{"id":17,"date":"2021-12-13T14:49:28","date_gmt":"2021-12-13T20:49:28","guid":{"rendered":"https:\/\/rcyc.carmis.ai\/?page_id=17"},"modified":"2025-08-08T16:32:53","modified_gmt":"2025-08-08T21:32:53","slug":"home","status":"publish","type":"page","link":"https:\/\/rcyc.carmis.ai\/fr\/","title":{"rendered":"Maison"},"content":{"rendered":"<div id=\"cs-content\" class=\"cs-content\"><div class=\"x-section e17-e1 mh-0 formbg\"><div class=\"x-row x-container max width e17-e2 mh-1 mh-2 innerformbg\"><div class=\"x-row-inner\"><div class=\"x-col e17-e3 mh-3 NsdSpacerSmallAll\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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   \n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_1' id='gform_1'  action='\/fr\/wp-json\/wp\/v2\/pages\/17#gf_1' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_199\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2> Summer Camp Registration 2025<\/h2><\/div><div id=\"field_1_106\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Your Personal Details<\/h3><\/div><div id=\"field_1_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third FIRST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_1'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_1_1' type='text' value='' class='large' maxlength='50'  tabindex='1'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third MIDDLE_NAME gf_hide_charleft field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_3'>Middle Name<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_1_3' type='text' value='' class='large' maxlength='50'  tabindex='2'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_110\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third LAST_NAME gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_110'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_110' id='input_1_110' type='text' value='' class='large' maxlength='50'  tabindex='3'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_17\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter CAN_STATUS gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_17'>Status in Canada<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_1_17' class='large gfield_select' tabindex='4'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='0001' >Canadian Citizen<\/option><option value='0035' >Naturalized Citizen<\/option><option value='0003' >Permanent Resident<\/option><option value='0024' >Provincial Nominee (PNP)<\/option><option value='0002' >Government Assisted Refugees (GAR)<\/option><option value='0022' >Private Sponsored Refugees (PSR)<\/option><option value='0023' >Blended Visa Office-Referred Program (BVOR)<\/option><option value='0006' >Refugee Claimant (RC)<\/option><option value='0025' >Protected Person<\/option><option value='0007' >Student - Study Permit<\/option><option value='0010' >Visitor Visa - Temporary Resident Visa<\/option><option value='0016' >Work Permit<\/option><option value='0018' >Ukraine CUAET Permit<\/option><\/select><\/div><\/div><div id=\"field_1_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter FOSSIDNO gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_19'>Permanent Resident or UCI#<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_1_19' type='text' value='' class='large'   tabindex='5'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_109\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter FOSSIDNO field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_109'>Permanent Resident or UCI#<\/label><div class='ginput_container ginput_container_text'><input name='input_109' id='input_1_109' type='text' value='' class='large'   tabindex='6'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_16\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_16'>Date of Birth as per PR Card<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_16' id='input_1_16' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='7'  placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_16_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_16_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_16' class='gform_hidden' value='https:\/\/rcyc.carmis.ai\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_120\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter GENDER gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_120'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_120' id='input_1_120' class='large gfield_select' tabindex='8'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='F' >Female<\/option><option value='M' >Male<\/option><option value='U' >Unknown<\/option><option value='X' >Non-Binary<\/option><\/select><\/div><\/div><div id=\"field_1_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-quarter EMAIL gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_5'>Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_1_5' type='email' value='' class='large' tabindex='9'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_1_119\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter TELE1 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_119'>Cell Phone<\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_1_119' type='text' value='' class='large'   tabindex='10' placeholder='___-___-____'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_137\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter TELE2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_137'>Home Phone<\/label><div class='ginput_container ginput_container_text'><input name='input_137' id='input_1_137' type='text' value='' class='large'   tabindex='11' placeholder='___-___-____'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter PHONENUMBERS field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_4'>Work Phone Number<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_1_4' type='text' value='' class='large'   tabindex='12' 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>Amharic<\/option><option value='013' >Arabic<\/option><option value='014' >Armenian<\/option><option value='024' >Bengali<\/option><option value='029' >Bisaya<\/option><option value='033' >Burmese<\/option><option value='036' >Cantonese<\/option><option value='037' >Catalan<\/option><option value='038' >Cebuano<\/option><option value='044' >Chinese<\/option><option value='226' >Chinese - Simplified<\/option><option value='227' >Chinese - Traditional<\/option><option value='047' >Creole<\/option><option value='048' >Croatian<\/option><option value='049' >Czech<\/option><option value='050' >Danish<\/option><option value='055' >Dutch<\/option><option value='064' >Farsi (Persian)<\/option><option value='316' >Filipino<\/option><option value='074' >German<\/option><option value='077' >Gujarati<\/option><option value='237' >Hiligaynon<\/option><option value='083' >Hindi<\/option><option value='086' >Hungarian<\/option><option value='244' >Ilican<\/option><option value='245' >Ilocano<\/option><option value='246' >Indonesian<\/option><option value='090' >Italian<\/option><option value='247' >Itsekiri<\/option><option value='092' >Japanese<\/option><option value='099' >Karen<\/option><option value='104' >Kinyarwanda<\/option><option value='108' >Korean<\/option><option value='121' >Malagasy<\/option><option value='123' >Malayalam<\/option><option value='127' >Mandarin<\/option><option value='129' >Marathi<\/option><option value='266' >Mizo<\/option><option value='133' >Nepali<\/option><option value='144' >Other Middle Eastern Languages<\/option><option value='154' >Pashto<\/option><option value='150' >Polish<\/option><option value='151' >Portuguese<\/option><option value='153' >Punjabi<\/option><option value='155' >Romanian<\/option><option value='156' >Russian<\/option><option value='160' >Serbian<\/option><option value='293' >Shona<\/option><option value='170' >Sinhalese<\/option><option value='172' >Slovene<\/option><option value='173' >Somali<\/option><option value='176' >Spanish<\/option><option value='178' >Swahili<\/option><option value='181' >Tagalog<\/option><option value='182' >Tamil<\/option><option value='185' >Telugu<\/option><option value='186' >Thai<\/option><option value='189' >Tigrigna<\/option><option value='194' >Turkish<\/option><option value='197' >Ukrainian<\/option><option value='199' >Urdu<\/option><option value='202' >Vietnamese<\/option><option value='209' >Yoruba<\/option><option value='001' >Acholi<\/option><option value='002' >Ada<\/option><option value='003' >Affar<\/option><option value='004' >Afghan<\/option><option value='006' >Aka<\/option><option value='007' >Akan<\/option><option