150

2nd Child: $135

Total amount due: $285

Jk-Grade 8 (3 children registered)

1st Child: $150

2nd Child: $120

3rd Child: $120

Total amount due: $390

Payment options:

Cash OR e-transfer to ecydburlington@gmail.com

Email for any enquiries: ecydburlington@gmail.com

Website: www.regnumchristiontario.org/ecyd
How many children are you registering? (must be siblings)
1st Child's Full Name

First NameLast Name
Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Which club will the child be attending?
Grade (going into Fall 2026)
Allergies/Medical Issues
T-shirt size
2nd Child's Full Name

First NameLast Name
Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Which club will the child be attending?
Grade (going into Fall 2026)
Allergies/Medical Issues
T-shirt size
3rd Child's Full Name

First NameLast Name
Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Which club will the child be attending?
Grade (going into Fall 2026)
Allergies/Medical Issues
T-shirt size
4th Child's Full Name

First NameLast Name
Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Which club will the child be attending?
Grade (going into Fall 2026)
Allergies/Medical Issues
T-shirt size
5th Child's Full Name

First NameLast Name
Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Which club will the child be attending?
Grade (going into Fall 2026)
Allergies/Medical Issues
T-shirt size
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
By checking this box I acknowledge that I understand that membership in St. Paul the Apostle Challenge & Conquest clubs requires payment of an annual membership fee to cover the club's operating costs.
I understand and agree that the success of the St Paul the Apostle Challenge & Conquest programs for my children, depends on every parent’s active participation and commitment. Therefore, I agree to volunteer and participate in the club activities and events.
NATURE OF ACTIVITIES: Primarily club meetings as well as formative and sporting activities, consisting of formation in Catholic faith and virtue combined with apostolic projects, online and recreational activities.
ACTIVITY SUPERVISOR (S): Adult Volunteer Staff of the club/program.
TRANSPORTATION: Not Applicable. Participants are responsible for securing their own transportation to and from activities, as the St. Paul the Apostle Challenge & Conquest clubs do not provide transportation.
REQUIREMENTS: The child named above is in good health and has no physical or medical limitations that would cause the activities as described above to be detrimental or dangerous to the child. Parents/guardians should specify allergies and medical problems in corresponding section.
CONSENT: I/We hereby consent to the above-named child’s participation in the activities described above, and specifically request that he be allowed to participate in those activities. I/We warrant that I/We have full authority to legally consent to his participation in the activities described on this form, and all provisions contained herein.
AUTHORIZATION. I/We hereby authorize St. Paul the Apostle Challenge & Conquest clubs to use the image and likeness of my/our child in photograph or video form whether taken by or commissioned by St. Paul the Apostle Challenge & Conquest clubs. in its promotional materials and for its promotional purposes associated with its nonprofit activities. This authorization shall extend to use of my/our child’s image and likeness on the website of St. Paul the Apostle Challenge & Conquest clubs. or its successor in operation or affiliated organization(s) upon written consent of St. Paul the Apostle Challenge & Conquest clubs. I/We understand that this authorization shall survive the end of my/our child’s participation in the activities referenced on this form.
INSURANCE: I/We understand that St. Paul the Apostle Challenge & Conquest clubs do not carry any health insurance relative to the activities or for any injury that may occur to the above-named child. I/We represent that the child is (a) covered by insurance through my/our own insurance carrier; or (b) that I/We am/are personally financially responsible for any and all medical costs incurred as a result of the child’s injury.
EMERGENCIES: If the above-named child requires any emergency medical procedures or treatments during the activities, I/We consent to the activity supervisor(s) taking, arranging for or consenting to such procedures or treatments in the discretion of the activity supervisor(s). For purposes of such procedures and treatments, my/our child’s blood type allergies or other medical problems (if any) are listed in corresponding section.
EMERGENCY CONTACTS: If, in the event of a medical or other emergency, I/We am/are unable to be reached by telephone at the numbers listed below, I/We authorize the activity supervisor(s) to attempt to contact me/us through the alternative emergency contacts listed below.
Emergency Contact 1 (non-signing parent or other)

NamePhone Number
Relationship
Relationship
Emergency Contact 2 (non-signing parent or other)

NamePhone Number
Relationship
Relationship
RELEASE AND INDEMNIFICATION: I/We release and waive, and further agree to indemnify, hold harmless or reimburse St. Paul the Apostle Challenge & Conquest clubs the individual members, agents, directors, officers, employees, volunteers and representatives thereof, as well as activity supervisors, from and against, any claim which I, any other parent or guardian, any sibling, the above-named child, or any other person, firm or corporation may have or claim to have, known or unknown, directly or indirectly, for any losses (including attorneys’ fees incurred by St. Paul the Apostle Challenge & Conquest clubs or any of its individual employees, agents, volunteers, etc. in enforcing this indemnity provision) without limitation in time or amount, damages or injuries arising out of, during, or in connection with my/our child's participation in the activities, the travel to and there from, and the rendering of emergency medical procedures or treatment, if any. I/We understand that this release and indemnification shall survive the end of my/our child’s participation in the activities referenced on this form.
EMAIL AND PHONE MESSAGES COMMUNICATION: Parent's email addresses and phone numbers will be used for St. Paul the Apostle Challenge & Conquest Clubs and ECYD Ontario communication purposes.
I/We have read and understand the above and agree to all terms and conditions contained therein.
Date of permission

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Parish
Parish Name, City

Parish NameCity
Signing Parent/Guardian

Full NamePhone Number
Email Address
Signature
Should be Empty: