WIN/NOW Registration Form

WIN/NOW Program Registration
Welcome and Information for Newcomers (WIN) / Newcomer Orientation and Welcome (NOW)!

Welcome & Information for Newcomers (WIN) is for junior high youth in grades 7-9 and Newcomer Orientation & Welcome (NOW) is for high school youth in grades 10-12. Both programs are designed to prepare youth for the school system in Alberta.

We can't wait to see you there!
WHO

Newcomers Youth in Grades 7-12
WHEN

Friday, January 30, 2026 - 9:30am-3:00pm
WHERE

GATEWAY BUILDING, 910 7 Ave SW Floor 15
ADDITIONAL INFORMATION

Welcome orientation for newcomer youth. Join us for a FREE boxing session, pizza lunch, learning about the education system in Alberta and more!
Need assistance or have questions?

Rebecca: RYu@cbfy.ca
PARTICIPANT INFORMATION
Participant Name*

First NameLast Name
Date of Birth*

MonthDayYear
MM-DD-YYYY
Gender*
Name of Current School*
Current School Grade*
Country of Birth*
Country of Origin/Ethnicity*
First Spoken Language*
Immigration Status*
Unique Client Identifier (UCI)*
If citizen, put 0. Please look at your landing documents for UCI number. See the photo to the right for an example.
Alberta Health Card Number*
Allergies and/or Medications*
(Example: gluten, dairy, peanuts, etc.)
Dietary Restriction*

No restrictionsGluten FreeVeganVegetarianKosherHalalOther
Home Address*

Street Address

Street Address Line 2

CityState / Province
Do you need any extra support or accommodations to fully participate in this program, such as disability, impairment, or ongoing health condition(s)? *
If yes, please let us know how we can support. If no, please write N/A.*

PARENT/GUARDIAN INFORMATION
Parent/Guardian #1 Name*

First NameLast Name
Relationship to Participant*
Parent Guardian #1 Phone Number*
Please enter a valid phone number.
Parent/Guardian #1 Email*
example@example.com
Preferred Language of Service*
Parent/Guardian #2 Name

First NameLast Name
Relationship to Participant
Parent Guardian #2 Phone Number
Please enter a valid phone number.
Parent/Guardian #2 Email
example@example.com
Preferred Language of Service
EMERGENCY CONTACT INFORMATION
Emergency Contact Name*

First NameLast Name
Relationship to Participant*
Emergency Contact Phone Number*
Please enter a valid phone number.
Preferred Language of Service*
DISMISSAL DETAILS
How will your child go home? *
If being picked up, who will pick up your child? If they are walking home or taking transit, please confirm that below. *
Additional pick up people*
CONFIRMATION*

I confirm that the transportation option selected above accurately reflects how my child will go home. I understand it is my responsibility to ensure it is safe and will notify the program of any changes. I acknowledge that CBFY is not liable for any incidents once my child has been dismissed according to my selection.

CONSENT FORM
Consent to Share Information with Child’s School and Other Stakeholders:
The CBFY offers support to families, and their school-aged children enrolled in the schools. In order to participate in any of the programs, CBFY requests’ participants to provide important information. The CBFY will also refer your child(ren) to other agencies, as needed, and personal information will be shared with them. To protect students and their families' privacy, CBFY requires parental consent to comply with the Freedom of Information and Protection of Privacy Act (FOIP). This authorization will allow CBFY to access the necessary information to provide settlement support and services, and to share it with other agencies as needed.*

Yes, I have read and understood the consent and authorize CBFY to share relevant information with my child’s school and other identified stakeholders as outlined.
Consent to Release Information and Possible Future Research to Immigration Refugee Citizenship Canada:
The CBFY Programs are funded by Immigration, Refugees and Citizenship Canada (IRCC). To support your ongoing settlement needs, IRCC would like to request your permission to contact you in the future. CBFY will protect any information collected from you under the authority of Alberta's Freedom of Information and Protection of Privacy Act (FOIP). I hereby give consent for IRCC to obtain information to support research and funding programs that serve newcomer families and youth in Canada.*

I agreeI disagree
Consent for Media Release
CBFY may film, photograph, produce electronic images, and provide the opportunity for my child(ren) to participate in social media coverage (e.g., Facebook, Instagram, and Twitter) of our programs or media interviews.*

I agreeI disagree
Emergency Consent Acknowledgement
In case of an emergency or illness, CBFY will make every effort to contact the parents/guardians. In the event that CBFY cannot make contact in a timely manner, I agree that a qualified medical professional may attend to my child(ren).*

I agreeI disagree
Liability Waiver
I accept that as the child’s legal parent/guardian I give permission for my child(ren) to participate in the WIN/NOW activities and release CBFY of all responsibility and liability with respect to any and all of the activities.*

Yes, I have read and understood the liability waiver and release CBFY and its representatives from any claims or liabilities as described.
SIGNATURE

Based upon my understanding of the activity and the hazards identified above, I give permission for my child(ren) to participate in WIN/NOW.
Signature of Parent/Guardian:*

First NameLast Name
Today's Date:*

MonthDayYear
Date
Should be Empty:

WIN/NOW Program Registration

WHO

WHEN

WHERE

ADDITIONAL INFORMATION

Need assistance or have questions?

PARTICIPANT INFORMATION

PARENT/GUARDIAN INFORMATION

EMERGENCY CONTACT INFORMATION

DISMISSAL DETAILS

CONSENT FORM

Consent to Share Information with Child’s School and Other Stakeholders:

Consent to Release Information and Possible Future Research to Immigration Refugee Citizenship Canada:

Consent for Media Release

Emergency Consent Acknowledgement

Liability Waiver

SIGNATURE