2024 Marchbreak Teen Retreat

YFC Canada

YFC is a national organization built on local chapters.

Registered Charity #106868847RR0001

Registered Charity #86135 4769 RR 0001

Event Info:

When: Thursday March 14th at 830pm to Saturday March 16th at 1130am.

Where: @ The Kin (43 Kincardine Street East, Alexandria, Ontario, K0C 1A0)

Cost: $30.00

E-Transfer to “yfcnorthglengarry@econyfc.ca”

What to Bring:

Toiletries + DEODORANT!!!!!
Sleeping bag
Pillow
Air Mattress + Pump
Clothing/Accessories in your Team Colour
Pajamas (onesie if you have one)
Slippers
Refillable water bottle
Bible
Journal & pens
Indoor shoes
Warm clothes for outside
Device for pictures & charger
Any specific snacks you would like

2024 Marchbreak Teen Retreat

Parent/Guardian's Name(Required)

First Last

Participant's Name(Required)

First Last

Participant's Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Participant's Phone(Required)

Emergency Contact of Participant(Required)

First Last

Emergency Contact Phone Number(Required)

Participant's Health Card number(Required)

Consent and Liability(Required)

I hereby declare that my son/daughter is allowed to participate fully in activities happening on Thursday, March 14 from 8:30pm to Saturday, March 16 at 11:30am. I understand that at the event my son/daughter may participate in different activities that are supervised by staff and volunteers. I also agree that my son/daughter will be bound by the rules of the leaders of these activities and the rules of any place or organisation where the activities may be held. I know I may contact the Area Director, Rebecca Goulet 613-360-5252 to acquire further information about this event. In consideration of my son/daughter’s participation in this event, organized and supervised by Youth Unlimited North Glengarry and Gerry & Rebecca Goulet, I hereby release, waive, and discharge Youth Unlimited North Glengarry, Eastern Counties (ON) YFC Inc., including their staff, organizers, volunteers and participants, on my son/daughter’s behalf from any and all liability, loss, injury or death which may be suffered, sustained or arise in any way whatsoever as a result of or in conjunction with these activities.

Transportation Consent(Required)

Yes, I consent to my son/daughter being transported to and from this event in a vehicle operated by a YFC Worker/Staff, YFC Volunteer/Chaperone, or the YFC Area Director.

No, I do not consent to my son/daughter being transported to and from this event in a vehicle operated by a YFC Worker/Staff, YFC Volunteer/Chaperone, or the YFC Area Director.

Media Release(Required)

Yes, I give permission for YFC to use photos, videos taken of my son/daughter while on this event.

No, I do not give permission for YFC to use photos, videos taken of my son/daughter while on this event.

Date(Required)

Signature of Participant(Required)

Signature of Parent/Guardian(Required)