A Day In The Life - Online Registration | Mennonite Collegiate Institute

Student’s Full Name *

Current Grade: *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Country

Layout

Parent/Caregiver Name(s): *

Parent/Caregiver Cell Phone #: *

Parent/Caregiver Email Address: *

Parent/Caregiver Daytime Phone:

Date of Day in the Life: *

MCI Student Host:

Transportation requested (we will be in contact regarding availability) *

Dorm Sleepover (*Arrangements need to be made at least 2 days in advance.) *

Evening Contact Person (for dorm sleepover):

Evening Contact Phone # (for dorm sleepover):

Dietary Restrictions:

Image Release (Photos of your child(ren) may be taken by staff, students or volunteers during the school day. Parent/Guardian signature below grants MCI permission to publish these photos on our social media site and website. Privacy of child’s personal data or information will be retained by Mennonite Collegiate Institute.) *

I agree
I do not agree

Parent/Guardian Signature *

Clear Signature

We/I give our/my consent for the aforementioned child to participate in “Day in the Life” at MCI. *

Parent/Guardian Signature *

Clear Signature

A Day In The Life – Online Registration

Youth Orbit 2023 – Online Registration

Health Information

Parent/Guardian

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