Please note that Red Roof Retreat cannot provide 1:1 support for any teen. Typically the ratio of staff to clients at Teen Night is 1:3. Red Roof Retreat has the right to accept or deny a registration at their discretion or to send a teen home early due to health, medical or behavioural concerns.
Teen Night runs from 5:00pm to 8:00pm
Oct 8th 2019Oct 22nd 2019Nov 5th 2019Nov 19th 2019Dec 3rd 2019
Dec 17th 2019Jan 14th 2020
Jan 28th 2020Feb 11th 2020Feb 25th 2020March 10th 2020March 24th 2020April 7th 2020April 21st 2020May 5th 2020
May 19th 2020
June 2nd 2020June 16th 2020
After completing and submitting this registration form please wait for confirmation from the Recreational Coordinator before choosing and paying for your teens Teen Night dates.
Immediately after completing this form please email a photo of your teen to email@example.com
***YOUR REGISTRATION WILL NOT BE PROCESSED WITHOUT A PHOTO OF YOUR TEEN***
***Payment MUST be made by the Thursday at 4pm before the session you wish to register your teen for. If this deadline is not met, you will not be able to register your teen for that program date.
We are unable to issue refunds without adequate notice. Cancellations must be made by 4pm on the Thursday before your teens scheduled program date.
Emergency Name & Contact Number (other than parents):
By submitting this registration form you agree to:
I/we the parent(s)/guardian(s) are aware of this application and are in agreement with the above application requirements (ie. payment of fees and waivers to be signed). I/we are aware of the nature of Red Roof Retreat’s programs and give consent for my/our teen to participate.
I, consent to the use of any photos or videos taken of my teen during Teen Night.
Oath of Confidentiality
To demonstrate respectfulness to others, I/we agree to keep confidential all information concerning other children/families being served by the Red Roof Retreat/Niagara Ina Grafton Village Teen Night program.
Release and Indemnification
In consideration of Red Roof Retreat/Niagara Ina Grafton Village accepting within the application, I, parent/guardian of registered Teen agree to indemnify and hold harmless Red Roof Retreat and the Niagara Ina Grafton Village, its servants, agents or employees and all other organizers, sponsors, representatives and any other person or organization assisting in this Teen Night program from any claims, demands, damages, actions or causes of actions arising out of or in consequence of any loss, injury or damage to my person or my property incurred while attending at or participating in the Teen Night, notwithstanding any such loss, injury or damage that may have risen by reason of the negligence of Red Roof Retreat and the Niagara Ina Grafton Village, its servants, agents or employees and all other organizers, sponsors, representatives and any other person or organization assisting in this Teen Night program, arising out of or in consequence of the attendance or participation by our Teen at the Teen Night operated by Red Roof Retreat and the Niagara Ina Grafton Village.
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