Proclaim – Victoria

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This form is to register to go on the trip to Victoria to go to Proclaim at Victoria Church of the Nazarene. This permission form must be completed before leaving Abbotsford.

Details:

Cost: $40
Each person will be responsible for paying for their ferry tickets and spending $ for meals. The $40 listed above will cover the round trip tickets on the ferry but does not include a meal allowance. Spending $ for meals (2 lunches, 1 dinner) must be calculated by the individual and provided as well.

Lodging will be at the church in Victoria so the lodging is free and they will be providing breakfast for the youth on Saturday morning.

Location for Drop Off/Pick Up:
Abbotsford Church of the Nazarene
2390 McMillan Road
Abbotsford, BC

Location of Victoria Church of the Nazarene:
4277 Quadra Street
Victoria, BC

Drop Off: 2:30 pm, Friday, May 30
Pick Up: 8:00 pm, Saturday, May 31

What to Bring:
Sleeping Bag, Pillow, Towel, Toiletries, Change of Clothes, Bible, Notebook & Pen, Toiletries, Daily Medications* if necessary
You will need to bring money to cover your own meals (3 meals total)

Online Registration:

    Information

    I am registering as a:

    Name

    Email

    Phone

    Birthday

    Age

    Medical #:

    Allergies:

    Primary Address

    Emergency Contact

    Name

    Relationship to Student

    Phone Number

    Legal Stuff

    I, the undersigned, parent or guardian of the above child, give the above child permission to attend and participate in “Proclaim - Victoria” and all that it entails from May 30-31, 2025. I agree not to hold Canada Pacific District NYI, or any of their staff or leaders, involved in this event liable for accident, injury, illness, or death caused to the above-named child during his/her attendance and participation in “Proclaim - Kelowna". In case of an emergency, I give permission to the adult leaders to take necessary action to ensure the best possible care for the above-named child. In the event that I cannot be reached, I give permission for medical care in a hospital.

    Please select 'Yes' or 'No' if you agree to the following statement:

    By participating in "Proclaim - Victoria" you consent to, photography, audio recording, video recording of said event and activities within; and its/their release, publication, exhibition, or reproduction to be used for live streaming, promotional purposes, advertising, inclusion on web sites, and/or any other purpose by the Canada Pacific District Church of the Nazarene and/or its' Churches.

    Please select 'Yes' to confirm that you have read and understand the CPDNYI Code of Content below.

    Parent or Guardian:
    If you are registering as a leader just use your own name for the parent/guardian info

    Name:

    Relationship to child:

    Signature of Parent/Guardian:
    (Please sign your name in the box below with your mouse, or finger on a phone or tablet.)

    Signature of Student:
    (Please sign your name in the box below with your mouse, or finger on a phone or tablet.)


    (if you get an error, try clicking submit again before refreshing or re-filling out the form)

    CPDNYI Code of Conduct

    For the safety and well-being of all participants and acknowledging that students represent both their local Nazarene Church and/or Canada Pacific District, the “Code of Conduct” will be strictly adhered to.

    Students are expected to:
    ● Understand that all bags and backpacks may be thoroughly searched at any time during the event.
    ● Follow all directions from Leaders courteously and respectfully.
    ● REPORT ON TIME to designated checkpoints as indicated by Leaders.

    Lodge/Hotel Guidelines
    ● Absolutely no mixed genders in Lodge/hotel rooms.
    ● Students are responsible for checking in with their Leaders when they arrive at designated meeting places.
    ● All students must remain in groups of at least 2 members and must have a cell phone.
    ● Be in their rooms, ready for room check at curfew time.
    ● Abide by all curfews and rules of the Lodge/Camp/hotel. There will be other guests at the Camp. Please be considerate of others. Do not make excessive noise in the Lodge/hotel (music playing, shouting, riding the elevator, etc.).
    ● Appropriate swimwear (Girls: one piece/Boys: swim trunks) must be worn at swimming pools.
    ● Keep the buses/transport vehicles CLEAN and follow all other rules of courtesy.
    ● Prior to leaving Lodge/hotel rooms at the conclusion of the trip, rooms will be checked by a Leader.
    ● Any damages incurred by students to property (hotel/buses/venues/etc…) during our trip will be the
    responsibility of the parent.

    The following rules are considered as zero tolerance policies for Canada Pacific NYI participants:
    ● No smoking/Vaping
    ● No consumption of alcohol
    ● No use of any drugs or medications unless specifically listed on the health portion of the permission slip.
    ● No inappropriate physical contact

    Consequences for zero tolerance rules include:
    ● Contacting parent/guardian
    ● Student being sent home early at the parent’s/guardian’s expense