Event Registration Form I am interested in registering for:(Required)An introduction to the purpose and the process of Child and Family Services’ (04 May 2024)Youth Basketball Camp - Spring 2024 - Youth ages 13+ (03 May 2024 to 28 Jun 2024)Information for Participants: First Name(Required) Last Name(Required) Gender(Required)MaleFemalePhone(Required) Email(Required) Date of Birth(Required) DD slash MM slash YYYY Primary LanguageEnglishFrenchAmharicArabicBengaliChineseDariFarsi (Persian)FilipinoHindiKinyarwandaPashtoPunjabiSpanishSwahiliTagalogTigrignaUkrainianYiddishYorubaCountry of BirthCanadaAfghanistanAlbaniaAlderneyAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBophuthatswanaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanary IslandsCayman IslandsCentral African RepublicChadChileChina (PRC)ColombiaComorosCongo (Congo Republic)Congo Democratic Republic ofCosta RicaCote d Ivoire (Ivory Coast)CroatiaCubaCyprusCzechia (Czech Republic)DenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor-Leste)EcuadorEgyptEl SalvadorEnglandEquatorial GuineaEritreaEstoniaEswatini (formerly Swaziland)EthiopiaFijiFinlandFr. PolynesiaFranceFrench GuianaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuadaloupeGuamGuatemalaGuineaGuinea-bissauGuyanaHaitiHoly See (Vatican City)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKampuchea DemocraticKazakhstanKenyaKerguelen IslandsKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (formerly Burma)NamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorthern IrelandNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaScotlandSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. Kitts and NevisSt. LuciaSt. Pierre Et MiquelonSt. Vincent And The GrenadinesStatelessSudanSudan, SouthSurinameSwedenSwitzerlandSyriaTaiwan (ROC)TajikistanTanzaniaThailandTibetTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & CaicosTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamWalesWestern SaharaYemenYugoslaviaZaire (now Congo DRC)ZambiaZimbabweCurrent Immigration Status in CanadaPermanent ResidentCitizen by BirthCitizen - NaturalizedGovernment Assisted Refugees (GAR)Provincial Nominee Awaiting PRRefugee Claimant (RC)Student - Study PermitUkraine CUAET PermitVisitor Visa - Temporary Resident VisaWork Permit - Live-in CaregiverWork Permit - International Mobility ProgramWork Permit - Post-Graduation Work PermitUCI# / PR Card Number (8 or 10 digits) Special Requirements/Considerations Allergies Carries Epi-pen Physical Disability Please specify any allergies or dietary restrictions you may haveMedical Conditions/MedicationsOther RemarksInvite Link Consent(Required) I understand that invitation links for online events, when applicable, will be sent to me later via the provided email address. (Required) Newsletter Subscription I would like to subscribe to receive emails and newsletters regarding updates on this event, as well as future programs and events. Photo Consent I authorize the staff to take photographs of me during this event and to display and otherwise use these photographs without charge, solely for the purpose of promoting and reporting on this event. HiddenFee Information Source (Admin Only)(Required)This program is open for men & women. Registration is required. For more inofrmation call 204-202-6491 Ext-4 or email at nazmun@healthymuslimfamilies.caYouth Basketball Camp - Summer 2024 - 9 Sessions. Youth will have the opportunity to practice and hone their basketball skills. ONLY 25 SPOTS IN TOTAL so register now! FEE INFORMATION: Please e-tranfer to: info@healthymuslimfamilies.ca NOTE: The $15 fee only covers ONE participant. Registrations are not guaranteed until the fee is processed AND the waiver form is signed "HiddenRemarks Placeholder (Admin Only)(Required)Would you like us to know something regarding your registration request?Would you like us to know something regarding your registration request?Would you like us to know something regarding your registration request?Would you like us to know something regarding your registration request?Would you like us to know something regarding your registration request?HiddenStaff to be Notified (Admin Only)(Required)nazmun@healthymuslimfamilies.ca,amna.iqbal@healthymuslimfamilies.cayouth@healthymuslimfamilies.ca,amna.iqbal@healthymuslimfamilies.caHiddenEvent-to-Program Mappings (Admin Only)(Required)00090003HiddenProgram (Admin Only)(Required) HiddenStaff Email (Admin Only) HiddenDate Visited (Admin Only) DD slash MM slash YYYY HiddenRemarks (Admin Only)Allergies/Dietary Restrictions - None specified Medications/Medical Conditions - None specified Other Remarks - None specified