Soleil (6-12yrs) Activity Consent Form

West Point Grey Community Centre
4397 West 2nd Avenue Vancouver, BC 604.257.8140
westpointgrey.org Facebook.com/westpointgrey
This attachment to the legal waiver obtains approval from the parent/guardian for their
child to participate in the weekly listed activities.
Please attach a
recent photo of
your child to this
form.
Summer 2015 – Soleil (6-12yrs) Activity Consent Form
Child’s First and Last Name:
Parent/Guardian: Please sign your initials for each week your child is registered in.
Male �
Female �
Please note that the activity time and that the meeting and drop-off location is West Point Grey Community Centre (Aberthau). Also
certain trips require appropriate clothes such as swim wear for Swimming.
Soleil Scheduled Out Trips:
Parent/Guardian Initial Required
(IH) – In-House at West Point Grey CC (W)- Walking (PT)- Public Transportation (CB) – Charter Bus
Week 1 – La Plage (W/PT), Le Hall Des Sports C-B(PT), La Grande Echappe (CB) and Concours
de Talent (IH)
Week 2 – Le Parc Trimble (W), L’lle de Granville (PT), L’Aquarium (CB), La Piscine Hillcrest
(PT) and Le Film des Minions (PT)
Week 3 – La Plage (W/PT), La Marche Canope UBC (PT), Splashdown (CB), Le Zoo Southlands
(PT) and Le Parc Chaldecott (PT)
Week 4 – Le Parc Trimble (W), Le Bowling (PT), La Vallee Lynee (CB), Le Parc Stanley (PT) and
Competition de Chateaux de Sable (W/PT)
Week 5 – La Plage (W/PT), Journee de Sports (PT), Montagne Grouse (CB), Le Parc QU and
Conservatoire Bloedel (PT) and Les Betes a Mike (PT)
Week 6 – Le Parc Trimble (W), Crash Crawlies (CB), Piscine Hillcrest (PT) and Monde
de Sciences (PT)
Week 7 – La Plage (W/PT), Cliffhangers (PT), Journee de Sports (PT), Centre d’Espace (PT) and
Chasse aux Tresors Photo (IH/W)
Week 8 – Le Parc Trimble (W), Le Bowling (PT), Palais de Recreation (PT), Labyrinthe de Mais
(CB) and OWL Presentation (IH)
Week 9 – La Plage (W/PT), Magic Show (IH), Splashdown (CB), Clffhangers (PT) and Tye Dye
(IH/W)
Swimming Ability:
Good____
Poor____
None____
Level:__________________________
My son/daughter can return home by himself/herself after being dismissed at West Point Grey CC:
No ____
Yes ____
Allergies/Mediation: ___________________________________________________________________
Canada’s new Anti-Spam Legislation (CASL) came into effect on July 1, 2014 and requires
that you provide your consent to receive any emailed publication. We value our relationship
with you and would like to continue providing relevant information about our programs,
Special Events, upcoming promotions, etc. To continue receiving electronic communications
from the West Point Grey Community Centre, please initial the box.
I understand the following alternate activities may occur due to rainy days or other
necessary scheduling changes: U-Paint I-Fire Pottery, Grandview Lanes, Cineplex Odeon
International Village Cinemas, Kerrisdale Play Palace, Stanley Park and Chaldecott Waterpark
By signing this form I agree that my child may attend the out trips initialed above.
Signature of Parent/Guardian: ______________________________________
Date: _____________
Jointly Operated by West Point Grey Community Association & Vancouver Board of Parks and Recreation