Rising Leaders Build Forward Summer Program

Rising Leaders Build Forward Summer Program Registration

This program runs three times per week during the first two weeks of July and the first two weeks of August.

Participant Name

First

Last

Age of Youth

Parent or Guardian Name (required for all programs involving minors)

First

Last

Will You Bring a Friend

Participants in Rising Leaders Forward are encouraged to invite a friend of any background to join and be part of the experience. Building meaningful connections across communities creates understanding, strengthens friendships, and helps youth become supportive allies as they learn about diverse experiences, perspectives, and barriers that impact others.

Name

First

Last

Friend's Age

Phone Number

Emergency Contact Name

First

Last

Photo Phone Emergency

Emergency Contact Phone Number

City of Residence

Select Session Date

This program runs three days per week for two weeks in July and two weeks in August. Please select all week(s) you would like your child(ren) to attend.

Transportation or Ride Needed? (ABC may provide transportation support)

How Did You Hear About Us?

Terms

By submitting this form, you agree to our Terms

Parental/Guardian Consent

I confirming and authorize that the child can participate

Privacy Statement

The information collected will be used solely for program administration, communication, and delivery purposes. Information may be shared with third-party partners or service providers where necessary for participation in or operation of ABC programs and services (including program venues, activity providers, transportation providers, or partner organizations), in accordance with applicable Canadian privacy legislation.

Photo & Media Consent

Photo & Media Consent I understand that photos and/or videos may be taken during ABC programs and activities for promotional, educational, and community engagement purposes. Images may be used on Aurora Black Community (ABC) websites, social media platforms, newsletters, reports, and other organizational materials. If I do not wish for my child(ren) or myself to appear in photos or media materials, I understand that I may opt out at any time by notifying ABC in writing at [insert email address].