value='212' >Aklanon<\/option><option value='008' >Akra<\/option><option value='213' >American Sign Language (ASL)<\/option><option value='011' >Anuak (Anywa)<\/option><option value='214' >Aran<\/option><option value='015' >Ashanti<\/option><option value='215' >Assamese<\/option><option value='016' >Assyrian<\/option><option value='017' >Azeri<\/option><option value='018' >Bahasa Indonesian<\/option><option value='216' >Balochi<\/option><option value='019' >Bambara<\/option><option value='340' >Bamileke \/ Ghomala<\/option><option value='330' >Banso<\/option><option value='020' >Bantu<\/option><option value='217' >Baule<\/option><option value='218' >Belarusian<\/option><option value='021' >Belen<\/option><option value='022' >Bemba<\/option><option value='023' >Bembe<\/option><option value='025' >Beni<\/option><option value='219' >Benin<\/option><option value='026' >Berber<\/option><option value='320' >Beti<\/option><option value='027' >Bhari<\/option><option value='220' >Bicol\/Bikol\/Bicolano<\/option><option value='221' >Bijaiya<\/option><option value='222' >Bilen<\/option><option value='028' >Bini<\/option><option value='030' >Bissa<\/option><option value='223' >Bontok<\/option><option value='224' >Braille (translation only)<\/option><option value='031' >Breton<\/option><option value='032' >Bulgarian<\/option><option value='341' >Burji \/ Bembala \/ Bambala \/ Daashi<\/option><option value='034' >Busan<\/option><option value='035' >Busango<\/option><option value='039' >Chakma<\/option><option value='040' >Chaldean<\/option><option value='041' >Chaocho<\/option><option value='225' >Chavacano<\/option><option value='042' >Chichewa<\/option><option value='043' >Chin<\/option><option value='228' >Chiuchow<\/option><option value='045' >Chiyao<\/option><option value='046' >Chowchau<\/option><option value='229' >Concani<\/option><option value='325' >Cree<\/option><option value='338' >Dagaare<\/option><option value='051' >Dari<\/option><option value='336' >Daza \/ Dazaga \/ Tebu<\/option><option value='053' >Dinka<\/option><option value='054' >Dioula<\/option><option value='230' >Dzongkha<\/option><option value='056' >Edo<\/option><option value='057' >Efik<\/option><option value='321' >Esan<\/option><option value='059' >Estonian<\/option><option value='060' >Ewe<\/option><option value='062' >Fang<\/option><option value='063' >Fanti<\/option><option value='333' >Fe&#039;fe \/ Fe&#039;efe&#039;e \/ Nufi \/ Bafang<\/option><option value='065' >Finnish<\/option><option value='066' >Flemish<\/option><option value='231' >Foochow<\/option><option value='067' >Fouki<\/option><option value='068' >Foullah<\/option><option value='070' >Fukinese<\/option><option value='071' >Fulani<\/option><option value='072' >Ga<\/option><option value='073' >Gaelic<\/option><option value='232' >Georgian<\/option><option value='323' >Grebo\/Krumen<\/option><option value='075' >Greek<\/option><option value='076' >Guerze<\/option><option value='233' >Hainam<\/option><option value='234' >Hakha Chin<\/option><option value='078' >Hakka<\/option><option value='235' >Harara<\/option><option value='236' >Harary<\/option><option value='079' >Hargar<\/option><option value='080' >Hassanya<\/option><option value='081' >Hausa<\/option><option value='082' >Hebrew<\/option><option value='084' >Hindko<\/option><option value='085' >Hokkin<\/option><option value='238' >Ibibio<\/option><option value='087' >Ibo<\/option><option value='239' >Icelandic<\/option><option value='334' >Idoma<\/option><option value='240' >Igbo<\/option><option value='241' >Igorot<\/option><option value='242' >Ijaw<\/option><option value='243' >Ika<\/option><option value='088' >Ilongo<\/option><option value='089' >Ishan<\/option><option value='248' >Ivbiosakon<\/option><option value='091' >Izi<\/option><option value='249' >Jarai<\/option><option value='093' >Javanese<\/option><option value='324' >Jingpo<\/option><option value='094' >Jolay<\/option><option value='012' >Juba Arabic<\/option><option value='095' >Kacchi<\/option><option value='250' >Kakwa<\/option><option value='096' >Kanarese<\/option><option value='097' >Kandahari<\/option><option value='098' >Kankani<\/option><option value='251' >Kannada<\/option><option value='252' >Kapampangan<\/option><option value='253' >Kashmiri<\/option><option value='254' >Kazakh<\/option><option value='342' >Kenyang \/ Nyang \/ Banyang \/ Manyang<\/option><option value='100' >Khmer<\/option><option value='101' >Kifuliru<\/option><option value='102' >Kihavu<\/option><option value='322' >Kihemba\/Hemba\/Kiluba-Hemba<\/option><option value='326' >Kikamba<\/option><option value='103' >Kikongo<\/option><option value='335' >Kinnauri<\/option><option value='255' >Kinyamulenge<\/option><option value='105' >Kirega<\/option><option value='106' >Kirundi<\/option><option value='107' >Kiswahili<\/option><option value='256' >Kituba<\/option><option value='257' >Konkani<\/option><option value='328' >Kpelle<\/option><option value='109' >Krio<\/option><option value='110' >Kurdish<\/option><option value='313' >Kurmanji<\/option><option value='258' >Kyrgyz<\/option><option value='259' >La langue des signes qu\u00e9b\u00e9coise (LSQ)<\/option><option value='111' >Laotian<\/option><option value='329' >Lari<\/option><option value='112' >Latvian<\/option><option value='113' >Lebanese<\/option><option value='260' >Lengie<\/option><option value='114' >Lingala<\/option><option value='115' >Lithuanian<\/option><option value='116' >Lowma<\/option><option value='261' >Luganda<\/option><option value='262' >Lugishu<\/option><option value='263' >Lutoro<\/option><option value='117' >Maban<\/option><option value='118' >Macedonian<\/option><option value='264' >Macena<\/option><option value='119' >Macua<\/option><option value='120' >Mahou<\/option><option value='265' >Makonde<\/option><option value='122' >Malay<\/option><option value='124' >Maligo<\/option><option value='125' >Malinke<\/option><option value='126' >Maltese<\/option><option value='327' >Mande<\/option><option value='128' >Mandingo<\/option><option value='311' >Masalit<\/option><option value='130' >Mashi<\/option><option value='131' >Mende<\/option><option value='132' >Mina<\/option><option value='267' >Moldovan<\/option><option value='268' >Mongolian<\/option><option value='269' >Moore<\/option><option value='270' >Naandi\/Cemual<\/option><option value='271' >Ndebele<\/option><option value='337' >Ngiemboon<\/option><option value='331' >Ngomba<\/option><option value='134' >Norwegian<\/option><option value='272' >Nubian<\/option><option value='135' >Nuer<\/option><option value='136' >Nzima<\/option><option value='273' >Oko<\/option><option value='137' >Okpe<\/option><option value='138' >Oriya<\/option><option value='139' >Oromo<\/option><option value='274' >Osal<\/option><option value='140' >Other African Languages<\/option><option value='141' >Other Chinese Dialects<\/option><option value='142' >Other European Languages<\/option><option value='143' >Other Languages<\/option><option value='275' >Other Signed Languages<\/option><option value='145' >Other South Asian Languages<\/option><option value='146' >Other South East Asian Lang.<\/option><option value='276' >Otuho<\/option><option value='277' >Pahari<\/option><option value='278' >Pampango<\/option><option value='279' >Pangasinan<\/option><option value='148' >Peul<\/option><option value='280' >Phuockien<\/option><option value='149' >Pidgin<\/option><option value='281' >Plautdietsch<\/option><option value='152' >Poular<\/option><option value='282' >Rohingya<\/option><option value='283' >Romani<\/option><option value='284' >Rukiga<\/option><option value='285' >Runyankole<\/option><option value='286' >Rutooro<\/option><option value='339' >Saho<\/option><option value='157' >Samoan<\/option><option value='287' >Sango<\/option><option value='288' >Sanskrit<\/option><option value='289' >Sara<\/option><option value='158' >Scoula<\/option><option value='159' >Sechuan<\/option><option value='290' >Senufo<\/option><option value='161' >Serbo-Croatian<\/option><option value='291' >Sesotho<\/option><option value='162' >Seswi<\/option><option value='163' >Seychelles<\/option><option value='292' >Shan<\/option><option value='164' >Shanghai<\/option><option value='165' >Shansai<\/option><option value='166' >Shilluk<\/option><option value='167' >Sign Language<\/option><option value='168' >Sindhi<\/option><option value='171' >Slovak<\/option><option value='312' >Songhai<\/option><option value='174' >Soninke<\/option><option value='314' >Sorani<\/option><option value='294' >Sotho<\/option><option