How to register a GOER:

1. Complete the Form Below!

2. Pay!

a) Pay online “Pay Here
b) Pay E-transfer, Cash or Cheque - Email us at alycia@goadventure.co

* To register for GOBeaver at Beaver Valley Ski Club please call Jess at 519.986.2520 x 238 or email BVSC


CAMPER NAME
PLEASE, Complete this section of the form for everyone who will be experiencing GO.
Camper Name *
Camper Name
Date of Birth
Date of Birth
Only the numbers are needed; the form will not accept dashes
When will we see you at GO?
If we are lucky enough to see your GOer more than once this summer please select all that apply to you :)
Youth Camp
*Only offered at our Dundalk Location
Where will we see you at GO ?
Does the participant take any medication: (oral, injection or inhaler) ?
Does the participant have any specific conditions, which may impact their participation in the program ?
Does the participant have any life- threatening allergies ?
PARENT/GUARDIAN INFO
If you have completed this section for someone else in your family advance past GO and (unfortunately you will not) collect $200.
Parent/Guardian Name
Parent/Guardian Name
Address
Address
Phone Number
Phone Number
EMERGENCY CONTACT INFO
Contact #1
Contact #1
Phone 1
Phone 1
Contact #2
Contact #2
Phone 2
Phone 2
PERMISION AND WAIVER FORMS
Photo Release
I give GO Adventure Co. permission to take photographs of my child during program/camp activities. I am aware that these photos may be used for promotional purposes.
Suncreeen
I give GO Adventure Co. permission to use and apply sunscreen on my child during program/camp activities.
Emergency Response Agreement
In the event of an accident, injury or illness involving the participant, and immediate contact by staff with a designated contact cannot be made, I hereby authorize and grant permission to staff to secure proper medical treatment and authorize on the Registrant’s behalf all procedures, including, without limitation, admission to an emergency unit, hospital and treatment there in, ordering of x-rays, tests or treatment, injections, anesthesia and/or surgery, as deemed necessary by the attending medical professional(s). I agree not to hold Go Adventure Co. (2512541 Ontario Inc) responsible for any costs or injury arising out of an emergency situation.
Waiver Agreement *
By completing this Release of Liability and Assumption of Risk agreement form you acknowledge that you are giving up certain legal rights and hereby represent and warrant to 2512541 Ontario Inc operating as Go Adventure Co.: (1) You are over the age of majority in your jurisdiction of residence. (2) You are registering for a Program as yourself or on behalf of a minor, in which case you acknowledge that you are his/her parent/legal guardian and as such are fully authorized and entitled to enter into this agreement on his/her behalf. While staff and instructors will make every reasonable effort to minimize exposure to known risks associated with activity, sport or program, I hereby acknowledge that I, and/or my child if I am registering on his/her behalf, may be required, depending on the nature of the Program, to participate in various physical activities that may involve risk of injury and I knowingly and freely assume all risks, both known and unknown regardless of how they arise and assume full responsibility for the Registrant’s participation. I understand that all rules for participation must be followed and at all times the sole responsibility for the Registrant’s personal safety is on them. In this regard, I agree that I have provided (if required) a complete and accurate health history and hereby permit the Registrant to participate in the full range of Program activities, except as specifically noted by me in the health information section of the Program registration (where applicable). In consideration for the Registrant’s opportunity to participate in the Program, the receipt and sufficiency of which is hereby acknowledged, I on behalf of my personal representatives and next of kin, hereby release and forever discharge 2512541 Ontario Inc operating as Go Adventure Co., its respective officers, directors, employees, volunteers and agents, and their respective successors and assigns, from any and all liability for damages sustained in consequence of loss, injury, disability or damage to the Registrant, and from all other actions, causes of action, claims, demands or damages of any kind with respect to death, injury, loss or damages to any person or property arising out of, or connected with preparation for, or participation in, the Program. I have read this Release of Liability and Assumption of Risk agreement, fully understand it’s terms, and by checking below acknowledge that I have signed it freely and voluntarily without any inducement.