Trailblazers Club Registration Form

The Trailblazers Club Fall 2026 Season: 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
Format: (000) 000-0000.
Email Address (if primary contact)
Transportation Arrangements

Other
Primary Contact

This is the person we will contact for program updates, scheduling changes, emergencies and important information.
Contact Name
Contact Phone Number
Format: (000) 000-0000.
Contact Email
We primarily communicate via email, unless otherwise specified or in the case of an emergency.
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!
Behaviour Guidelines & Expectation
1. The Trailblazers Club is designed to be a welcoming and inclusive space where everyone can feel safe and enjoy the experience.
2. As Trailblazers are adults, we believe in offering as much choice as possible. We encourage participation but do not force it. We believe meaningful participation comes from choice.
3. Trailblazers and their supports (if applicable) are expected to interact respectfully and help maintain a positive group environment.
4. Trailblazers who require ongoing 1:1 support are expected to attend with their guardian or support worker. The Trailblazers Club is a group program and does not provide consistent 1:1 support.
5. If a participant's behaviour significantly impacts the safety or experience of others, Unique Optimism reserves the right to withdraw them from the program. No refunds will be issued in these cases.
Guardian & Support Worker Expectations
We encourage Trailblazers who are able to attend independently, to do so. When attending The Trailblazers Club, guardians and support workers are expected to:
- Encourage choice and independence whenever possible.
- Step in only when support is needed, rather than leading participation.
- Remain engaged throughout the program and limit personal cell phone use.
- Follow all Trailblazers Club expectations.
Funding
Where should invoices be sent?
📩 If the invoice is being sent to your Passport Funding Manager or Other, please provide the contact name & email:
If you choose to have your invoice sent directly to your Passport Funding Manager, it remains your responsibility to ensure payment is received by the invoice due date.
Registration, Payment & Withdrawal Policy
1. The Trailblazers Club spaces are limited and there is often a waitlist.
2. An invoice will be sent after your registration has been approved. Payment is due within 14 days to secure your Trailblazer's spot.
3. If payment has not been received by the due date and alternative arrangements have not been made with Unique Optimism, your registration may be cancelled and the spot offered to the next Trailblazer on the waitlist.
4. If you have requested that your invoice be sent directly to your Passport Funding Manager, it remains your responsibility to follow up and ensure payment is received by the invoice due date. If you anticipate a delay, please contact Unique Optimism before the due date.
5. Withdrawals received 31 or more days before the program start date will receive a full refund, minus a $35 administration fee.
6. Withdrawals received 30 days or less before the program start date are non-refundable.
7. Missed sessions and unattended activities are also non-refundable.
8. If the program must be cancelled due to circumstances beyond our control, a partial refund (minus prepaid expenses and the $35 administration fee) will be issued.
Service Dog in Training Acknowledgement

Rufus, a service dog in training with Autism Dog Services, may join us during some Trailblazers Club sessions as part of his training and socialization. Interactions with Rufus will always be supervised and Trailblazers will be guided on how to respectfully interact with him when appropriate.
Special Activity Acknowledgement
1. One Trailblazers Club session will take place off site at Splitsville Bowling on May 20, 2026, unless otherwise communicated in advance. On this date the program will take place exclusively at Splitsville.
2. Bowling lanes are booked and prepaid in advance, therefore refunds or credits cannot be provided if a Trailblazer is unable to attend this session.
3. Trailblazers and their guardians/supports are responsible for their own transportation and must meet the Pathfinders directly at Splitsville.
Consents & Permissions
Informed Consent Statement
Confidentiality Agreement
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.
Photo & Video Consent
Email Communication Consent
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 Fall 2026 Season: Registration Form

Trailblazer Information

Primary Contact

Medical

Accommodations & Supports

Behaviour Guidelines & Expectation

Guardian & Support Worker Expectations

Funding

Registration, Payment & Withdrawal Policy

Service Dog in Training Acknowledgement

Special Activity Acknowledgement

Consents & Permissions

Liability Waiver & Consent