value='175' >Soussou<\/option><option value='295' >Southern Burun<\/option><option value='177' >Suesue<\/option><option value='296' >Sukuma<\/option><option value='179' >Swazai<\/option><option value='180' >Swedish<\/option><option value='317' >Swiss German<\/option><option value='297' >Taichew<\/option><option value='315' >Tamasheq<\/option><option value='183' >Tari<\/option><option value='298' >Tatar<\/option><option value='184' >Tatshanese<\/option><option value='299' >Temne<\/option><option value='300' >Teochew<\/option><option value='187' >Tibetan<\/option><option value='188' >Tichiew<\/option><option value='301' >Tigre<\/option><option value='190' >Timini<\/option><option value='191' >Tiv<\/option><option value='302' >Toishan<\/option><option value='192' >Tshiluba<\/option><option value='193' >Tsibula<\/option><option value='195' >Twi<\/option><option value='318' >Uduk<\/option><option value='200' >Uhrobo<\/option><option value='196' >Uigrigma<\/option><option value='303' >Umbundu<\/option><option value='304' >Unama<\/option><option value='198' >Unknown<\/option><option value='319' >Uyghur<\/option><option value='201' >Uzbek<\/option><option value='305' >Visayan<\/option><option value='306' >Waray<\/option><option value='203' >Welsh<\/option><option value='204' >Western Hemisphere Indian Lang<\/option><option value='205' >Wolof<\/option><option value='206' >Xhosa<\/option><option value='332' >Yacouba<\/option><option value='307' >Yako\/Loko\/Lokaa<\/option><option value='308' >Yekhee\/Afenmai\/Afemai<\/option><option value='207' >Yiboe<\/option><option value='208' >Yiddish<\/option><option value='210' >Zande<\/option><option value='309' >Zshiluba<\/option><option value='310' >Zuganda<\/option><option value='211' >Zulu<\/option><\/select><\/div><\/div><div id=\"field_1_15\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-half LANGS notranslate field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_15'>Other Spoken Languages (if applicable)<\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_15[]' id='input_1_15' class='large gfield_select' tabindex='14'  aria-invalid=\"false\"  ><option value='058' >English<\/option><option value='069' >French<\/option><option value='005' >Afrikaans<\/option><option value='009' >Albanian<\/option><option value='010' >Amharic<\/option><option value='013' >Arabic<\/option><option value='014' >Armenian<\/option><option value='024' >Bengali<\/option><option value='029' >Bisaya<\/option><option value='033' >Burmese<\/option><option value='036' >Cantonese<\/option><option value='037' >Catalan<\/option><option value='038' >Cebuano<\/option><option value='044' >Chinese<\/option><option value='226' >Chinese - Simplified<\/option><option value='227' >Chinese - Traditional<\/option><option value='047' >Creole<\/option><option value='048' >Croatian<\/option><option value='049' >Czech<\/option><option value='050' >Danish<\/option><option value='055' >Dutch<\/option><option value='064' >Farsi (Persian)<\/option><option value='316' >Filipino<\/option><option value='074' >German<\/option><option value='077' >Gujarati<\/option><option value='237' >Hiligaynon<\/option><option value='083' >Hindi<\/option><option value='086' >Hungarian<\/option><option value='244' >Ilican<\/option><option value='245' >Ilocano<\/option><option value='246' >Indonesian<\/option><option value='090' >Italian<\/option><option value='247' >Itsekiri<\/option><option value='092' >Japanese<\/option><option value='099' >Karen<\/option><option value='104' >Kinyarwanda<\/option><option value='108' >Korean<\/option><option value='121' >Malagasy<\/option><option value='123' >Malayalam<\/option><option value='127' >Mandarin<\/option><option value='129' >Marathi<\/option><option value='266' >Mizo<\/option><option value='133' >Nepali<\/option><option value='144' >Other Middle Eastern Languages<\/option><option value='154' >Pashto<\/option><option value='150' >Polish<\/option><option value='151' >Portuguese<\/option><option value='153' >Punjabi<\/option><option value='155' >Romanian<\/option><option value='156' >Russian<\/option><option value='160' >Serbian<\/option><option value='293' >Shona<\/option><option value='170' >Sinhalese<\/option><option value='172' >Slovene<\/option><option value='173' >Somali<\/option><option value='176' >Spanish<\/option><option value='178' >Swahili<\/option><option value='181' >Tagalog<\/option><option value='182' >Tamil<\/option><option value='185' >Telugu<\/option><option value='186' >Thai<\/option><option value='189' >Tigrigna<\/option><option value='194' >Turkish<\/option><option value='197' >Ukrainian<\/option><option value='199' >Urdu<\/option><option value='202' >Vietnamese<\/option><option value='209' >Yoruba<\/option><option value='001' >Acholi<\/option><option value='002' >Ada<\/option><option value='003' >Affar<\/option><option value='004' >Afghan<\/option><option value='006' >Aka<\/option><option value='007' >Akan<\/option><option value='212' >Aklanon<\/option><option value='008' >Akra<\/option><option value='213' >American Sign Language (ASL)<\/option><option value='011' >Anuak (Anywa)<\/option><option value='214' >Aran<\/option><option value='015' >Ashanti<\/option><option value='215' >Assamese<\/option><option value='016' >Assyrian<\/option><option value='017' >Azeri<\/option><option value='018' >Bahasa Indonesian<\/option><option value='216' >Balochi<\/option><option value='019' >Bambara<\/option><option value='340' >Bamileke \/ Ghomala<\/option><option value='330' >Banso<\/option><option value='020' >Bantu<\/option><option value='217' >Baule<\/option><option value='218' >Belarusian<\/option><option value='021' >Belen<\/option><option value='022' >Bemba<\/option><option value='023' >Bembe<\/option><option value='025' >Beni<\/option><option value='219' >Benin<\/option><option value='026' >Berber<\/option><option value='320' >Beti<\/option><option value='027' >Bhari<\/option><option value='220' >Bicol\/Bikol\/Bicolano<\/option><option value='221' >Bijaiya<\/option><option value='222' >Bilen<\/option><option value='028' >Bini<\/option><option value='030' >Bissa<\/option><option value='223' >Bontok<\/option><option value='224' >Braille (translation only)<\/option><option value='031' >Breton<\/option><option value='032' >Bulgarian<\/option><option value='341' >Burji \/ Bembala \/ Bambala \/ Daashi<\/option><option value='034' >Busan<\/option><option value='035' >Busango<\/option><option value='039' >Chakma<\/option><option value='040' >Chaldean<\/option><option value='041' >Chaocho<\/option><option value='225' >Chavacano<\/option><option value='042' >Chichewa<\/option><option value='043' >Chin<\/option><option value='228' >Chiuchow<\/option><option value='045' >Chiyao<\/option><option value='046' >Chowchau<\/option><option value='229' >Concani<\/option><option value='325' >Cree<\/option><option value='338' >Dagaare<\/option><option value='051' >Dari<\/option><option value='336' >Daza \/ Dazaga \/ Tebu<\/option><option value='053' >Dinka<\/option><option value='054' >Dioula<\/option><option value='230' >Dzongkha<\/option><option value='056' >Edo<\/option><option value='057' >Efik<\/option><option value='321' >Esan<\/option><option value='059' >Estonian<\/option><option value='060' >Ewe<\/option><option value='062' >Fang<\/option><option value='063' >Fanti<\/option><option value='333' >Fe&#039;fe \/ Fe&#039;efe&#039;e \/ Nufi \/ Bafang<\/option><option value='065' >Finnish<\/option><option value='066' >Flemish<\/option><option value='231' >Foochow<\/option><option value='067' >Fouki<\/option><option value='068' >Foullah<\/option><option value='070' >Fukinese<\/option><option value='071' >Fulani<\/option><option value='072' >Ga<\/option><option value='073' >Gaelic<\/option><option value='232' >Georgian<\/option><option value='323' >Grebo\/Krumen<\/option><option value='075' >Greek<\/option><option value='076' >Guerze<\/option><option value='233' >Hainam<\/option><option value='234' >Hakha Chin<\/option><option value='078' >Hakka<\/option><option value='235' >Harara<\/option><option value='236' >Harary<\/option><option value='079' >Hargar<\/option><option value='080' >Hassanya<\/option><option value='081' >Hausa<\/option><option value='082' >Hebrew<\/option><option value='084' >Hindko<\/option><option value='085' >Hokkin<\/option><option value='238' >Ibibio<\/option><option value='087' >Ibo<\/option><option value='239' >Icelandic<\/option><option value='334' >Idoma<\/option><option value='240' >Igbo<\/option><option value='241' >Igorot<\/option><option value='242' >Ijaw<\/option><option value='243' >Ika<\/option><option