TNT Titans (Parent-and-Tot) Program

Privacy Notice

True North Taekwondo Co-operative Ltd. (TNT) collects the personal information on this form for participant registration, program administration, safety and emergency response, communication, fee administration, insurance, and related organizational purposes. TNT limits access to personal information to individuals who require it for their authorized responsibilities. Information will not be sold or used for unrelated marketing purposes. Questions about TNT's privacy practices or requests to access or correct personal information may be directed to John Myburgh (306-281-5836), TNT's privacy contact.

Child Participant Information

Child Name (Legal first & last name) *

Preferred Name (if different)

Date of Birth (dd-mmm-yyyy) *

Child Home Address *

Child Postal Code *

Participating Adult Information

Participating Adult Name (Legal first & last name) *

Preferred Name (if different)

Date of Birth (dd-mmm-yyyy) *

Phone Number *

Email *

Relationship to Child *

Is the participating adult the child’s legal guardian/parent? *

Is the participating adult the child’s legal guardian/parent?

Yes

No (please fill out next question)

Legal Guardian/Parent Name

Phone Number

Email

Are there any legal restrictions TNT needs to know about regarding who may pick up, access information about, or make decisions for this participant? *

Are there any legal restrictions TNT needs to know about regarding who may pick up, access information about, or make decisions for this participant?

No

Yes - contact TNT privately

Health, Safety, & Accessibility

Parent-and-tot programming involves both the child and accompanying adult in physical activity. The following information helps TNT respond appropriately if either participant becomes ill or injured. Please provide an emergency contact who is not normally the participating adult attending class with the child, where reasonably possible.

Emergency Contact Name *

Emergency Contact Relationship to Participating Adult/Child *

Emergency Contact Phone *

In the event of illness or injury, I authorize TNT instructors or volunteers to provide reasonable first aid and to contact emergency medical services when they believe it is necessary. I authorize emergency medical assessment or treatment to be sought for my child if I cannot provide consent promptly. I understand that emergency services may also be contacted for me if I become ill, injured, or unable to provide consent during the program. *

In the event of illness or injury, I authorize TNT instructors or volunteers to provide reasonable first aid and to contact emergency medical services when they believe it is necessary. I authorize emergency medical assessment or treatment to be sought for my child if I cannot provide consent promptly. I understand that emergency services may also be contacted for me if I become ill, injured, or unable to provide consent during the program.

Yes

No

Child Health and Safety

Does the child have an allergy or health condition that could require emergency assistance during training? *

Does the child have an allergy or health condition that could require emergency assistance during training?

No

Yes

If you answered YES to the previous question, please explain:

Does the child carry emergency medication such as an EpiPen or rescue inhaler? *

Does the child carry emergency medication such as an EpiPen or rescue inhaler?

No

Yes

If you answered YES to the previous question, please explain:

Is there any current injury, medical restriction, developmental consideration, physical limitation, or other factor that instructors should know about to support the child’s safe participation? *

Is there any current injury, medical restriction, developmental consideration, physical limitation, or other factor that instructors should know about to support the child’s safe participation?

No

Yes

If you answered YES to the previous question, please explain:

Is there anything TNT can do to make participation more accessible, comfortable, or successful for the child? *

Is there anything TNT can do to make participation more accessible, comfortable, or successful for the child?

No

Yes

If you answered YES to the previous question, please explain:

Adult Participant Health and Safety

Does the participating adult have an allergy or health condition that could require emergency assistance during training? *

Does the participating adult have an allergy or health condition that could require emergency assistance during training?

No

Yes

If you answered YES to the previous question, please explain:

Does the participating adult carry emergency medication such as an EpiPen or rescue inhaler? *

Does the participating adult carry emergency medication such as an EpiPen or rescue inhaler?

No

Yes

If you answered YES to the previous question, please explain:

Is there any current injury, medical restriction, physical limitation, or other factor that instructors should know about to support the participating adult’s safe participation? *

Is there any current injury, medical restriction, physical limitation, or other factor that instructors should know about to support the participating adult’s safe participation?

