{"id":9965,"date":"2026-08-05T11:30:53","date_gmt":"2026-08-05T15:30:53","guid":{"rendered":"https:\/\/yfc.ca\/highlands\/?post_type=event&#038;p=9965"},"modified":"2026-08-05T11:31:44","modified_gmt":"2026-08-05T15:31:44","slug":"alpha-weekend-huntsville","status":"publish","type":"event","link":"https:\/\/yfc.ca\/highlands\/event\/alpha-weekend-huntsville\/","title":{"rendered":"Alpha Weekend Huntsville"},"content":{"rendered":"\r\n<section class=\"y-intro guten-block \">\r\n\t<div class=\"y-intro--upper\">\r\n\t\t<div class=\"grid-narrow\">\r\n\t\t\t<div class=\"y-intro--upper--row\">\r\n\t\t\t\t<div class=\"y-intro--upper--left\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h2 class=\"y-intro--title\">Alpha Weekend<\/h2>\r\n\t\t\t\t\t\t\t\t\t\t\n\n\n\n\n\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"y-intro--content\"><p>Registration form for parents of youth attending this event.<\/p>\n<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t<div class=\"y-intro--upper--right\">\r\n\t\t\t\t\t\t\t<div class=\"y-c-img extend\">\n\t\t<div class=\"y-c-img--extend medium\" style=\"background-image: url();\">\n\t\t\t\t\t<\/div>\n\t\t<div class=\"y-c-img--contain\">\n\t\t\t<img decoding=\"async\" src=\"\" alt=\"\" \/>\n\t\t\t\t\t<\/div>\n\t\t\n\t<\/div>\n\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\r\n\t<div class=\"y-intro--lower\">\r\n\t\t<div class=\"grid-narrow\">\r\n\t\t\t<div class=\"y-intro--lower--left\">\r\n\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"y-intro--lower-content\"><p><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_70' style='display:none'><div id='gf_70' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">2026 Huntsville Alpha Celebration Weekend<\/h3>\n                            <p class='gform_description'>Weekend getaway for youth, volunteers and staff after completing the Alpha program with Youth Unlimited YFC Highlands in Huntsville.  All participants are to complete this form, with special parental permissions for the youth attending.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_70'  action='\/highlands\/wp-json\/wp\/v2\/event\/9965#gf_70' data-formid='70' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Lfq1YsaAAAAAIlCN1-uzuUjef83MGbopf9xeWCd' data-tabindex='0'><input id=\"input_5768ae1726551de494782f0d20db768e\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_5768ae1726551de494782f0d20db768e\" value=\"\"\/><\/div>\n        <div id='gf_progressbar_wrapper_70' class='gf_progressbar_wrapper' data-start-at-zero='1'>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_0' style='width:0%;'><span>0%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_70_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_70' class='gform_fields top_label form_sublabel_above description_above validation_below'><li id=\"field_70_23\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Youth Event Registration &amp; Permission Form<\/h2><div class='gsection_description' id='gfield_description_70_23'>TO BE COMPLETED ONLY BY A PARENT OR GUARDIAN (only youth over 18 can complete this form for themselves).\n\nGranted for both one-off and recurring transportation and event permission of a youth by Youth Unlimited | YFC Highlands staff or volunteers to allow for the youth to participate in programs. We are planning an activity as part of our programming that requires your permission prior to participation. We have provided you the details of the activity and request that you complete and sign this permission form. The safety of the youth is our primary concern. Precautions will be taken for their wellbeing and protection. Youth Unlimited YFC Highlands is collecting and retaining this personal information for the purpose of enrolling your youth in this activity. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish Youth Unlimited YFC Highlands to limit the information collected, or to view your child\u2019s information, please contact us. This form should be completed by the Parent\/Caregiver if under 18 or by the individual participant if 18 years or older.<\/div><\/li><li id=\"field_70_74\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Program Details<\/h2><div class='gsection_description' id='gfield_description_70_74'>Alpha Weekend Celebration. Marcy is hosting two-day overnight weekend event in Grand Bend at 33992 Water Works Road from Friday August 7th until August 9th, 2026. Car transportation is provided from Huntsville to Grand Bend, plus for excursions over the weekend, and to return to Huntsville. Meals are provided and youth participants are asked to bring $100-150 for personal expenses (like for snacks or shopping). Activities will include walking, biking, shopping, and possibly a beach afternoon (weather dependent). <\/div><\/li><li id=\"field_70_90\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_90'>Type of Activity:<\/label><div class='ginput_container ginput_container_select'><select name='input_90' id='input_70_90' class='large gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Overnight Event' >Overnight Event<\/option><\/select><\/div><\/li><li id=\"field_70_92\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_92'>I understand that this event is:<\/label><div class='ginput_container ginput_container_select'><select name='input_92' id='input_70_92' class='large gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='One-time permission for this weekend event' >One-time permission for this weekend event<\/option><\/select><\/div><\/li><li id=\"field_70_104\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Youth Info<\/h2><\/li><li id=\"field_70_45\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_45'>Which community is your youth associated with?