value='088' >Ilongo<\/option><option value='089' >Ishan<\/option><option value='248' >Ivbiosakon<\/option><option value='091' >Izi<\/option><option value='249' >Jarai<\/option><option value='093' >Javanese<\/option><option value='324' >Jingpo<\/option><option value='094' >Jolay<\/option><option value='012' >Juba Arabic<\/option><option value='095' >Kacchi<\/option><option value='250' >Kakwa<\/option><option value='096' >Kanarese<\/option><option value='097' >Kandahari<\/option><option value='098' >Kankani<\/option><option value='251' >Kannada<\/option><option value='252' >Kapampangan<\/option><option value='253' >Kashmiri<\/option><option value='254' >Kazakh<\/option><option value='342' >Kenyang \/ Nyang \/ Banyang \/ Manyang<\/option><option value='100' >Khmer<\/option><option value='101' >Kifuliru<\/option><option value='102' >Kihavu<\/option><option value='322' >Kihemba\/Hemba\/Kiluba-Hemba<\/option><option value='326' >Kikamba<\/option><option value='103' >Kikongo<\/option><option value='335' >Kinnauri<\/option><option value='255' >Kinyamulenge<\/option><option value='105' >Kirega<\/option><option value='106' >Kirundi<\/option><option value='107' >Kiswahili<\/option><option value='256' >Kituba<\/option><option value='257' >Konkani<\/option><option value='328' >Kpelle<\/option><option value='109' >Krio<\/option><option value='110' >Kurdish<\/option><option value='313' >Kurmanji<\/option><option value='258' >Kyrgyz<\/option><option value='259' >La langue des signes qu\u00e9b\u00e9coise (LSQ)<\/option><option value='111' >Laotian<\/option><option value='329' >Lari<\/option><option value='112' >Latvian<\/option><option value='113' >Lebanese<\/option><option value='260' >Lengie<\/option><option value='114' >Lingala<\/option><option value='115' >Lithuanian<\/option><option value='116' >Lowma<\/option><option value='261' >Luganda<\/option><option value='262' >Lugishu<\/option><option value='263' >Lutoro<\/option><option value='117' >Maban<\/option><option value='118' >Macedonian<\/option><option value='264' >Macena<\/option><option value='119' >Macua<\/option><option value='120' >Mahou<\/option><option value='265' >Makonde<\/option><option value='122' >Malay<\/option><option value='124' >Maligo<\/option><option value='125' >Malinke<\/option><option value='126' >Maltese<\/option><option value='327' >Mande<\/option><option value='128' >Mandingo<\/option><option value='311' >Masalit<\/option><option value='130' >Mashi<\/option><option value='131' >Mende<\/option><option value='132' >Mina<\/option><option value='267' >Moldovan<\/option><option value='268' >Mongolian<\/option><option value='269' >Moore<\/option><option value='270' >Naandi\/Cemual<\/option><option value='271' >Ndebele<\/option><option value='337' >Ngiemboon<\/option><option value='331' >Ngomba<\/option><option value='134' >Norwegian<\/option><option value='272' >Nubian<\/option><option value='135' >Nuer<\/option><option value='136' >Nzima<\/option><option value='273' >Oko<\/option><option value='137' >Okpe<\/option><option value='138' >Oriya<\/option><option value='139' >Oromo<\/option><option value='274' >Osal<\/option><option value='140' >Other African Languages<\/option><option value='141' >Other Chinese Dialects<\/option><option value='142' >Other European Languages<\/option><option value='143' >Other Languages<\/option><option value='275' >Other Signed Languages<\/option><option value='145' >Other South Asian Languages<\/option><option value='146' >Other South East Asian Lang.<\/option><option value='276' >Otuho<\/option><option value='277' >Pahari<\/option><option value='278' >Pampango<\/option><option value='279' >Pangasinan<\/option><option value='148' >Peul<\/option><option value='280' >Phuockien<\/option><option value='149' >Pidgin<\/option><option value='281' >Plautdietsch<\/option><option value='152' >Poular<\/option><option value='282' >Rohingya<\/option><option value='283' >Romani<\/option><option value='284' >Rukiga<\/option><option value='285' >Runyankole<\/option><option value='286' >Rutooro<\/option><option value='339' >Saho<\/option><option value='157' >Samoan<\/option><option value='287' >Sango<\/option><option value='288' >Sanskrit<\/option><option value='289' >Sara<\/option><option value='158' >Scoula<\/option><option value='159' >Sechuan<\/option><option value='290' >Senufo<\/option><option value='161' >Serbo-Croatian<\/option><option value='291' >Sesotho<\/option><option value='162' >Seswi<\/option><option value='163' >Seychelles<\/option><option value='292' >Shan<\/option><option value='164' >Shanghai<\/option><option value='165' >Shansai<\/option><option value='166' >Shilluk<\/option><option value='167' >Sign Language<\/option><option value='168' >Sindhi<\/option><option value='171' >Slovak<\/option><option value='312' >Songhai<\/option><option value='174' >Soninke<\/option><option value='314' >Sorani<\/option><option value='294' >Sotho<\/option><option value='175' >Soussou<\/option><option value='295' >Southern Burun<\/option><option value='177' >Suesue<\/option><option value='296' >Sukuma<\/option><option value='179' >Swazai<\/option><option value='180' >Swedish<\/option><option value='317' >Swiss German<\/option><option value='297' >Taichew<\/option><option value='315' >Tamasheq<\/option><option value='183' >Tari<\/option><option value='298' >Tatar<\/option><option value='184' >Tatshanese<\/option><option value='299' >Temne<\/option><option value='300' >Teochew<\/option><option value='187' >Tibetan<\/option><option value='188' >Tichiew<\/option><option value='301' >Tigre<\/option><option value='190' >Timini<\/option><option value='191' >Tiv<\/option><option value='302' >Toishan<\/option><option value='192' >Tshiluba<\/option><option value='193' >Tsibula<\/option><option value='195' >Twi<\/option><option value='318' >Uduk<\/option><option value='200' >Uhrobo<\/option><option value='196' >Uigrigma<\/option><option value='303' >Umbundu<\/option><option value='304' >Unama<\/option><option value='198' >Unknown<\/option><option value='319' >Uyghur<\/option><option value='201' >Uzbek<\/option><option value='305' >Visayan<\/option><option value='306' >Waray<\/option><option value='203' >Welsh<\/option><option value='204' >Western Hemisphere Indian Lang<\/option><option value='205' >Wolof<\/option><option value='206' >Xhosa<\/option><option value='332' >Yacouba<\/option><option value='307' >Yako\/Loko\/Lokaa<\/option><option value='308' >Yekhee\/Afenmai\/Afemai<\/option><option value='207' >Yiboe<\/option><option value='208' >Yiddish<\/option><option value='210' >Zande<\/option><option value='309' >Zshiluba<\/option><option value='310' >Zuganda<\/option><option value='211' >Zulu<\/option><\/select><\/div><\/div><div id=\"field_1_190\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-third DATE_LAND field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_190'>Date of landing<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_190' id='input_1_190' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='15'  placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_190_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_1_190_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_190' class='gform_hidden' value='https:\/\/rcyc.carmis.ai\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_166\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third MHS_NUMBER field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_166'>Health Card Number (MHS)(6-digit)<\/label><div class='ginput_container ginput_container_text'><input name='input_166' id='input_1_166' type='text' value='' class='large'   tabindex='16'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_167\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third PHIN_NUMBER field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_167'>Personal Health Card Number (PHIN) (9-digit)<\/label><div class='ginput_container ginput_container_text'><input name='input_167' id='input_1_167' type='text' value='' class='large'   tabindex='17'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_195\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full DOCUMENT_FIELD11 nsd-gravity-upload nsd-fileupload-single exclude show_description gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_195'>PR Card<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_195'>Please upload document to verify your current legal status in Canada.