Trailblazers Club Registration Form

The Trailblazers Club Winter 2026: Registration Form

Thank you for your interest in our program! We know there are quite a few questions, but each one is important. Please reach out if you need any help. If you prefer a printed version or a pdf version, we’d be happy to provide one.
Today's Date

MonthDayYear
Date
Trailblazer Information
Full Name*
Are you already a registered Trailblazer member?*
If you have completed a registration form for: 1:1 Services, The Trailblazers Club or The Adventure Club, please select 'YES'.
Date of Birth*

MonthDayYear
Date
Phone Number*
Email Address (if primary contact)*
Transportation Arrangements*

HSRDARTSSupport Worker / GuardianOther
Trailblazer T-Shirt Size (unisex sizing)*

SmallMediumLargeX-Large2XOther
Primary Contact

This is the person we will contact for program updates, scheduling changes, emergencies and important information.
Contact Name*
We primarily communicate via email, unless otherwise specified or in the case of an emergency.
Contact Phone Number
Contact Email*
Relationship to Trailblazer
Medical
Has your medical situation or medical protocols changed?*
If you wish to update your medical info already on file, please click 'yes' and enter the info into the box provided.
Please list any medical conditions, allergies, or food restrictions that we should be aware of.If there are any safety-related medical considerations (for example, seizure protocols), please include them here.You may also share any medical or developmental diagnoses that would help us plan safe and inclusive programming.*
Do you carry an Epipen?*
Accommodations & Supports
Has your accommodations, supports or behaviour support plan changed?*
If you wish to update your behavioral, accommodations or supports info already on file, please click 'yes' and enter the info into the box provided.
What accommodations or supports can we provide to help you participate comfortably?If you have a Behaviour Support Plan, please email it to Pathfinder@uniqueoptimism.ca .Please include any relevant diagnoses or information that would help us understand how to best support you during Club activities.The more detail you can share, the better we can make your experience!*
I consent to participate in activities organized by Unique Optimism and understand that additional consent forms may be required for specific activities or situations.
Behaviour Guidelines & Expectations

The Trailblazer Club is all about creating a welcoming space where everyone can feel safe, included, and free to be themselves. To help us keep that vibe strong, we do have a few expectations in place. All Trailblazers and their supports (if applicable) are expected to interact respectfully and in a way that helps keep the group running smoothly and safely.

In the rare event that behaviours significantly impact the safety or enjoyment of others, we may need to revisit someone’s participation in the club. Those who attend with support staff are expected to assist with any redirection needed, as they often have the strongest rapport and experience with the individual. Of course, our team will always step in to help too.

We’re open to conversation and committed to working together if any concerns come up. However, we do reserve the right to withdraw someone from the group if safety or group dynamics are at risk. No refunds will be issued in those cases.
I confirm that I have read and understood the behaviour expectations of the Trailblazer Club. I agree that the Trailblazer and their support staff will adhere to these guidelines, and I understand that failure to do so may result in removal from the club without a refund. I also agree to collaborate with the club in addressing any concerns regarding behaviour to ensure a safe and enjoyable experience for everyone.
Funding
Where should invoices be sent?*

Directly to me (Trailblazer or Primary Contact)To my Passport One funding contact (provide details)
📩 If Passport One or Other, please provide the contact name & email:
I consent to Unique Optimism contacting my Passport One worker or other funding contacts.
Refund & Withdrawal Policy
1. Full payment is required by the specified due date on your invoice to secure your spot. If fees are not received by this date, your spot will be released so that Trailblazers on the waitlist have the opportunity to register. Adequate and sufficient time is provided for payment. No exceptions will be made, and we apologize for any inconvenience.
2. Program withdrawals within 30 days of the program start date are non-refundable. Trailblazers or their supports are encouraged to notify us as early as possible to allow those on the waitlist adequate time to register.
3. Program withdrawals made 31 days or more in advance will receive a full refund, minus a $35 administration fee to cover processing and administrative costs.
4. If the full program must be cancelled due to reasons beyond our control, a partial refund (minus any prepaid expenses and a $35 administration fee) will be provided. This does not apply to individual sessions cancelled due to weather or other circumstances; those sessions will follow the Winter Weather Policy listed below.
5. We are not able to provide a refund if registered Trailblazers cannot attend any of the scheduled club days.
I have read and agree to the refund & withdrawal policy.
Winter Weather Policy
1. The Trailblazers Club Winter Season will run during the winter months, and safety is our top priority.
2. If either Hamilton school board (HWDSB or HWCDSB) cancels buses or declares a snow day, the club will be cancelled for that evening. A decision will be made by 12:00 PM and shared by email and on social media.
3. If weather conditions worsen later in the day, the club may still be cancelled for safety reasons. Families will be notified as soon as possible by email and on social media.
4. Families, guardians, and supports are responsible for safe travel to and from the program. If travel conditions are unsafe in your area, please use your best judgment. Unique Optimism Outdoor and Community Support Services is not responsible for accidents, travel delays, or cancellations caused by winter weather.
5. Refunds are not available for weather-related cancellations, as staff, materials, and venue costs are committed ahead of time. A make-up session will be scheduled in March if needed.
  