No

Yes

If you answered YES to the previous question, please explain:

Is there anything TNT can do to make participation more accessible, comfortable, or successful for the participating adult? *

Is there anything TNT can do to make participation more accessible, comfortable, or successful for the participating adult?

No

Yes

If you answered YES to the previous question, please explain:

Program Goals / Participation

What would you most like your child to gain from this program? Check any that apply:

What would you most like your child to gain from this program? Check any that apply:

Gross motor development

Balance

Coordination

Strength

Mobility/flexibility

Confidence trying physical activities

Social participation

Parent-child activity/time together

Preparation for future sport participation

General physical activity and enjoyment

Other

Program Fees

Current program fees are provided during registration and published on TNT’s website. Any additional or optional costs will be communicated before they are incurred. TNT strives to make programming accessible and will work with families experiencing financial barriers wherever reasonably possible. Payment will be arranged once registration has been received and reviewed.

I acknowledge that I have read and understand the program fees. *

I acknowledge that I have read and understand the program fees.

No

Yes

TNT Code of Conduct & Safe Sport Policies

TNT’s Code of Conduct and Safe Sport policies help ensure that all participants, families, instructors, coaches, volunteers, and members contribute to a safe, respectful, inclusive, and positive training environment. It sets clear expectations for behaviour, supports fair and consistent decision-making, and helps protect the wellbeing of everyone involved in TNT programs. These documents are available on the TNT website (www.truenorthtkd.ca). Participants are encouraged to read these documents thoroughly. Paper copies are also available.

I understand that participation in True North programs is subject to TNT's Code of Conduct, Safe Sport policies, safety rules and reasonable directions of instructors. I understand that serious or repeated violations may result in restrictions on participation or disciplinary action in accordance with TNT policy. *

I understand that participation in True North programs is subject to TNT's Code of Conduct, Safe Sport policies, safety rules and reasonable directions of instructors. I understand that serious or repeated violations may result in restrictions on participation or disciplinary action in accordance with TNT policy.

No

Yes

Co-operative Membership

TNT is a nonprofit co-operative. Membership is optional and allows eligible members to participate in the organization’s governance. You do not need to become a member to take part in TNT programs. Registering for a program makes you a program participant only and does not create voting membership. Co-operative membership is handled through a separate application process. Please inquire if you are interested.

I acknowledge that program registration does not create co-operative voting membership. *

I acknowledge that program registration does not create co-operative voting membership.

No

Yes

Photography & Media Consent

TNT regularly photographs or records programs, events and activities for educational, promotional and community-engagement purposes.

Please check the option that best reflects your preference for your child: *

Please check the option that best reflects your preference for your child:

Full consent: My child may be photographed or recorded and may appear in TNT social media, website content, promotional materials, and other public communications.

Limited consent: My child may appear incidentally in group photos or videos, but please avoid using identifiable close-up images or featuring my child as the main subject of public promotional content.

Internal/group-use only: My child may appear in photos or videos shared privately with TNT participants or families but should not be intentionally featured in public social media, website, or promotional content.

Privacy restriction (please avoid identifiable public images): Please take reasonable steps to avoid using identifiable images or videos of my child in public communications. I understand that, in a group training environment, it may not always be possible to prevent incidental appearance in the background of a photo or video.

Safety/privacy concern (contact required): There is a specific safety, legal, custody, or privacy concern that requires additional precautions. Please contact TNT so we can establish an appropriate plan.

Please check the option that best reflects your preference (participating adult): *

Please check the option that best reflects your preference (participating adult):

Full consent: I may be photographed or recorded and may appear in TNT social media, website content, promotional materials, and other public communications.

Limited consent: I may appear incidentally in group photos or videos, but please avoid using identifiable close-up images or featuring me as the main subject of public promotional content.

