Youth Sexual Risk Avoidance Program Registration

Action4Canada's October - November 2023 Youth Sexual Risk Program Registration is Open!
For youth 11 to 18 years old. Delivered in two age appropriate and specific groups.

Are you concerned about what the education system is teaching your child about sexual health?
If the answer is yes, then you will want to register your child for this 8 week program. It will counter the worldview that is based on sexual promiscuity and deviancy and instead, present a traditional biblical view that includes teaching abstinence, having good boundaries and understandinsg self-worth. Learn more details...

Dates: October 6th – November 24th, 2023, on Fridays
Times: Based on maturity level, i.e.some 14 year olds may be mature enough to attend both sessions.

11yrs to 14 yrs, 4:00 - 5:15 pm PST / 7:00 - 8:15 pm EST
14yrs to 18yrs, 5:15 - 6:30 pm PST / 8:15 - 9:30 pm EST

Deadline for registration: October 5, 2023
Cost: By Donation...

Parents/Guardians Register below: please complete the following form for each person (aged 11 - 18 years) who will be participating. You will receive a registration confirmation and more info at the main email specified below. Submit a unique registration for each child participating. Information submitted will be kept private and will not be shared or sold.

Youth / Participant Info

First Name

Last Name

Gender

Male

Female

Birth Year

Parent / Guardian Info

First Name

Last Name

Parent/Guardian/Main Email

Parent/Guardian Phone

City

Postal Code

Province

Consent, Acknowledgement, Permissions, Release & Waiver

Email & Communications Consent:

Yes I agree to receive emails and other communications from Action4Canada at the above contacts.

Consent is required. You will be able to opt-out.

Permission for the youth (above) to participate

Yes I (parent/guardian) give permission for my child to participate in the Action4Canada Youth Program

Permission by the Parent or Guardian is required.