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  • DORCHESTER SUMMER BOREDOM BUSTERS REGISTRATION FORM

  • Looking for something fun, creative, and engaging to do this summer? Dorchester Summer Boredom Busters are half‑day afternoon programs designed to keep kids active, curious, and entertained during the summer months!

    Hosted at the Dorchester Rural Hub at the Flight Exec Centre, each session features a unique theme packed with hands‑on activities, games, and creative challenges. Participants can join for individual days that interest them — perfect for adding excitement to summer afternoons without committing to a full week.

    What to Expect:

    • Half‑day afternoon programs
    • A different exciting theme each day
    • Hands‑on activities, creative projects, and group challenges
    • A fun, supportive environment to explore new interests and make friends

    Daily Themes

    • July 8: Jr. Chopped Challenge - Inspired by the TV show, CHOPPED, participants will work in teams to turn suprise mystery ingredients into a creative dish within a time limit, then present their final creation.
    • July 10: Street Art Workshop - Explore bold colour and creative technique inspired by street art! 
    • July 15: Survivor Challenge Day - Team-based "Survivor" style games, puzzles, and mini-challenges that build teamwork, strategy, and lots of laughs!
    • July 17: Gross Science Day - Hands-on, curiosity-driven science with weird (and awesome) experiments - think gooey reactions, messy mixtures, and "wow!" moments!
    • July 22: Dessert Lab - A sweet afternoon of baking and decorating! Participants experiment with simple dessert creations and add their own creative flair!
    • July 24: Splat & Splash Art - Get ready for big, messy art projects! Splatter painting, and water-friendly creations, and process art that's all about having fun and getting creative!
    • August 5: Escape Room - Participants solve clues, crack codes, and complete challenges as a team to "escape" before the time runs out.
    • August 7: Pancake Art - Turn breakfast into art! Participants create fun pancake designs and practice creativity with shapes, patterns, and edible masterpieces!
    • August 12: Brain Twist Art Day - A creative mash-up of art annd brain games - optical illusions, puzzles, and tricky design challenges that stretch imagination and thinking skills!
    • August 14: Rocket Launch Day - Build, tesst, and launch! Participants design their own rockets and experiment with what makes them fly farther and higher. 

    Program Details
    👧 Ages: 8–12
    📍 Location: Dorchester Rural Hub – Flight Exec Centre
    ⏰ Format: Half‑day afternoon programs (1:00-5:00 PM)
    💲 Cost: $35 per day


    Each Boredom Busters session is designed to spark creativity, encourage teamwork, and give young people something fun to look forward to during the summer.

     

    Subsidy is available for those who need it. Once the program starts, no refunds will be given. Any refunds must be requested at least 24 hours before the start of the program and may be subject to a $15 administration fee.

    Any questions or need more information:

    Contact Whitney Brown at wbrown@bgclondon.ca

  • Participant's Information

  • Participant's Date of Birth*
     - -
  • Does the participant have any medical conditions we should be aware of?*
  • Are there any medications the participant is taking we should be aware of? (Including inhalers, insulin pumps, etc.)*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Emergency Contact Information

  • Format: (000) 000-0000.
  • How did you hear about this program?*
    • Waiver 
    • BGC LONDON (BOYS & GIRLS CLUB OF LONDON)

      RELEASE OF LIABILITY, WAIVER OF CLAIMS

      ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT.

       

      BY SIGNING THIS AGREEMENT YOU WILL WAIVE CERTAIN

      LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE

      PLEASE READ CAREFULLY!       

    • TO:    Boys & Girls Club of London and the Boys & Girls Club of London Foundation (together the “BGCL”) and their directors, officers, employees, instructors, agents, representatives, volunteers, independent contractors, subcontractors, sponsors, successors and assigns (hereinafter collectively referred to as the “Releasees”).

       

      COVID – 19   COVID-19 is a contagious disease (“Covid”). We care about you, your family, our employees and the public. We strive to obey the law and follow Covid guidelines and implement all risk mitigation measures. However there are significant health risks and high risk of transmission through physical or shared contact. COVID-19 is novel and, because it can be transmitted through physical or shared contact with another person, the risk of contraction from engaging in sport activities may be foreseeable.