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_45' id='input_70_45' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='YFC Centre-Wellington (Fergus)' >YFC Centre-Wellington (Fergus)<\/option><option value='YFC Collingwood' >YFC Collingwood<\/option><option value='YFC Erin' >YFC Erin<\/option><option value='YFC Grand Valley' >YFC Grand Valley<\/option><option value='YFC Huntsville' >YFC Huntsville<\/option><option value='YFC Novar' >YFC Novar<\/option><option value='YFC Orangeville' >YFC Orangeville<\/option><option value='Other \/ I don&#039;t know' >Other \/ I don&#039;t know<\/option><\/select><\/div><\/li><li id=\"field_70_3\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Youth&#039;s Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_70_3'>\n                            \n                            <span id='input_70_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_70_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_3.3' id='input_70_3_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_70_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_70_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_3.6' id='input_70_3_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_70_4\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_4'>Birthdate<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_4' id='input_70_4' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_70_4_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_70_4_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_70_4' class='gform_hidden' value='https:\/\/yfc.ca\/highlands\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_70_75\" class=\"gfield gfield--type-post_content gfield--input-type-post_content gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_75'>Allergies or Medical Conditions (Be specific)<\/label><div class='gfield_description' id='gfield_description_70_75'>If this impacts the experience, kindly share specifics to help us care for your youth if requried.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_75' id='input_70_75' class='textarea large'  aria-describedby=\"gfield_description_70_75\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_70_70\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Please Note<\/h2><div class='gsection_description' id='gfield_description_70_70'>Due to the limited kitchen facilities, we will make every effort to accommodate allergies, however we cannot guarantee that there will be no trace of an allergen in food served.<\/div><\/li><li id=\"field_70_25\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Youth&#039;s Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_70_25' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_70_25_1_container' >\n                                        <label for='input_70_25_1' id='input_70_25_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_25.1' id='input_70_25_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_70_25_2_container' >\n                                        <label for='input_70_25_2' id='input_70_25_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_25.2' id='input_70_25_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_70_25_3_container' >\n                                    <label for='input_70_25_3' id='input_70_25_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_25.3' id='input_70_25_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_70_25_4_container' >\n                                        <label for='input_70_25_4' id='input_70_25_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                        <select name='input_25.4' id='input_70_25_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alberta' >Alberta<\/option><option value='British Columbia' >British Columbia<\/option><option value='Manitoba' >Manitoba<\/option><option value='New Brunswick' >New Brunswick<\/option><option value='Newfoundland and Labrador' >Newfoundland and Labrador<\/option><option value='Northwest Territories' >Northwest Territories<\/option><option value='Nova Scotia' >Nova Scotia<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='Prince Edward Island' >Prince Edward Island<\/option><option value='Quebec' >Quebec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_70_25_5_container' >\n                                    <label for='input_70_25_5' id='input_70_25_5_label' class='gform-field-label gform-field-label--type-sub '>Postal Code<\/label>\n                                    <input type='text' name='input_25.5' id='input_70_25_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_25.6' id='input_70_25_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_70_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_5'>Youth&#039;s Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_70_5' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_70_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_6'>Youth&#039;s Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_70_6' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_70_50' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_70_2_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary'  > Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_70_2' class='gform_page' data-js='page-field-id-50' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_70_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><li id=\"field_70_24\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Parent &amp; Emergency Info<\/h2><div class='gsection_description' id='gfield_description_70_24'>To be used for emergencies or to make alternative arrangements for a youth once at an event.<\/div><\/li><li id=\"field_70_77\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Is the Parent\/Guardian Home Address Different from the Youth&#039;s Address?