What is your desired VOSNL Science Club Location?
*Max 20 participants per club. All applications are welcome but priority is given to community members.
Driftwood Community Centre
Erin Court Cooperative Home (Peel)
Jane and Woolner (TCHC)
Malton Community Centre (Peel)
Moss Park (TCHC)
Peel Youth Village (121 Acorn Place)
Queen and Kennedy (9 Ardglen)
Springfield Gardens (3590 Colonial)
Swansea Mews (TCHC)
Victoria Park (TCHC)
Dan Leckie (TCHC)
Regent Park (NMPPS)
* Student Name
Please indicate as of program year
Race and ethnicity of participant
Please select all that apply- For statistical purposes only.
Aboriginal (First Nations, Métis, Inuit)
South Asian (e.g., Afghan, East Indian, Pakistani, Sri Lankan)
Black (e.g., African, Caribbean, North American)
Southeast Asian (e.g., Filipino)
East Asian (e.g., Korean, Japanese, Chinese, Vietnamese, Cambodian, Malaysian, Laotian)
Middle Eastern (e.g., Iranian, Syrian, Iraqi, Lebanese)
Prefer not to say
Parent/Guardian and Emergency Contact Information
* Parent/Guardian Name
Please indicate the best number to contact.
Emergency Contact Name
* Emergency Contact Name
Relation to participant
City and Province
Please specify any health concerns below (medication, allergies):
Does the participant have any physical disabilities, allergies, food restrictions, or special needs?
Does your child carry an Epipen or asthma inhaler?
If none indicate N/A.
Health Card Number (optional)
Parent Volunteer Opportunity
Media Release and Waivers
Thank you! You will receive a confirmation email with more information once the registration process is complete. For any questions please