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WHAT: The Mackenzie Youth Dene Games (MYDG)

WHERE: Gameti

WHEN: Monday, August 8th - Friday, August 12th

Age Requirement: 9-18

 

Proudly partnered with: 

 

 

Registration Deadline: August 1st at 5 PM.

Registration Fee: $40/participant (goes towards instructor costs, materials & supplies, food, insurance, etc.). Make cheque payable to the Mackenzie Recreation Association.

After completing this waiver, you will be emailed a registration package for the event. Please review the registration package as it has important details. Email programs@mranwt.ca if you have any questions. 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Community*
What pronouns do you use? *
he/him
other
she/her
they/them
Do you identify as Indigenous ?*
Yes
No
I grant permission to Mackenzie Recreation Association and its representatives to photograph and video me, and otherwise capture my image, and make recordings of my voice. I further grant the right to reproduce, use, exhibit, display, broadcast, and distribute these images and recordings in any media now known or later developed for promoting, publicizing, or explaining Mackenzie Recreation Association and its activities and for administrative, educational, or research purposes. Photographs, video images and voice recordings are the property of Mackenzie Recreation Association. *
Yes
No

Who will be your chaperone for the event *

Chaperones phone number: *

Chaperones Email:
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*

Phone*
Second Participant's Date of Birth*
Second Participant's Information
Community*
What pronouns do you use? *
he/him
other
she/her
they/them
Do you identify as Indigenous ?*
Yes
No
I grant permission to Mackenzie Recreation Association and its representatives to photograph and video me, and otherwise capture my image, and make recordings of my voice. I further grant the right to reproduce, use, exhibit, display, broadcast, and distribute these images and recordings in any media now known or later developed for promoting, publicizing, or explaining Mackenzie Recreation Association and its activities and for administrative, educational, or research purposes. Photographs, video images and voice recordings are the property of Mackenzie Recreation Association. *
Yes
No

Who will be your chaperone for the event *

Chaperones phone number: *

Chaperones Email:
Third Participant's Name

First Name*

Last Name*

Phone*
Third Participant's Date of Birth*
Third Participant's Information
Community*
What pronouns do you use? *
he/him
other
she/her
they/them
Do you identify as Indigenous ?*
Yes
No
I grant permission to Mackenzie Recreation Association and its representatives to photograph and video me, and otherwise capture my image, and make recordings of my voice. I further grant the right to reproduce, use, exhibit, display, broadcast, and distribute these images and recordings in any media now known or later developed for promoting, publicizing, or explaining Mackenzie Recreation Association and its activities and for administrative, educational, or research purposes. Photographs, video images and voice recordings are the property of Mackenzie Recreation Association. *
Yes
No

Who will be your chaperone for the event *

Chaperones phone number: *

Chaperones Email:
Fourth Participant's Name

First Name*

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Community*
What pronouns do you use? *
he/him
other
she/her
they/them
Do you identify as Indigenous ?*
Yes
No
I grant permission to Mackenzie Recreation Association and its representatives to photograph and video me, and otherwise capture my image, and make recordings of my voice. I further grant the right to reproduce, use, exhibit, display, broadcast, and distribute these images and recordings in any media now known or later developed for promoting, publicizing, or explaining Mackenzie Recreation Association and its activities and for administrative, educational, or research purposes. Photographs, video images and voice recordings are the property of Mackenzie Recreation Association. *
Yes
No

Who will be your chaperone for the event *

Chaperones phone number: *

Chaperones Email:
Fifth Participant's Name

First Name*

Last Name*

Phone*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Community*
What pronouns do you use? *
he/him
other
she/her
they/them
Do you identify as Indigenous ?*
Yes
No
I grant permission to Mackenzie Recreation Association and its representatives to photograph and video me, and otherwise capture my image, and make recordings of my voice. I further grant the right to reproduce, use, exhibit, display, broadcast, and distribute these images and recordings in any media now known or later developed for promoting, publicizing, or explaining Mackenzie Recreation Association and its activities and for administrative, educational, or research purposes. Photographs, video images and voice recordings are the property of Mackenzie Recreation Association. *
Yes
No