       

      ASSUMPTION OF RISKS

      I am aware that the activities at the BGCL programs involve risks and dangers that may cause serious injury and even death, and loss or damage to personal property. These risks are inherent in the activities and cannot be eliminated without altering their character and value. The risks include, among others, the following: contracting Covid;  moving about the BGCL premises; negligence on the part of myself and/or other participants; negligence of the BGCL and its staff, including the improper use of equipment; the breakage and failure of equipment and structures; over exertion, together with other risks which may be encountered and NEGLIGENCE ON THE PART OF THE RELEASEES, INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS REFERRED TO ABOVE.

       

      The BGCL programs are designed for use by participants of average strength, mobility and fitness who are in good health. Several medical
      conditions, including but not limited to obesity, high blood pressure, cardiac and coronary artery disease, pulmonary problems, arthritis, tendonitis, or joint and muscular-skeletal problems may impair the safety and well being of participants as may other medical, physical, psychological or psychiatric problems. All such medical conditions may increase the risk of participating in the programs and cause the participant to be a danger to themselves or others. Participants with underlying medical, physical, psychological or psychiatric conditions must evaluate their condition and their ability before choosing to participate in the programs. All participants must inform BGCL in writing of any such medical, physical, psychological or psychiatric conditions before participating in any programs. The Releasees reserve the right to prevent any person, for medical or safety reasons, from participating in the programs at any time.

       

      I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH MY USE OF THE BGCL PROGRAMS AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS RESULTING THEREFROM.

       

      RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

      In consideration of the Releasees permitting my use of the BGCL PROGRAMS and other facilities at the BGCL (hereinafter referred to as “the BGCL Facilities”), I hereby agree as follows:

       

      1. TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against the RELEASEES, and TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury including death that I may suffer, or that my next of kin may suffer resulting from either my use of or my presence at or on the BGCL Facilities DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT, RSO 1990, c.02  ON THE PART OF THE RELEASEES, AND ALSO INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS REFERRED TO ABOVE;

       

      1. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to property of or personal injury to any third party, resulting from my use of or presence on the BGCL facilities.

       

      I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES.

       

      Signed {dateAnd}

    • Additional Permissions 
    • MEDIA CONSENT
      BGCL reserve the right and permission to publish, reproduce, distribute and/or otherwise use any still or moving photograph, for such purposes and with such frequency as it shall determine in its sole discretion without further compensation or consideration to me and without further authorization by me for, yet, unnamed video or photographic projects (including promotion, marketing and social media) which shall constitute the sole property of BGCL. BGCL shall be released from and against all liability resulting from its use of the photos or related to my use of the product.
    • I have read and understand the Photo Consent Release*
    • Date and Time Signed
       - -
  • PERMISSION TO SIGN OUT OF PROGRAM

    Some parents may choose to give their child permission to sign themselves out of program in order to walk home or leave with non-approved persons (friends, family, etc.). Please indicate below if your child has permission to sign themselves out:

  • You have indicated you do not wish your child to sign themselves out of programming. Please identify two approved adults who have permission to pick your child up from programming. These adults will be required to show Photo I.D. to staff onsite in order to release your child from programming.

  • Payment

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                        Summer Boredom Buster - (Ages 8-12) - Jr. Chopped Challenge (July 8) - General Fee


                        $35.00 CAD$35.00CAD
                          
                        Summer Boredom Buster - (Ages 8-12) - Street Art Workshop (July 10) - General Fee
                        $35.00 CAD$35.00CAD
                          
                        Summer Boredom Buster - (Ages 8-12) - Survivor Challenge Day (July 15) - General Fee
                        $35.00 CAD$35.00CAD
                          
                        Summer Boredom Buster - (Ages 8-12) - Gross Science Day (July 17) - General Fee
                        $35.00 CAD$35.00CAD
                          
                        Summer Boredom Buster - (Ages 8-12) - Dessert Lab (July 22) - General Fee
                        $35.00 CAD$35.00CAD
                          
                        Summer Boredom Buster - (Ages 8-12) - Splat & Splash Art (July 24) - General Fee
                        $35.00 CAD$35.00CAD
                          
                        Summer Boredom Buster - (Ages 8-12) - Escape Room (August 5) - General Fee
                        $35.00 CAD$35.00CAD
                          
                        Summer Boredom Buster - (Ages 8-12) - Pancake Art (August 7) - General Fee
                        $35.00 CAD$35.00CAD
                          
                        Summer Boredom Buster - (Ages 8-12) - Brain Twist Art Day (August 12) - General Fee
                        $35.00 CAD$35.00CAD
                          
                        Summer Boredom Buster - (Ages 8-12) - Rocket Launch Day (August 14) - General Fee
                        $35.00 CAD$35.00CAD
                          

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