<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' \/><input name='input_195' id='input_1_195' type='file' class='large' aria-describedby=\"gfield_upload_rules_1_195 gfield_description_1_195\" onchange='javascript:gformValidateFileSize( this, 10485760 );' tabindex='18' \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_195'>Types de fichier accept\u00e9s\u00a0: pdf, docx, doc, jpg, gif, tiff, Taille maximum des fichiers : 10 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_1_195'><\/div> <\/div><\/div><div id=\"field_1_197\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full DOCUMENT_FIELD12 nsd-gravity-upload nsd-fileupload-single exclude show_description gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_197'>Health Card<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_197'>Please upload document in case of emergency.<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' \/><input name='input_197' id='input_1_197' type='file' class='large' aria-describedby=\"gfield_upload_rules_1_197 gfield_description_1_197\" onchange='javascript:gformValidateFileSize( this, 10485760 );' tabindex='19' \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_197'>Types de fichier accept\u00e9s\u00a0: pdf, docx, doc, jpg, gif, tiff, Taille maximum des fichiers : 10 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_1_197'><\/div> <\/div><\/div><div id=\"field_1_184\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">School\/ Family<\/h3><\/div><div id=\"field_1_191\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half GENREMARKS field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_191'>First time attending this program?<\/label><div class='ginput_container ginput_container_select'><select name='input_191' id='input_1_191' class='large gfield_select' tabindex='20'    aria-invalid=\"false\" ><option value='' ><\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_1_192\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half GENREMARKS field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_192'>Are you attending other After School programs?<\/label><div class='ginput_container ginput_container_text'><input name='input_192' id='input_1_192' type='text' value='' class='large'   tabindex='21' placeholder='If Yes, type the name'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_140\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you currently attending school?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_140'>\n\t\t\t<div class='gchoice gchoice_1_140_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='Yes'  id='choice_1_140_0' onchange='gformToggleRadioOther( this )'  tabindex='22'  \/>\n\t\t\t\t\t<label for='choice_1_140_0' id='label_1_140_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_140_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='No'  id='choice_1_140_1' onchange='gformToggleRadioOther( this )'  tabindex='23'  \/>\n\t\t\t\t\t<label for='choice_1_140_1' id='label_1_140_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_141\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half Edu_School gf_hide_charleft gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_141'>if yes which School:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_141' id='input_1_141' type='text' value='' class='large' maxlength='100' aria-describedby=\"gfield_description_1_141\" tabindex='24'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_141'>Name of the School<\/div><\/div><div id=\"field_1_183\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half EDU_GRADE gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_183'>Grade:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_183' id='input_1_183' class='large gfield_select' tabindex='25'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Grade 1' >Grade 1<\/option><option value='Grade 2' >Grade 2<\/option><option value='Grade 3' >Grade 3<\/option><option value='Grade 4' >Grade 4<\/option><option value='Grade 5' >Grade 5<\/option><option value='Grade 6' >Grade 6<\/option><option value='Grade 7' >Grade 7<\/option><option value='Grade 8' >Grade 8<\/option><option value='Grade 9' >Grade 9<\/option><option value='Grade 10' >Grade 10<\/option><option value='Grade 11' >Grade 11<\/option><option value='Grade 12' >Grade 12<\/option><\/select><\/div><\/div><div id=\"field_1_185\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half FAMILYSIZE_ADULTS gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_185'>Family Size (# adults)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_185' id='input_1_185' class='large gfield_select' tabindex='26'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><\/select><\/div><\/div><div id=\"field_1_186\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half FAMILYSIZE_KIDS gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_186'>Family Size (# children)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_186' id='input_1_186' class='large gfield_select' tabindex='27'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><\/select><\/div><\/div><fieldset id=\"field_1_142\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you have any health concerns that RCYC staff should be aware such as: Disabilities, allergies, asthma and etc?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_142'>\n\t\t\t<div class='gchoice gchoice_1_142_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='Yes'  id='choice_1_142_0' onchange='gformToggleRadioOther( this )'  tabindex='28'  \/>\n\t\t\t\t\t<label for='choice_1_142_0' id='label_1_142_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_142_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='No'  id='choice_1_142_1' onchange='gformToggleRadioOther( this )'  tabindex='29'  \/>\n\t\t\t\t\t<label for='choice_1_142_1' id='label_1_142_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_144\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full GENREMARKS gf_hide_charleft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_144'>Please list the disabilities, allergies, asthma or other medical conditions:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_144' id='input_1_144' type='text' value='' class='large' maxlength='500'  tabindex='30'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_113\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Current Residential Address<\/h3><\/div><div id=\"field_1_117\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full ADDRESS1 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_117'>Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_117' id='input_1_117' type='text' value='' class='large' maxlength='200'  tabindex='31'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_121\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-five-twelfths CITY field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_121'>City<\/label><div class='ginput_container ginput_container_select'><select name='input_121' id='input_1_121' class='large gfield_select' tabindex='32'    aria-invalid=\"false\" ><option value='' ><\/option><option value='0400301188' >Winnipeg<\/option><option value='0400301003' >Alonsa<\/option><option value='0400301004' >Altona<\/option><option value='0400301199' >Anola<\/option><option value='0400301005' >Arborg<\/option><option value='0400301200' >Armstrong<\/option><option value='0400301006' >Ashern<\/option><option value='0400301201' >Aubigny<\/option><option value='0400301007' >Austin<\/option><option value='0400301008' >Baldur<\/option><option value='0400301009' >Basswood<\/option><option value='0400301010' >Beausejour<\/option><option value='0400301011' >Belmont<\/option><option value='0400301012' >Benito<\/option><option value='0400301013' >Berens River<\/option><option value='0400301014' >Beulah<\/option><option value='0400301015' >Binscarth<\/option><option value='0400301197' >Birnie<\/option><option value='0400301016' >Birtle<\/option><option value='0400301017' >Bissett<\/option><option value='0400301202' >Blumenort<\/option><option value='0400301018' >Boissevain<\/option><option value='0400301019' >Brandon<\/option><option value='0400301020' >Brochet<\/option><option value='0400301021' >Brookdale<\/option><option value='0400301203' >Brunkild<\/option><option value='0400301022' >Camperville<\/option><option value='0400301023' >Carberry<\/option><option value='0400301024' >Carman<\/option><option value='0400301025' >Cartwright<\/option><option value='0400301026' >Churchill<\/option><option value='0400301204' >Cooks Creek<\/option><option value='0400301027' >Cormorant<\/option><option value='0400301028' >Cowan<\/option><option value='0400301029' >Cranberry Portage<\/option><option value='0400301030' >Crandall<\/option><option value='0400301031' >Cross