Stepping Stones Parent Waiver Form

Please fill out this form and click submit.
General Information

Birthdate must be written in DD-MM-YYYY form
Please select all that apply.
Please select all that apply.
Contact Information

Please select one option.
Emergency Contact

Other Information

Please select one option.
Group Guidelines and Acknowledgements

Welcome to Stepping Stones 

We are so glad you have joined us!  We want to just share a little bit about who we are and what kind of group we lead.  

1. Stepping Stones IS a support group for young moms who are finding themselves in need of extra support during the young stages of parenting and life in general.  

2.  Stepping Stones is a group where GROWTH is the goal.  One really cool thing about our program is the number of mentors that are involved on a consistent basis. These mentors are here for YOU--ask them for a coffee date, share your goals with them, let them in on your struggles--people need people, and these women are the best of the best!!

3.  Stepping Stones IS a safe community.  We will not tolerate any bullying, cyber-bullying, disrespect or gossip.  Because we are a growth group, we will visit subjects that may be vulnerable.  What is shared in group must stay in group to protect the safety of everyone involved.  If this trust is betrayed, we will deal with it seriously.

4.  Stepping Stones IS a NON-JUDGMENTAL community.  We all are on a journey, and we’re all trying to figure life out.  There is no room for judgment.  All journey’s are welcomed.

5.  Stepping Stones IS a service group--we try to find opportunities to serve others in our community.  Service provides us with purpose and a sense of the greater community.  

6.  Most importantly, Stepping Stones is a faith-based group.  Each of the leaders and mentors involved in the program have a vibrant, growing relationship with Jesus Christ.  He is at the core of who we are and what we do.  This belief is never forced upon anyone who attends, but please be aware and open to the fact that this is the perspective from which we teach, communicate, and connect.

Stepping Stones IS NOT:

-A mom’s playgroup

-Free childcare and breakfast group (although those are perks of our program)

-An exclusive club

Please select one option.
The Legal Stuff

FOIP Waiver

Please select all that apply.
CAYU Program Participation & Driving Waiver

1.  The risk of injury from youth activities and equipment involved in some Youth Unlimited programs is significant, including the potential for permanent disability and death, and although personal discipline will minimize the risk, the risk of serious injury does exist;

2.  I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE of those persons released from liability below, and assume full responsibility for my child/ren's participation;

3. I, for my child/ren, and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Youth Unlimited Central Alberta, the owners and leasers of premises used to conduct the activities and programs, their directors, officers, officials, agents and/or employees ("Releasees"), with respect to any and all injury, disability, death or loss or damage to person or property whether caused by the negligence of the Releasees or otherwise, except that which is the result of gross negligence and/ or wanton misconduct.

4.  I, the undersigned parent/ legal guardian, will not hold CAYU responsible for any personal injury, or care provided, or for any loss or damage whatsoever with respect to my child/ren.  I waive any claim against CAYU, its employees, agents and board members and release them from all liability.  I further indemnify the for all losses they might suffer.

5.  In the event of injury or illness, I authorize CAYU staff to seek and obtain medical or surgical attention for my child/ren named above in the event of an emergency, without the necessity of prior approval.  It is understood that if any emergency occurs, a responsible adult will ensure that my child/ren receives proper medical attention and that arrangements are made for his/ her return home, if necessary.  I understand that I will be notified by the quickest possible means if this authority is exercised.

6. I, the undersigned parent/ legal guardian authorize my child/ child under my guardianship, (named above) to drive with a CAYU staff member or Volunteer who has satisfactorily completed all screening protocol as per CAYU's policies to and/or from any and all activities related to the programming of Central Alberta Youth Unlimited / YFC for which I have authorized permission to attend below.

In signing the release, I (we) understand the intent thereof, and I (we) hereby agree and absolve and hold harmless the Association of Central Alberta Youth For Christ, and any other parties connected with the CAYU programs in any way, singly or collectively from and against any blame and liability for any injury, misadventure, harm , loss, inconvenience or damage hereby suffered or sustained as a result of participation in the event, or any activities associated therewith.  I (we) hereby consent to and permit emergency treatment in the event of injury or illness.  I confirm that the information I have provided is correct.

Please select all that apply.


Please fill out this form and click submit.