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1) ECOfest Day of Action
Join CYAN for some fun in the sun on April 18th, 2015 @ 10-4pm for an awesome day of
volunteering at our ECOfest Day of Action...
For this event, youth will organize a neighbourhood clean-up, prepare the community gardens
at Oak Park Neighbourhood Centre for the spring planting season of fresh vegetables for the
food bank, help support the clean-up of the local community, make bee boxes to promote
pollination, and more! Learn about what plant life makes Oakville special and how you can
preserve this vegetation to keep Oakville green for years to come!
This event will take place at Oak Park Neighbourhood Centre (2200 Sawgrass Drive, Oakville
ON, L6H 6M8) and the surrounding neighbourhoods.
How to register for this event:
1. Print the appropriate registration form (attached) for the program you would like to
attend. Both forms are attached to this email.
2. Complete the necessary information (*if you are a regular member of CYAN, only your
name and any changes to your information is needed).
3. Email the completed form to info@thecyan.org
4. You will received a confirmation email within a few days of submission.
For more information on these events email us at info@thecyan.org or LIKE US
ON FACEBOOK at https://www.facebook.com/cyan.org
Pass on the word and let’s work together to make a difference in our community!
COMMUNITY YOUTH IN ACTION NETWORK: DAY OF ACTION REGISTRATION
Saturday April 18th, 2015
I want to join:
ECOfest Day of Action (ages 12-18)
How did you hear about CYAN?
CYAN Participant
Friend/Family
Community Group
School
Website/Facebook
Other
Join CYAN for some fun in the sun at our ECOfest Day of Action!
This event will run from 10am-4pm at Oak Park Neighbourhood Centre (2200 Sawgrass Dr, Oakville ON).
Lend a hand with other dynamic youth to help support the clean-up of the local community, prepare the
community gardens at Oak Park Neighbourhood Centre for the spring planting season, make bee boxes, and more!
PART A: Contact Information
Participant:
Name __________________________________________
First name and initials
_________________________________________
Last Name
Address ___________________________________________ _____________________ ______ ___________
Apt./No.
Phone
Street
City/Town
Home: ___________________________________
Birthday ________/_________/__________
Province
Postal Code
Cell: ___________________________________
Email _________________________________________
day/month/year
Main Parent/Guardian:
Name __________________________________________
First name and initials
_________________________________________
Last Name
Phone Home: _______________________ Work: ______________________ Cell: ______________________
Email: _____________________________________________
Secondary Parent/Guardian:
Name __________________________________________
First name and initials
_________________________________________
Last Name
Phone Home: _____________________ Cell: _____________________ Email: _________________________
Emergency Contact (other than parent)
Name __________________________________________
First name and initials
_________________________________________
Last Name
Phone Home: _____________________ Cell: _____________________ Email: _________________________
PART B: Use of Information
In order to ensure we are continually improving our programs and activities, CYAN may periodically contact youth
to ask for their ideas, opinions and feedback along with sharing exciting news. Do you give CYAN permission to
contact you?
YES
NO
PART C: Image/Photo Release
In the course of activities, CYAN participants, staff and/or volunteers may take photographs or otherwise record
events. These photographs and recordings are sometimes posted for promotional purposes on the website, social
media outlets and/or in print. Do you give CYAN permission to have your image used for promotional purposes?
YES
NO
PART D: Accessibility Needs
Do you have any allergies, medical and/or other disabilities that may require accommodation?
YES
NO
Please email completed registration form to info@thecyan.org