Be Strong Together 25/26 Registration

Be Strong Together

This is the registration form for our FREE virtual program on Mondays from 6:30-8:00pm EST for the 2025-26 school year. It is held virtually on ZOOM. Your child will get to participate in our interactive lessons, fitness activities, and mentorship all run by female Canadian University students!
Our program is run by female university students for young girls ages 4-12.

Email contact@bestrongtogether.ca if you have any questions!

*NEW!* Spots have opened up for our January 2026 program! Register Today!
Child Information

Fill out one form per child. Please note this program is only open to girls ages 4-12.
Child's Full Name*

First NameLast Name
Child's Birthday*

MonthDayYear
Date
Child's Gender*

FemaleMaleOther
Does your child require any special assistance?*

YesNo
If yes, please explain. Our teachers will do their best to accommodate!
Any important additional information we require?

Mentorship Groups

Each child will be sorted into a mentorship group with 1-3 other kids. Mentorship groups are run by female university students.
Has your child ever been in our class before?*

YesNo
If you would like to request the same mentor as before, please enter the mentor's name here:
(OPTIONAL) What are some of your child's interests? What are some goals you would like us to work on with your child?
Allows us to better our matches!
Any additional notes/requests?
How did you hear about us?*

Parent/Guardian Contact Information
Parent/Guardian's Name*

First NameLast Name
Relationship with child*
Parent/Guardian's Phone Number*
Please enter a valid phone number.
Parent/Guardian's Email*
example@example.com
Alternate Email (optional) - if you want the zoom link sent to more than one email
example@example.com
We like to mail out little gifts to the girls from time to time! So please ensure the address is correct :)
Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Waiver - Participation Agreement - Mentorship groups, Activities, and Zoom

Please note, to participate in the Be Strong Together program and mentorship, your child will need access to a computer with steady internet access as well as access to the Zoom video conference service platform.
I, the undersigned parent/guardian of {childsFull}, allow my child to...
- Participate in a one-on-one video call with a Be Strong Together volunteer mentor.
- Participate in workshops, dance, fitness exercises, and any other activities the Be Strong Together volunteer team provides.
- Use the Zoom video conference service for any activities within the Be Strong Together organization.
Signature*

Clear
Full Name*
Full Name

{parentguardiansName}
Date Signed*

MonthDayYear
Date
Waiver - In Case of Injury
I, the undersigned parent/guardian of {childsFull} understand that there is a risk of injury associated with my child participating in Be Strong Together activities.

I hereby assume full responsibility for any and all injuries, losses and damages that my child incurs while attending, exercising or participating in the Be Strong Together program. I hereby waive all claims against Be Strong Together, its instructors, volunteers, or partners of individually or otherwise, for any and all injuries, claims or damages that my child might incur.
Signature*

Clear
Full Name

{parentguardiansName}
Date Signed*

MonthDayYear
Date
Photo/Video Authorization and Release Agreement
I, the undersigned parent/guardian of {childsFull}, hereby grant to Be Strong Together the right to reproduce, use, exhibit, display, broadcast, distribute, and create derivative works of the photographed and/or filmed images of my child, taken for use in connection with the activities of any Be Strong Together Program or for promoting, publicizing, or explaining the organization or its activities.

This grant includes, without limitation, and without reimbursement, the right to publish such images in the organization newspaper, the Be Strong Together website, and PR/promotional materials, such as advertisements, fundraising materials, and any other Be Strong Together related publication. These images may appear in any of the wide variety of formats and media now available to the University and that may be available in the future, including but not limited to print, broadcast, videotape, DVD, and electronic/online media.
Signature

Clear
Full Name

{parentguardiansName}
Date Signed

MonthDayYear
Date
Should be Empty:

Be Strong Together

Child Information

Mentorship Groups

Parent/Guardian Contact Information

Waiver - Participation Agreement - Mentorship groups, Activities, and Zoom

Waiver - In Case of Injury

Photo/Video Authorization and Release Agreement