Who will be your chaperone for the event *

Chaperones phone number: *

Chaperones Email:
Sixth Participant's Name

First Name*

Last Name*

Phone*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Community*
What pronouns do you use? *
he/him
other
she/her
they/them
Do you identify as Indigenous ?*
Yes
No
I grant permission to Mackenzie Recreation Association and its representatives to photograph and video me, and otherwise capture my image, and make recordings of my voice. I further grant the right to reproduce, use, exhibit, display, broadcast, and distribute these images and recordings in any media now known or later developed for promoting, publicizing, or explaining Mackenzie Recreation Association and its activities and for administrative, educational, or research purposes. Photographs, video images and voice recordings are the property of Mackenzie Recreation Association. *
Yes
No

Who will be your chaperone for the event *

Chaperones phone number: *

Chaperones Email:
Seventh Participant's Name

First Name*

Last Name*

Phone*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Community*
What pronouns do you use? *
he/him
other
she/her
they/them
Do you identify as Indigenous ?*
Yes
No
I grant permission to Mackenzie Recreation Association and its representatives to photograph and video me, and otherwise capture my image, and make recordings of my voice. I further grant the right to reproduce, use, exhibit, display, broadcast, and distribute these images and recordings in any media now known or later developed for promoting, publicizing, or explaining Mackenzie Recreation Association and its activities and for administrative, educational, or research purposes. Photographs, video images and voice recordings are the property of Mackenzie Recreation Association. *
Yes
No

Who will be your chaperone for the event *

Chaperones phone number: *

Chaperones Email:
Eighth Participant's Name

First Name*

Last Name*

Phone*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Community*
What pronouns do you use? *
he/him
other
she/her
they/them
Do you identify as Indigenous ?*
Yes
No
I grant permission to Mackenzie Recreation Association and its representatives to photograph and video me, and otherwise capture my image, and make recordings of my voice. I further grant the right to reproduce, use, exhibit, display, broadcast, and distribute these images and recordings in any media now known or later developed for promoting, publicizing, or explaining Mackenzie Recreation Association and its activities and for administrative, educational, or research purposes. Photographs, video images and voice recordings are the property of Mackenzie Recreation Association. *
Yes
No

Who will be your chaperone for the event *

Chaperones phone number: *

Chaperones Email:
Ninth Participant's Name

First Name*

Last Name*

Phone*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Community*
What pronouns do you use? *
he/him
other
she/her
they/them
Do you identify as Indigenous ?*
Yes
No
I grant permission to Mackenzie Recreation Association and its representatives to photograph and video me, and otherwise capture my image, and make recordings of my voice. I further grant the right to reproduce, use, exhibit, display, broadcast, and distribute these images and recordings in any media now known or later developed for promoting, publicizing, or explaining Mackenzie Recreation Association and its activities and for administrative, educational, or research purposes. Photographs, video images and voice recordings are the property of Mackenzie Recreation Association. *
Yes
No

Who will be your chaperone for the event *

Chaperones phone number: *

Chaperones Email:
Tenth Participant's Name

First Name*

Last Name*

Phone*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Community*
What pronouns do you use? *
he/him
other
she/her
they/them
Do you identify as Indigenous ?*
Yes
No
I grant permission to Mackenzie Recreation Association and its representatives to photograph and video me, and otherwise capture my image, and make recordings of my voice. I further grant the right to reproduce, use, exhibit, display, broadcast, and distribute these images and recordings in any media now known or later developed for promoting, publicizing, or explaining Mackenzie Recreation Association and its activities and for administrative, educational, or research purposes. Photographs, video images and voice recordings are the property of Mackenzie Recreation Association. *
Yes
No

Who will be your chaperone for the event *

Chaperones phone number: *

Chaperones Email:
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive the MRA monthly e-news
Additional Questions

Please list any food allergies or dietary restrictions.
What form(s) of social media do you use?
Facebook
Instagram
TikTok
Twitter
Other

Name of the Organization or Individual who will be paying the registration fee ($40). *

The address of the organization or individual that will be paying the registration (include community, postal code/P.O. Box, and street address) *
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Community*
What pronouns do you use? *
he/him
other
she/her
they/them
Do you identify as Indigenous ?*
Yes
No
I grant permission to Mackenzie Recreation Association and its representatives to photograph and video me, and otherwise capture my image, and make recordings of my voice. I further grant the right to reproduce, use, exhibit, display, broadcast, and distribute these images and recordings in any media now known or later developed for promoting, publicizing, or explaining Mackenzie Recreation Association and its activities and for administrative, educational, or research purposes. Photographs, video images and voice recordings are the property of Mackenzie Recreation Association. *
Yes
No

Who will be your chaperone for the event *

Chaperones phone number: *

Chaperones Email:
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper.


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