Youth Program Registration - Dungeons and Dragons

What is the participant's first and last name?

What is the age of the participant?

(NOTE: This program is strictly for ages 12 to 25.)

What is the participant's date of birth?

Has the participant got previous experience with Dungeons and Dragons?



Is the participant looking to participate as...

(Note: If insufficient DMs are available, participation may be restricted on a first-in, best-dressed basis.)


What is the name of the participant's parent/guardian?

What is the name of the participant's parent/guardian?

What is the email address of the parent or guardian?

What is the emergency contact number of the participant?

If you would like to provide additional emergency contact information, please do so in the space below.


I understand this program is strictly for participants aged 12 - 25, and I confirm the participant meets this age requirement. 

I am the parent/guardian of the participant named in this registration form and I give permission for them to attend the Dungeons and Dragons activity (if the participant is under 18)

I understand this is a drop-in style program and supervision is provided only inside the venue during program hours.

I understand that participants may come and go from the venue as needed (e.g. to purchase food, take breaks).

I acknowledge the Shire and its volunteers cannot prevent participants from leaving the venue, nor escort them on or off the premises.

I understand that if the participant leaves the building, this is at their own discretion and risk.

I understand that staff/volunteers will not wait with the participant after the session ends, and punctual pick-up arrangements are my responsibility.

I understand that smoking, vaping, alcohol and any prohibited substances are not permitted at the venue or during program participation.
I understand that disruptive, unsafe or disrespectful behaviour may result in the participant being asked to leave.

I understand volunteers are not medical professionals and can only provide basic first aid until emergency services arrive.
I confirm the medical/emergency information provided is accurate and will be updated if it changes.


Validate and Submit Form