Clone of Juniors Applications 2026-27

1

Would you like your child to be added to the SaySomaali Juniors 2026–2027 waitlist?* This field is required.

Yes, please add my child to the waitlist

No, please withdraw my child's application

2

Child / Applicant Name* This field is required.

First Name

Last Name

3

What grade will your child be entering in September 2026?* This field is required.

Grade 06

Grade 07

Grade 08

Other

4

Date of Birth* This field is required.

Date

5

Gender* This field is required.

Male

Female

6

Parent Name * This field is required.

First Name

Last Name

7

Parent Phone Number* This field is required.

Please enter a valid phone number.

8

Parent Email Address* This field is required.Parent/Guardian email that will be checked frequently is preferred.

example@example.com

9

Is there anything else you would like us to know regarding your child's application or interest in joining SaySomaali Juniors?

10

I understand that joining the waitlist does not guarantee my child a spot in the SaySomaali Juniors Program. I understand that SaySomaali will contact me if a space becomes available.* This field is required.

YESNO

11

Media Consent* This field is required.

I hereby consent to Say Somaali photographing, videotaping, or recording my child while participating in this program and other Say Somaali events. I grant Say Somaali permission to use my child's name and image, in whole or in part, in promotional materials — including brochures, posters, electronic newsletters, websites, and social media — for educational or fundraising purposes. I understand no compensation will be provided for this use, and that this consent remains in effect unless revoked in writing.

12

Evaluation* This field is required.

I hereby give consent for my child to participate in all Say Somaali evaluation activities. The purpose of these activities is to identify and share the impact of the program, as well as to continuously improve Say Somaali's processes. I authorize the use of my child's responses for evaluative and statistical purposes and understand that individual responses will be kept confidential, and identifying information will never be shared with third-party organizations. I understand that I can withdraw my child from all evaluations at any time, and that participation in such activities will never affect access to program services. Any questions or concerns can be forwarded to hello@saysomaali.ca.

13

Consent* This field is required.

By checking this box, I acknowledge that I have read the above and fully understand its contents and voluntarily agree to all of the terms and conditions. I acknowledge and consent to all information shared in this form.

14

Parent Signature* This field is required.