Lake<\/option><option value='0400301032' >Crystal City<\/option><option value='0400301033' >Cypress River<\/option><option value='0400301034' >Darlingford<\/option><option value='0400301035' >Dauphin<\/option><option value='0400301036' >Deloraine<\/option><option value='0400301037' >Dominion City<\/option><option value='0400301192' >Dufresne<\/option><option value='0400301038' >Dugald<\/option><option value='0400301205' >East Braintree<\/option><option value='0400301039' >Easterville<\/option><option value='0400301040' >Eddystone<\/option><option value='0400301198' >Eden<\/option><option value='0400301041' >Edwin<\/option><option value='0400301042' >Elgin<\/option><option value='0400301043' >Elie<\/option><option value='0400301044' >Elkhorn<\/option><option value='0400301045' >Elm Creek<\/option><option value='0400301206' >Elma<\/option><option value='0400301046' >Emerson<\/option><option value='0400301047' >Erickson<\/option><option value='0400301048' >Eriksdale<\/option><option value='0400301049' >Ethelbert<\/option><option value='0400301050' >Falcon Lake<\/option><option value='0400301051' >Fisher Branch<\/option><option value='0400301052' >Fisher River<\/option><option value='0400301053' >Flin Flon<\/option><option value='0400301054' >Fork River<\/option><option value='0400301055' >Foxwarren<\/option><option value='0400301207' >Fraserwood<\/option><option value='0400301208' >Gardenton<\/option><option value='0400301056' >Gilbert Plains<\/option><option value='0400301057' >Gillam<\/option><option value='0400301058' >Gimli<\/option><option value='0400301209' >Giroux<\/option><option value='0400301059' >Gladstone<\/option><option value='0400301060' >Glenboro<\/option><option value='0400301061' >Glenella<\/option><option value='0400301062' >Gods Lake Narrows<\/option><option value='0400301063' >Grand Beach<\/option><option value='0400301064' >Grand Rapids<\/option><option value='0400301065' >Grandview<\/option><option value='0400301066' >Gretna<\/option><option value='0400301195' >Grunthal<\/option><option value='0400301067' >Gypsumville<\/option><option value='0400301068' >Hadashville<\/option><option value='0400301069' >Hamiota<\/option><option value='0400301070' >Hartney<\/option><option value='0400301210' >Hazelridge<\/option><option value='0400301247' >Headingley<\/option><option value='0400301071' >Hecla<\/option><option value='0400301211' >Hodgson<\/option><option value='0400301072' >Holland<\/option><option value='0400301212' >Ile Des Chenes<\/option><option value='0400301073' >Ilford<\/option><option value='0400301074' >Inwood<\/option><option value='0400301075' >Island Lake<\/option><option value='0400301076' >Kelwood<\/option><option value='0400301077' >Kenton<\/option><option value='0400301078' >Killarney<\/option><option value='0400301196' >Kleefeld<\/option><option value='0400301245' >Kola<\/option><option value='0400301213' >Komarno<\/option><option value='0400301079' >La Broquerie<\/option><option value='0400301194' >La Salle<\/option><option value='0400301080' >Lac Brochet<\/option><option value='0400301081' >Lac du Bonnet<\/option><option value='0400301214' >Landmark<\/option><option value='0400301082' >Langruth<\/option><option value='0400301083' >Leaf Rapids<\/option><option value='0400301084' >Libau<\/option><option value='0400301215' >Linden<\/option><option value='0400301085' >Little Grand Rapids<\/option><option value='0400301086' >Lockport<\/option><option value='0400301193' >Lorette<\/option><option value='0400301216' >Lowe Farm<\/option><option value='0400301087' >Lundar<\/option><option value='0400301088' >Lynn Lake<\/option><option value='0400301089' >MacGregor<\/option><option value='0400301090' >Mafeking<\/option><option value='0400301091' >Manigotagan<\/option><option value='0400301092' >Manitou<\/option><option value='0400301217' >Marchand<\/option><option value='0400301093' >McAuley<\/option><option value='0400301094' >McCreary<\/option><option value='0400301095' >Melita<\/option><option value='0400301096' >Miami<\/option><option value='0400301218' >Middlebro<\/option><option value='0400301097' >Miniota<\/option><option value='0400301098' >Minnedosa<\/option><option value='0400301099' >Minto<\/option><option value='0400301100' >Moose Lake<\/option><option value='0400301101' >Morden<\/option><option value='0400301102' >Morris<\/option><option value='0400301103' >Neepawa<\/option><option value='0400301104' >Nelson House<\/option><option value='0400301105' >Newdale<\/option><option value='0400301106' >Niverville<\/option><option value='0400301107' >Norway House<\/option><option value='0400301108' >Notre Dame de Lourdes<\/option><option value='0400301109' >Oak Lake<\/option><option value='0400301110' >Oak River<\/option><option value='0400301219' >Oakbank<\/option><option value='0400301111' >Oakville<\/option><option value='0400301112' >Ochre River<\/option><option value='0400301220' >Otterburne<\/option><option value='0400301113' >Oxford House<\/option><option value='0400301221' >Pansy<\/option><option value='0400301114' >Peguis<\/option><option value='0400301115' >Pelican Rapids<\/option><option value='0400301116' >Pikwitonei<\/option><option value='0400301117' >Pilot Mound<\/option><option value='0400301118' >Pinawa<\/option><option value='0400301119' >Pine Dock<\/option><option value='0400301120' >Pine Falls<\/option><option value='0400301121' >Pine River<\/option><option value='0400301122' >Piney<\/option><option value='0400301123' >Plum Coulee<\/option><option value='0400301124' >Plumas<\/option><option value='0400301125' >Pointe du Bois<\/option><option value='0400301126' >Poplar River<\/option><option value='0400301127' >Poplarfield<\/option><option value='0400301128' >Portage la Prairie<\/option><option value='0400301222' >Prawda<\/option><option value='0400301223' >Randolph<\/option><option value='0400301129' >Rapid City<\/option><option value='0400301130' >Rathwell<\/option><option value='0400301131' >Red Sucker Lake<\/option><option value='0400301132' >Rennie<\/option><option value='0400301133' >Reston<\/option><option value='0400301224' >Richer<\/option><option value='0400301134' >Rivers<\/option><option value='0400301135' >Riverton<\/option><option value='0400301136' >Roblin<\/option><option value='0400301137' >Roland<\/option><option value='0400301138' >Rorketon<\/option><option value='0400301225' >Rosa<\/option><option value='0400301226' >Roseau River<\/option><option value='0400301227' >Rosenort<\/option><option value='0400301228' >Rosewood<\/option><option value='0400301246' >Ross<\/option><option value='0400301139' >Rossburn<\/option><option value='0400301140' >Russell<\/option><option value='0400301229' >Sandilands<\/option><option value='0400301141' >Sandy Lake<\/option><option value='0400301142' >Sanford<\/option><option value='0400301230' >Sarto<\/option><option value='0400301231' >Schanzenfeld<\/option><option value='0400301143' >Selkirk<\/option><option value='0400301232' >Seven Sister Falls<\/option><option value='0400301144' >Shamattawa<\/option><option value='0400301145' >Shilo<\/option><option value='0400301146' >Shoal Lake<\/option><option value='0400301147' >Sidney<\/option><option value='0400301148' >Sifton<\/option><option value='0400301149' >Snow Lake<\/option><option value='0400301150' >Snowflake<\/option><option value='0400301151' >Somerset<\/option><option value='0400301152' >Souris<\/option><option value='0400301153' >South Indian Lake<\/option><option value='0400301233' >South Junction<\/option><option value='0400301154' >Sperling<\/option><option value='0400301155' >Split Lake<\/option><option value='0400301156' >Sprague<\/option><option value='0400301234' >St. Adolphe<\/option><option value='0400301158' >St. Claude<\/option><option value='0400301159' >St. Francois Xavier<\/option><option value='0400301160' >St. Jean Baptiste<\/option><option value='0400301161' >St. Laurent<\/option><option value='0400301162' >St. Lazare<\/option><option value='0400301235' >St. Malo<\/option><option value='0400301163' >Starbuck<\/option><option value='0400301164' >Ste. Agathe<\/option><option value='0400301236' >Ste. Anne<\/option><option value='0400301165' >Ste. Rose du Lac<\/option><option value='0400301166' >Steep Rock<\/option><option value='0400301167' >Steinbach<\/option><option value='0400301168' >Stonewall<\/option><option value='0400301157' >St-Pierre-Jolys<\/option><option value='0400301169' >Strathclair<\/option><option value='0400301237' >Sundown<\/option><option value='0400301170' >Swan Lake<\/option><option value='0400301171' >Swan River<\/option><option