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_70_77'>\n\t\t\t<li class='gchoice gchoice_70_77_0'>\n\t\t\t\t<input name='input_77' type='radio' value='Yes'  id='choice_70_77_0'    \/>\n\t\t\t\t<label for='choice_70_77_0' id='label_70_77_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_70_77_1'>\n\t\t\t\t<input name='input_77' type='radio' value='No'  id='choice_70_77_1'    \/>\n\t\t\t\t<label for='choice_70_77_1' id='label_70_77_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_70_78\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Parent\/Guardian&#039;s Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_70_78' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_70_78_1_container' >\n                                        <label for='input_70_78_1' id='input_70_78_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_78.1' id='input_70_78_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_70_78_2_container' >\n                                        <label for='input_70_78_2' id='input_70_78_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_78.2' id='input_70_78_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_70_78_3_container' >\n                                    <label for='input_70_78_3' id='input_70_78_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_78.3' id='input_70_78_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_70_78_4_container' >\n                                        <label for='input_70_78_4' id='input_70_78_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                        <select name='input_78.4' id='input_70_78_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alberta' >Alberta<\/option><option value='British Columbia' >British Columbia<\/option><option value='Manitoba' >Manitoba<\/option><option value='New Brunswick' >New Brunswick<\/option><option value='Newfoundland and Labrador' >Newfoundland and Labrador<\/option><option value='Northwest Territories' >Northwest Territories<\/option><option value='Nova Scotia' >Nova Scotia<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='Prince Edward Island' >Prince Edward Island<\/option><option value='Quebec' >Quebec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_70_78_5_container' >\n                                    <label for='input_70_78_5' id='input_70_78_5_label' class='gform-field-label gform-field-label--type-sub '>Postal Code<\/label>\n                                    <input type='text' name='input_78.5' id='input_70_78_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_78.6' id='input_70_78_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_70_26\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >1st Parent\/Guardian Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_70_26'>\n                            \n                            <span id='input_70_26_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_70_26_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_26.3' id='input_70_26_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_70_26_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_70_26_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_26.6' id='input_70_26_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_70_27\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_27'>Parent\/Guardian Primary Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_27' id='input_70_27' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_70_28\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_28'>Parent\/Guardian Alternate Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_28' id='input_70_28' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_70_29\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_29'>Parent\/Guardian Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_29' id='input_70_29' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_70_8\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Alternative Emergency Contact Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_70_8'>\n                            \n                            <span id='input_70_8_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_70_8_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_8.3' id='input_70_8_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_70_8_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_70_8_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_8.6' id='input_70_8_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_70_11\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_11'>Alternative Emergency Contact Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_11' id='input_70_11' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_70_95' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_70_95' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_70_3_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary'  > Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_70_3' class='gform_page' data-js='page-field-id-95' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_70_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><li id=\"field_70_30\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Waivers &amp; Consent<\/h2><\/li><li id=\"field_70_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Media Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_70_22'>I do authorize Youth Unlimited YFC Highlands to take, use and own, in perpetuity; names, photographs or video\/audio recordings of the youth in my care noted above, understanding that these may be used for public promotional purpose. Youth Unlimited YFC Highlands does not sell or give away any recorded materials or mailing list information. <\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_70_22'>\n\t\t\t<li class='gchoice gchoice_70_22_0'>\n\t\t\t\t<input name='input_22' type='radio' value='Yes' checked='checked' id='choice_70_22_0'    \/>\n\t\t\t\t<label for='choice_70_22_0' id='label_70_22_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_70_22_1'>\n\t\t\t\t<input name='input_22' type='radio' value='No'  id='choice_70_22_1'    \/>\n\t\t\t\t<label for='choice_70_22_1' id='label_70_22_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_70_81\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Communication Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_70_81'>I\/We agree to permit Youth Unlimited YFC Highlands staff or volunteers to communicate with the participant via telephone, email, social media (Facebook, Instagram etc.) or text for the purpose of dissemination of information. <\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_70_81'>\n\t\t\t<li class='gchoice