EN EN FR I am interested in registering for:(Required)CAPMHP - Coloriage pour adultes (23 Sep 2025)Sortie au Salmonier Nature Park (05 Oct 2025)À la découverte de la RDC (22 Nov 2025)Information for Participants: First Name(Required)Last Name(Required)Gender(Required)MaleFemalePhone(Required)Email(Required)Date of Birth(Required) DD slash MM slash YYYY Primary LanguageEnglishFrenchAmharicArabicBengaliChineseDariFarsi (Persian)FilipinoHindiKinyarwandaPashtoPunjabiSpanishSwahiliTagalogTigrignaUkrainianYiddishYorubaCountry of BirthCanadaAfghanistanAlbaniaAlderneyAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBophuthatswanaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanary IslandsCayman IslandsCentral African RepublicChadChileChina (PRC)ColombiaComorosCongo (Congo Republic)Congo Democratic Republic ofCosta RicaCote d Ivoire (Ivory Coast)CroatiaCubaCyprusCzechia (Czech Republic)DenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor-Leste)EcuadorEgyptEl SalvadorEnglandEquatorial GuineaEritreaEstoniaEswatini (formerly Swaziland)EthiopiaFijiFinlandFr. PolynesiaFranceFrench GuianaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuadaloupeGuamGuatemalaGuineaGuinea-bissauGuyanaHaitiHoly See (Vatican City)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKampuchea DemocraticKazakhstanKenyaKerguelen IslandsKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (formerly Burma)NamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorthern IrelandNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaScotlandSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. Kitts and NevisSt. LuciaSt. Pierre Et MiquelonSt. Vincent And The GrenadinesStatelessSudanSudan, SouthSurinameSwedenSwitzerlandSyriaTaiwan (ROC)TajikistanTanzaniaThailandTibetTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & CaicosTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamWalesWestern SaharaYemenYugoslaviaZaire (now Congo DRC)ZambiaZimbabweCurrent Immigration Status in CanadaPermanent ResidentCitizen by BirthCitizen - NaturalizedGovernment Assisted Refugees (GAR)Provincial Nominee Awaiting PRRefugee Claimant (RC)Student - Study PermitUkraine CUAET PermitVisitor Visa - Temporary Resident VisaWork Permit - Live-in CaregiverWork Permit - International Mobility ProgramWork Permit - Post-Graduation Work PermitUCI# / PR Card Number (8 or 10 digits)Special Requirements/Considerations Allergies Carries Epi-pen Physical Disability Please specify any allergies or dietary restrictions you may haveMedical Conditions/MedicationsInvite Link Consent(Required) I understand that invitation links for online events, when applicable, will be sent to me later via the provided email address. (Required) Newsletter Subscription I would like to subscribe to receive emails and newsletters regarding updates on this event, as well as future programs and events. Photo Consent I authorize the staff to take photographs of me during this event and to display and otherwise use these photographs without charge, solely for the purpose of promoting and reporting on this event. This field is hidden when viewing the formFee Information Source (Admin Only)(Required)Activité de bien-être pour ADULTES SEULEMENT Venez vous détendre en coloriant.Activité de découverte du grand parc naturel "Salmonier Nature Park" où l’on se promène à travers la forêt, entouré d’animaux de la faune locale. Accessible à tous, l’endroit est conçu comme un refuge éducatif pour la réhabilitation d’animaux blessés. C’est une sortie idéale pour découvrir la nature de Terre-Neuve, apprendre en s’amusant et profiter d’un moment paisible en plein air.Cette activité a pour but de faire connaître la culture, vie, habitudes t moeurs de la république démocratique du Congo.This field is hidden when viewing the formRemarks Placeholder (Admin Only)(Required)Combien de personne souhaitez-vous inscrire ? Merci d'indiquer prénom et âge Would you like us to know something regarding your registration request?Merci d'indiquer combien de personne souhaitez vous inscrire et leur nom/Please indicate how many people you wish to register and their names.This field is hidden when viewing the formStaff to be Notified (Admin Only)(Required)This field is hidden when viewing the formEvent-to-Program Mappings (Admin Only)(Required)000100010001This field is hidden when viewing the formProgram (Admin Only)(Required)This field is hidden when viewing the formStaff Email (Admin Only) This field is hidden when viewing the formDate Visited (Admin Only) DD slash MM slash YYYY