value='0400301172' >Tadoule Lake<\/option><option value='0400301173' >Teulon<\/option><option value='0400301174' >The Pas<\/option><option value='0400301175' >Thicket Portage<\/option><option value='0400301176' >Thompson<\/option><option value='0400301238' >Tolstoi<\/option><option value='0400301239' >Tourond<\/option><option value='0400301177' >Treherne<\/option><option value='0400301240' >Tyndale<\/option><option value='0400301241' >Vassar<\/option><option value='0400301178' >Virden<\/option><option value='0400301179' >Vita<\/option><option value='0400301180' >Waasagomach<\/option><option value='0400301181' >Wabowden<\/option><option value='0400301182' >Wanless<\/option><option value='0400301183' >Wasagaming<\/option><option value='0400301184' >Waterhen<\/option><option value='0400301185' >Wawanesa<\/option><option value='0400301186' >Whitemouth<\/option><option value='0400301187' >Winkler<\/option><option value='0400301189' >Winnipeg Beach<\/option><option value='0400301190' >Winnipegosis<\/option><option value='0400301242' >Woodlands<\/option><option value='0400301243' >Woodmore<\/option><option value='0400301191' >Woodridge<\/option><option value='0400301244' >Zhoda<\/option><\/select><\/div><\/div><div id=\"field_1_9\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third PROVINCE gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_9'>Province<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_1_9' class='large gfield_select' tabindex='33'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='04003' >Manitoba<\/option><\/select><\/div><\/div><div id=\"field_1_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter POSTALCODE gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_8'>Postal Code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_1_8' type='text' value='' class='large'   tabindex='34' placeholder='A#A#A#' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_128\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Emergency Contact Information<\/h3><\/div><div id=\"field_1_129\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter EMER_NAME gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_129'>Full Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_129' id='input_1_129' type='text' value='' class='large' maxlength='50'  tabindex='35'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_133\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter EMER_TELE1 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_133'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_133' id='input_1_133' type='text' value='' class='large'   tabindex='36' placeholder='___-___-____' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_131\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half EMER_EMAIL gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_131'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_131' id='input_1_131' type='email' value='' class='large' tabindex='37'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_1_162\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half EMER_RELATION field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_162'>Relation<\/label><div class='ginput_container ginput_container_select'><select name='input_162' id='input_1_162' class='large gfield_select' tabindex='38'    aria-invalid=\"false\" ><option value='' ><\/option><option value='3' >Brother<\/option><option value='5' >Common Law Husband<\/option><option value='6' >Common Law Partner<\/option><option value='7' >Common Law Wife<\/option><option value='8' >Cousin<\/option><option value='9' >Daughter<\/option><option value='10' >Daughter (Adopted)<\/option><option value='15' >Father<\/option><option value='16' >Father in Law<\/option><option value='18' >Fiancee<\/option><option value='19' >Friend<\/option><option value='20' >Granddaughter<\/option><option value='21' >Grandfather<\/option><option value='22' >Grandmother<\/option><option value='23' >Grandson<\/option><option value='26' >Husband<\/option><option value='27' >Mother<\/option><option value='28' >Mother in Law<\/option><option value='29' >NA<\/option><option value='30' >Nephew<\/option><option value='31' >Niece<\/option><option value='32' >No Relation<\/option><option value='34' >Partner<\/option><option value='35' >Principal Applicant<\/option><option value='38' >Sister<\/option><option value='39' >Sister in Law<\/option><option value='40' >Son<\/option><option value='41' >Son (Adopted)<\/option><option value='42' >Son in Law<\/option><option value='44' >Spouse<\/option><option value='47' >Step Daughter<\/option><option value='50' >Step Son<\/option><option value='52' >Unknown<\/option><option value='53' >Wife<\/option><option value='54' >Extended family<\/option><option value='55' >Child<\/option><option value='56' >Parent<\/option><\/select><\/div><\/div><div id=\"field_1_126\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Photo Consent:<\/h3><\/div><div id=\"field_1_135\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>I hereby grant permission to the RCYC Summer Program 2025 and Resilia Community Wellness Centre to use photographs, videos, or audio recordings of myself and\/or my child for reasonable and appropriate purposes. These may include, but are not limited to funding reports, promotional materials, websites, social media platforms, and public presentations. I further authorize the use of my (or my child\u2019s) image, likeness, and voice in any promotional or documentary content whether for print, digital, video, radio, or television related to the program, without expectation of compensation.<\/p><\/div><div id=\"field_1_161\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Medical Consent and Liability Waiver:<\/h3><div class='gsection_description' id='gfield_description_1_161'>The safety of your child\/children is our primary concern. Precautions will be taken for their well-being and protection.<\/div><\/div><fieldset id=\"field_1_187\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full CONSENTS nsd-consent-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Medical consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_187'><div class='gchoice gchoice_1_187_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_187.1' type='checkbox'  value='0422'  id='choice_1_187_1' tabindex='39'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_187_1' id='label_1_187_1' class='gform-field-label gform-field-label--type-inline'>I, the parent\/guardian named on this form, authorize Rahma Community and Youth Centre Inc. Staff to call Emergency Medical Services (911), sign consent for emergency medical treatment and to authorize any physician or hospital to provide emergency medical assessment, treatment or procedures for the participant named on this form. Any cost incurred will be the responsibility of the parent(s)\/legal guardian(s).<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_188\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full CONSENTS nsd-consent-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Liability Waiver<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_188'><div class='gchoice gchoice_1_188_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_188.1' type='checkbox'  value='0421'  id='choice_1_188_1' tabindex='40'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_188_1' id='label_1_188_1' class='gform-field-label gform-field-label--type-inline'>I, the parent\/guardian named on this form, hereby give permission for my child, the participant named, to attend the Rahma program. I understand that participation in any program which involves physical activity exposes the participant to certain risks and dangers. I hereby release and discharge Rahma Community and Youth Centre, its agents, employees, and volunteers from any and all claims, demands, actions or causes of action arising out of or in consequence of any loss, injury or damage sustained by said participant while under the supervision or control of the program, its agents, employees or volunteers. I hereby authorize Rahma Community and Youth Centre, its agents, employees or volunteers to administer first aid treatment as deemed necessary in the event of an emergency.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_189\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full CONSENTS nsd-consent-checkbox field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Data Collection<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_189'><div class='gchoice gchoice_1_189_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_189.1' type='checkbox'  value='0423'  id='choice_1_189_1' tabindex='41'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_189_1' id='label_1_189_1' class='gform-field-label gform-field-label--type-inline'>(Optional) I agree to share information with funders for the purpose of data collection and reporting.