Internal/group-use only: I may appear in photos or videos shared privately with TNT participants or families but should not be intentionally featured in public social media, website, or promotional content

Privacy restriction (please avoid identifiable public images): Please take reasonable steps to avoid using identifiable images or videos of me in public communications. I understand that, in a group training environment, it may not always be possible to prevent incidental appearance in the background of a photo or video.

Safety/privacy concern (contact required): There is a specific safety, legal, employment, or privacy concern that requires additional precautions. Please contact TNT so we can establish an appropriate plan.

TNT will make reasonable efforts to respect these preferences but cannot guarantee that a participant will never appear incidentally in the background of group activities, public events, competitions, or recordings made by third parties.

PARENT-AND-TOT (TITANS) INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT

Nature of the Program TNT Titans is a recreational parent-and-child physical activity program intended to support physical literacy, confidence, movement skills and enjoyable participation in physical activity. Activities may include: • Walking, running and other locomotor activities; • Crawling, climbing, stepping, jumping and age-appropriate movement activities; • Balance and coordination activities; • Mobility, flexibility and stretching activities; • Age-appropriate strength and physical-conditioning activities; • Movement games and physical-literacy activities; • Parent-child or partner activities; • Obstacle courses and movement circuits; and • Use of mats, cones, balls, targets, balance equipment and other age-appropriate recreational or fitness equipment.

Adult Supervision I understand that this is a parent-and-tot program and that the participating adult is expected to remain actively responsible for supervising and assisting their child throughout the program. TNT instructors provide program instruction and overall supervision but do not replace the participating adult’s responsibility for their child.

Participation Risks I understand that recreational physical activity involves inherent and foreseeable risks even when reasonable instruction, supervision and safety precautions are provided. These may include: • Slips, trips, falls or loss of balance; • Accidental contact with another participant, instructor or equipment; • Awkward movements or landings; • Muscle soreness, strains, sprains, bruises, abrasions or other minor injuries; • Physical exertion, fatigue, overexertion, dehydration or feeling unwell; • Injuries involving muscles, joints, bones, tendons or ligaments; • Aggravation of a pre-existing injury, medical condition or physical limitation; • Unexpected movements by children or other participants; and • In rare circumstances, serious injury.

Participant Safety I understand that TNT expects participants to: • Follow the directions of instructors and coaches; • Follow applicable safety rules and the TNT Code of Conduct; • Use protective equipment when required; • Participate at an intensity appropriate to their abilities and circumstances; • Advise an instructor when they are injured, feeling unwell, or unable to safely complete an activity; and • Refrain from behaviour that creates an unreasonable risk to themselves or others. I understand that TNT may modify, restrict, or stop a participant’s participation in an activity when an instructor or other authorized person reasonably believes this is necessary for safety.

Health and Participation Information I confirm that I have provided TNT with information that I reasonably believe is necessary for my and my child’s safe participation, including relevant allergies, emergency medical conditions, injuries, physical restrictions, or accommodation needs. I agree to advise TNT of significant changes to this information. I understand that if I am uncertain whether my child can safely participate in a particular activity, it is my responsibility to seek appropriate medical or health advice.

Acknowledgment and Consent By accepting this agreement, I confirm that: 1. I am the child’s parent/legal guardian or otherwise have lawful authority to consent to the child’s participation. 2. I understand the nature of the activities in which my child and I may participate. 3. I understand that physical activity involves inherent and foreseeable risks. 4. I have provided information reasonably necessary for our safe participation. 5. I agree to follow TNT’s safety requirements, Code of Conduct and reasonable directions of instructors. 6. I voluntarily consent to my child’s participation. 7. I voluntarily choose to participate myself and accept the inherent and foreseeable risks associated with my own participation.

Child Full Name *

Participating Adult Full Name *

Parent/Legal Guardian Name (if different):

Electronic Signature – Legal Guardian Full Name: By entering my full name below, I intend it to serve as my electronic signature. *

Stelld

Canadian form builder