Youth Settlement - Registration - Word Workshop and Filipino Heritage Month Celebration with Filipino-Canadian Poet of Honour, Patrick de Belen

  • PARTICIPANT INFORMATION

  • PARENT / GUARDIAN INFORMATION

  • REQUIRED INFORMATION

  • How did you find out about this program?
  • Emergency Contact

  • Consent

  • I, hereby allowing my child mentioned above to join the real time Zoom conference and authorize the HMC Connections to exchange & disclose my information internally with HMC programs. I have asked HMC for assistance and give full permission to disclose my personal information (if required) to IRCC & other applicable Service Providers for support, guidance, advocacy, information or referrals.
  • I, the above named volunteer, student, employee, group, participant at the Halton Multicultural Council (HMC), unequivocally consent to the publication (including HMC social media accounts and website), release and transmission of the digital/electronic/print/photographs, to the extent that they may deemed necessary for express use thereof. This release and consent is voluntary. If you don’t wish to participate, there is no obligation on your part.
  • SIGNATURES

  • PARTICIPANTS 18 YEARS AND OLDER CAN SIGN THE REGISTRATION FORM THEMSELVES. PARTICIPANTS 17 AND UNDER MUST HAVE THEIR PARENT/GUARDIAN SIGN THE FORM.
  • Date Format: MM slash DD slash YYYY
  • By typing my name below, I confirm that I have read and understood the information above.