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Search and Rescue Registration
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Search and Rescue Registration
Important Notice
Registration for the Search and Rescue Academy is now closed. Check out our
Leadership Academies Page
for updates on the next Search and Rescue Academy.
Search & Rescue Academy
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
*
Date Format: DD slash MM slash YYYY
Student's Personal Education Number (PEN)
*
Student Email
*
Student Phone
*
Home Phone
*
Student Home Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
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.
Dr.
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?
*
None
Status – on reserve
Status – off reserve
Non Status
Metis
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
*
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