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_124\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-third SIGN1_PATH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_124'>Client&#039;s Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><input type='hidden' value='' name='input_124' id='input_1_124_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_1_124_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><canvas id='input_1_124' width='300' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/rcyc.carmis.ai\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_1_124_toolbar' style='margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;'><img id = 'input_1_124_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_1_124_data' name='input_1_124_data' value=''><\/div><\/div><div id=\"field_1_148\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third SIGN1_PATH gf_hide_charleft field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_148'>Full name  OR Sign in previous box<\/label><div class='ginput_container ginput_container_text'><input name='input_148' id='input_1_148' type='text' value='' class='large' maxlength='50'  tabindex='42'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_145\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-third SIGN1_DATE gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_145'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_145' id='input_1_145' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='43'  placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_145_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_145_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_145' class='gform_hidden' value='https:\/\/rcyc.carmis.ai\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_160\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>If under 18:<\/p><\/div><div id=\"field_1_146\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-third SIGN2_PATH field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_146'>Parent\/Guardian Signature<\/label><input type='hidden' value='' name='input_146' id='input_1_146_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_1_146_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><canvas id='input_1_146' width='300' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/rcyc.carmis.ai\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_1_146_toolbar' style='margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;'><img id = 'input_1_146_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_1_146_data' name='input_1_146_data' value=''><\/div><\/div><div id=\"field_1_147\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third REFERCONT_NAME gf_hide_charleft field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_147'>Guardian\u2019s Full Name OR Sign in previous box<\/label><div class='ginput_container ginput_container_text'><input name='input_147' id='input_1_147' type='text' value='' class='large' maxlength='50'  tabindex='44'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_152\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-third SIGN2_DATE field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_152'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_152' id='input_1_152' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='45'  placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_152_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_1_152_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_152' class='gform_hidden' value='https:\/\/rcyc.carmis.ai\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_105\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_105'>Captcha<\/label><div id='input_1_105' class='ginput_container ginput_recaptcha' data-sitekey='6LdfPsAqAAAAAKhYgUyEsd4lzqvW8s1RGRv3JQvO'  data-theme='light' data-tabindex='46'  data-badge=''><\/div><\/div><div id=\"field_1_139\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third REASON exclude field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_139'>Program (Admin Only)<\/label><div class='ginput_container ginput_container_text'><input name='input_139' id='input_1_139' type='text' value='0002' class='large'   tabindex='47'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_138\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third Event_Number exclude field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_138'>Event<\/label><div class='ginput_container ginput_container_text'><input name='input_138' id='input_1_138' type='text' value='EVT000000000000000000007' class='large'   tabindex='48'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_153\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third PHOTOCONSENT field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_153'>Photo Consent<\/label><div class='ginput_container ginput_container_text'><input name='input_153' id='input_1_153' type='text' value='Y' class='large'   tabindex='49'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_157\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter DATE_VISITED field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_157'>Date Visited<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_157' id='input_1_157' type='text' value='06\/04\/2026' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='50'  placeholder='dd\/mm\/yyyy' aria-describedby=\"input_1_157_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_1_157_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_157' class='gform_hidden' value='https:\/\/rcyc.carmis.ai\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_154\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter Marital_Status exclude field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_154'>Marital Status<\/label><div class='ginput_container ginput_container_text'><input name='input_154' id='input_1_154' type='text' value='0005' class='large'   tabindex='51'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_155\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter CurrentJobStatus exclude field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_155'>Current Employment Status<\/label><div class='ginput_container ginput_container_text'><input name='input_155' id='input_1_155' type='text' value='0005' class='large'   tabindex='52'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_156\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter OF_LANG exclude field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_156'>Official Language<\/label><div class='ginput_container ginput_container_text'><input name='input_156' id='input_1_156' type='text' value='1' class='large'   tabindex='53'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_196\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter DOCUMENT_TYPE11 exclude field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_196'>Doc type<\/label><div class='ginput_container ginput_container_text'><input name='input_196' id='input_1_196' type='text' value='0001' class='large'   tabindex='54'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_198\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter DOCUMENT_TYPE12 exclude field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_198'>Doc type 1<\/label><div class='ginput_container ginput_container_text'><input name='input_198' id='input_1_198' type='text' value='0003' class='large'   tabindex='55'   aria-invalid=\"false\"   \/><\/div><\/div><div data-fieldId=\"198\" class=\"spacer gfield\" style=\"grid-column: span 6;\" data-groupId=\"5752b771\"><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit' tabindex='56' \/> <input type='hidden' name='gform_ajax' value='form_id=1&amp;title=1&amp;description=1&amp;tabindex=1&amp;theme=orbital&amp;styles=[]&amp;hash=ae5f5682b9a4dabf96f0f5bf7bca7394' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_1' id='gform_theme_1' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_1' id='gform_style_settings_1' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='CAD' value='PQFHZIeanBRbDB8yBp+n8n+xcwnd4QTg6YiEcd1XpQUijBTsrrqhVZA3WwtpBDqbqbK4MKFEqDB7F8AesC7+WLWNTSAeXjz\/kKTywCoo8qtMdoI=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' 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