Search and Rescue Registration – Tribune Bay Outdoor Education Centre

How did you hear about the program?*

School District or Tribune Bay Website
Online search
Facebook, Instagram or other social media
School counsellor

Student Information

Student's Name*

First Last

Student's Date of Birth*

Student's Personal Education Number (PEN)*

Student Email*

Student Phone*

Home Phone*

Student Home Address*

Street Address Address Line 2 City Province Postal Code

Parent Information

Parent Name*

First Last

Parent Email*

Parent Phone*

Academic Information

Student Grade*

Please enter a number from 1 to 12.

Name of School District Contact*

First Last

School District Email*

School District Name*

Personal Health

Are you able to hike, walk, climb, paddle a kayak, lift and generally be active out of doors?*

Yes
No

Doctor's Name*

Dr. First Last

Doctor's Phone*

Doctor's Clinic*

Which city is the Doctor's Clinic located?*

Allergies (including Food)

Medications

Other medical concerns?

Residency and Citizenship

Is the student a resident of BC?*

Yes
No

Proof of Residency (Acceptable proof of residency includes images of: BC Care Card, BC ID Card, BC Driver’s License, or current utility bill)*

Citizen Status*

Canadian Citizen
Landed Immigrant

Proof of Canadian Citizenship (Acceptable proof of Canadian Citizenship: Birth Certificate, Passport, Permanent Resident Card)*

Are you of First Nations, Metis, or Inuit Aboriginal ancestry?*

Learning Assistance & Conditions

Have you received learning assistance?*

Yes
No

We have read the brochure and this entire application package and agree this is an appropriate program for the applying student.*

I agree

We understand in addition to exciting outdoor programs and training, there is indoor class work and there is a written test (First Aid) and some written and graded work. In addition, if accepted in the Internship component, a successful passing of criminal record check may be required.*

I agree

I/We understand there will be a code of conduct form to sign as part of the final application (including accountability for night time curfew, restriction on ability to leave group during the program, zero tolerance for use or possession of drugs or alcohol or smoking and a acceptance there will be individual and groups chores and responsibilities), and the breaking of established rules and code of conduct may lead to expulsion without refund. Parents and guardians may be asked, at their cost, to pick up student immediately or by designated guardian.*

I agree

I/We understand there will be times the applicant is a passenger in a vehicle, kayaking, swimming, climbing on a ropes course and on tower, possibly camping overnight in a shelter, orienteering, stand-up paddle boarding, hiking and doing other similar activities and although there is safety equipment and instruction, there is inherent risk and the applicant may be exposed to risk of injury due to accident while participating.*

I agree

I/We are aware that organizations involved in this program do not provide medical or accident insurance for students enrolled in the program and we are responsible for arranging such insurance, medical costs or evacuation.*

I agree

Parent/Guardian Signature*

Student Signature*

Important Notice

Search & Rescue Academy

Student Information

Parent Information

Academic Information

Personal Health

Residency and Citizenship

Learning Assistance & Conditions

Tribune Bay Outdoor Education