Settlement Services in the Bow Valley - Social Media, Friendships, and Feelings

Please complete this form to register your child.

Your personal information is being collected under the authority of the Freedom of Information and Protection of Privacy (FOIP) Act, section 33(c). This information will be used in the administration of Settlement Services programs. If you have any questions regarding the collection and use of this information, please contact ssbv@banff.ca or 403.762.1144.

Student information*

First name *

Last name *

Which grade is your student currently in?

What is your student's Status in Canada? *

What is your student's Status in Canada?

Please select the pizza toppings your student would prefer: *

Please select the pizza toppings your student would prefer:

Does your student have any allergies? *

No Yes x Clear

Please specify

Photo/Video Release Permission *

I, the undersigned parent, give permission to the Town of Banff and/or Settlement Services in the Bow Valley to photograph/video my under-18 child/youth and use such photograph(s) /video(s) /recording(s) in all forms of media including advertising, display, audiovisual, Internet/online, exhibition or editorial use for use in connection with the activities of the Town of Banff or for promoting, publicizing, or explaining the Town of Banff or its activities.

The Town will not release the name of the child/youth in connection with the images.

I understand and agree that I will not receive any payment for the child/youth time or expenses or any royalty for the publication of the photographs(s)/videos(s)/recording(s), and I hereby release Settlement Services in the Bow Valley-Town of Banff from any such claims.

I certify that I have read and fully understand the above consent and release, and that all questions pertaining to this consent have been answered to my satisfaction.

Yes No x Clear

Parent 1 Information*

First name *

Last name *

Email *

Mobile *

Parent 2 Information

First name

Last name

Mobile

Parent #2 Status in Canada

A required field has not been filled.

Please accept all conditions.

Connect to fill this form

Please type in your email or mobile number. We will send you a connection code.

Email or mobile

Connection code

Waitlist

Leave us your coordinates. We will contact you when a spot frees up.

Choose one date

Waitlist for

Please wait...

Close Add

Membership

Your membership is tied to your email address. If you are using the wrong email, your membership will not be detected. You can try disconnecting and connecting using another email address.

If you need further assistance, please write to info@activitymessenger.com. Please include a screen capture if possible.