Register

Program Select

Participant Details

Please fill out the following fields about the participant enrolling in the program.
Fields marked with * are required.

Primary Parent/Guardian Details

Please fill out the following fields about yourself or the primary parent/guardian for the participant.
We encourage you to also fill out secondary contact information, in the event that we are unable to contact the primary parent/guardian.
Fields marked with * are required.

Participant & Bicycle Permissions

I give the following permissions and consents for the participant enrolling in the TRACTION program:

Health Consent

Please select any of the following if you give consent.

Bicycle Permission

Please deselect any of the following if you do not give permission.

Media Consent

TRACTION is a community‐based, not‐for‐profit program helping young people discover, connect and experience their own positive and successful futures. TRACTION will from time to time feature photos and/or video clips of participants and staff in order to share progress and promote the program.

TRACTION therefore seeks your consent to use photographic and digital images, video and audio recordings and work samples taken from you or your child for use in the following ways (‘the Agreed Purpose’): publications, newsletters, campaigns, websites, social media platforms, and other related methods of promotion in both electronic and printed formats.

In granting permission, you are giving consent to those acting under their authority as given by TRACTION providers in good faith.

I have read or have had a person read the consent conditions to me and I understand them.
Please select one of the three media consent level that best suits the participant.

Full Consent

Restricted Consent

No Consent

Confirmation

Thanks for completing your participant's registration so far!
In order to complete registration, please check over the following conditions and deselect if necessary.

Press 'Finish' to complete the registration process.