gchoice_70_81_0'>\n\t\t\t\t<input name='input_81' type='radio' value='Yes' checked='checked' id='choice_70_81_0'    \/>\n\t\t\t\t<label for='choice_70_81_0' id='label_70_81_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_70_81_1'>\n\t\t\t\t<input name='input_81' type='radio' value='No'  id='choice_70_81_1'    \/>\n\t\t\t\t<label for='choice_70_81_1' id='label_70_81_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_70_79\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Transportation Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_70_79'>I give permission for the youth in my care noted above, to travel in a vehicle owned by Youth Unlimited (Highlands YFC), or by its staff or volunteers, for the duration of this weekend event. I understand that drivers and their vehicles are licensed and insured according to local, provincial and federal laws, insurance policies and Highlands YFC\u2019s Policies &#038; Procedures. Furthermore, I do not hold Highlands YFC responsible for any harm that may occur to the youth in my care noted above, as a result of his\/her willful participation in the transportation.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_70_79'>\n\t\t\t<li class='gchoice gchoice_70_79_0'>\n\t\t\t\t<input name='input_79' type='radio' value='Yes' checked='checked' id='choice_70_79_0'    \/>\n\t\t\t\t<label for='choice_70_79_0' id='label_70_79_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_70_79_1'>\n\t\t\t\t<input name='input_79' type='radio' value='No'  id='choice_70_79_1'    \/>\n\t\t\t\t<label for='choice_70_79_1' id='label_70_79_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_70_82\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Safety Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_70_82'>While every precaution is taken for their safety and good health, some sports and activities carry with them the inherent risk of personal injury beyond the risks associated with many of the recreational activities at Youth Unlimited | YFC Highlands. I\/we understand and accept these risks and agree that by allowing my\/our child to participate in those activities, he\/she may be taking part in a recreational activity that presents the potential for personal injury. I\/we, the parents or guardians named below, authorize Youth Unlimited | YFC Highlands Program Personnel to sign consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above. I\/we, named below undertake and agree to indemnify and hold blameless Youth Unlimited YFC Highlands, its personnel, its Directors and Board from and against any loss, damage or injury suffered by the participant as a result of being part of the activities Youth Unlimited YFC Highlands, as well as of any medical treatment authorized by the supervising individuals representing Youth Unlimited YFC Highlands. This consent and authorization is effective only when participating in or traveling to.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_70_82'>\n\t\t\t<li class='gchoice gchoice_70_82_0'>\n\t\t\t\t<input name='input_82' type='radio' value='Yes' checked='checked' id='choice_70_82_0'    \/>\n\t\t\t\t<label for='choice_70_82_0' id='label_70_82_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_70_82_1'>\n\t\t\t\t<input name='input_82' type='radio' value='No'  id='choice_70_82_1'    \/>\n\t\t\t\t<label for='choice_70_82_1' id='label_70_82_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_70_84\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Leaving Event Consent (due to behaviour)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_70_84'>I understand that if my youth partakes in unsuitable activities or behaviour during this event that the youth will be sent home at my own expense.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_70_84'>\n\t\t\t<li class='gchoice gchoice_70_84_0'>\n\t\t\t\t<input name='input_84' type='radio' value='Yes' checked='checked' id='choice_70_84_0'    \/>\n\t\t\t\t<label for='choice_70_84_0' id='label_70_84_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_70_84_1'>\n\t\t\t\t<input name='input_84' type='radio' value='No'  id='choice_70_84_1'    \/>\n\t\t\t\t<label for='choice_70_84_1' id='label_70_84_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_70_83\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Overnight Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_70_83'>I understand that overnight accommodation is required for this event.  I give permission for my youth to stay overnight in the designated facility in acceptable, safe accommodation arrangements.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_70_83'>\n\t\t\t<li class='gchoice gchoice_70_83_0'>\n\t\t\t\t<input name='input_83' type='radio' value='Yes' checked='checked' id='choice_70_83_0'    \/>\n\t\t\t\t<label for='choice_70_83_0' id='label_70_83_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_70_83_1'>\n\t\t\t\t<input name='input_83' type='radio' value='No'  id='choice_70_83_1'    \/>\n\t\t\t\t<label for='choice_70_83_1' id='label_70_83_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_70_33\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_33'>Parent\/Guardian Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><input type='hidden' value='' name='input_33' id='input_70_33_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_70_33_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><canvas id='input_70_33' width='300' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/yfc.ca\/highlands\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_70_33_toolbar' style='margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;'><img id = 'input_70_33_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_70_33_data' name='input_70_33_data' value=''><\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_70' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_70' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_70_footer_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary'  > Save and Continue Later<\/a>\n            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