  By registering for the Winter Season, Trailblazers and Champions acknowledge that weather-related cancellations are an inherent risk of winter programming.
I have read and agree to the Winter Weather policy.
Matko Photo - Photo Session Acknowledgment (Uniquely You Badge Night)

Fun Fact: Erika (Matko Photo) was Mrs. Claus at the TGIF Nights: Christmas in July.
1. Trailblazers will participate in a professional photo shoot with Matko Photo as the main activity for the Uniquely You Badge, and each Trailblazer will receive five (5) professional digital images.
2. This session is included in the program fee. It cannot be rescheduled or refunded if missed.
3. Your previously completed Photo/Video Publicity Consent will be followed. If your Trailblazer has opted out of publicity, their photos will not be shared online by Unique Optimism or Matko Photo.
4. You will have the option to purchase additional digital images directly from Matko Photo. Contact info will be provided at the session or you can learn more at www.matkophoto.com .
I understand that the Matko Photo photo shoot is the main activity for the Uniquely You Badge and agree to the above terms.
Consents & Permissions

(Please review and consent to the following sections)
Informed Consent Statement*

I understand and consent to the collection and use of the information provided in this intake form for support purposes, and acknowledge the confidentiality policies as described.
Confidentiality Agreement*

I understand that all personal information collected will be kept confidential and shared only with authorized personnel as required by law.
Health and Safety Consent: In case of a medical emergency, I consent to the necessary medical treatment for my Trailblazer, including transportation to the hospital if required. Please note that all efforts will be made to contact the emergency contact provided.*

YesNo
Photo & Video Consent*

Yes, I consent to being photographed or filmed during my participation in activities for promotional and documentation purposes by Unique Optimism, including use on social media, websites, or other digital and printed materials.I do not consent to being photographed or filmed for promotional or documentation purposes.
Email Communication Consent*

Yes, I consent to receiving emails related to support, programs, updates, newsletters, or promotional materials from Unique Optimism.No, I do not consent to receiving emails.
Liability Waiver & Consent
I, the undersigned, as the primary contact/legal guardian, acknowledge and accept the risks associated with participation in this program. I consent to the Trailblazer taking part in the activities outlined, and I agree to release Unique Optimism and its employees, volunteers, and affiliates from any liability related to injury, loss, or damage arising from the participation in these activities.
Primary Contact Signature*
Date*

MonthDayYear
Date
Thank you!

We appreciate you taking the time to complete your registration. Once received, we’ll contact you to confirm your spot (or let you know if a waitlist is in place).

*IMPORTANT* Don’t forget to add pathfinder@uniqueoptimism.ca
to your address book so you don’t miss any updates. All correspondence from us is done via email, unless it is an emergency. So, it is important to mark our email address as 'not junk/spam' to ensure our emails don't detour to your junk or spam folders.

Please don’t hesitate to reach out with any questions. Stay snazzy!
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The Trailblazers Club Winter 2026: Registration Form

Trailblazer Information

Primary Contact

Medical

Accommodations & Supports

Funding

Refund & Withdrawal Policy

Winter Weather Policy

Matko Photo - Photo Session Acknowledgment (Uniquely You Badge Night)

Consents & Permissions

Liability Waiver & Consent