Formulaire d'inscription BougeBouge TEEN EN Step 1 of 4 25% What is your name?* First name Last name What is your administrative region?*...OutaouaisMontréalMontérégieAutreHow old are you?*...13 years14 years15 years16 years17 years18 years19 yearsWhat is your email?* Do you have a phone number to reach you?*Do you have an Instagram account?If yes, what is the name of your Instagram account? Do you have a Facebook account?If yes, what is the name of your Facebook account? What is your address?* Address City State / Province Zip / Postal Code What is your choice of gift card*...Boutique BougeBougeSport ExpertDecathlonAtmosphèreSport échange OutaouaisOtherPlease specify your choice of card* It is important to choose a store that encourages physical activity, otherwise BougeBouge reserves the right to refuse the request. The engagementsI'm in* Select All To be a leader in your community promoting physical activity To do in active transport of my choice, the number of km per medal sold To buy me sports equipment To give the medals to the customers to whom I have made sales I will pick up the medals at a drop-off point in my region My mentorMinor participants must have the authorization of a parent / legal guardian to be able to carry out the activities offered by BougeBouge.Name of my mentor* First name Last name Must be an adult parent over 18 who wears TEEN in their approach with BougeBougeMy mentor's email* My mentor's phone*Family link of the mentor with TEEN*...DadMomOther Mandatory measures to be observedSPECIAL MEASURES - COVID-19* Before engaging in the activity, read the following government recommendations aimed at limiting the spread of COVID-19 and take the time to consult the links, because BougeBouge cannot be held responsible for any costs or fines that may result from not compliance with these measures during the activity: Avoid bringing your hands to your face; Wash your hands regularly with running warm water and soap for 20 seconds; Use an alcohol-based disinfectant if you do not have access to soap and water. Make sure to disinfect the equipment necessary for the activity with a hydro-alcoholic solution after each use; Make sure you have a good amount of cleaning supplies on hand; Wash all worn fabrics, masks and clothing in hot water with the usual laundry detergent after each encounter. Wear a mask. If you cough or sneeze, do it in your elbow, a handkerchief or a mask; If you use a tissue, throw it out as soon as possible and wash your hands afterwards. Keep a distance of at least 2 meters (about 6 feet) as much as possible from other people who don't live under your roof. Plan the sequence of your activities so that the principle of "social distancing" is always respected during the activity. Avoid direct contact for greetings, such as handshakes, and favor the use of alternative practices. Give preference to receiving electronic invoices to avoid handling paper. Agree in advance on the time of the meeting with the people you plan to meet. Find out about the recent health status of the people you plan to approach. If the people you want to approach have symptoms of COVID-19, avoid approaching them and postpone the activity for at least 14 days. Remind everyone you contact of the importance of applying the hygiene measures decreed by government authorities; If you have symptoms similar to COVID-19, avoid performing the activity and follow government isolation guidelines. If you have symptoms of COVID-19 on the day of the scheduled meeting, postpone the appointment and apply the measures prescribed by Public Health. If you are sick, ABSOLUTELY avoid contact with the most vulnerable, including the elderly, people with weakened immune systems, and people with chronic illnesses. Avoid traveling outside the region or make sure to respect the travel measures between regions proposed by the government of Quebec. Make sure you meet Quebec requirements for gatherings. BougeBouge cannot be held responsible for COVID-19 contamination resulting from the activity, as well as the consequences that could result from non-compliance with these measures. MEASURES TO BE RESPECTED FOR ACTIVITIES* To ensure the smooth running of the activity respect the following measures: Here are some proposals to guarantee your smooth running and your safety in the execution of the activity: By security measures favor the activity with people you trust, close relatives or direct acquaintances. Avoid door-to-door with strangers as much as possible. ADDITIONAL SAFETY MEASURES FOR MINORS* To do this, BougeBouge offers the following measures to guarantee a safe environment in the performance of the activity for minors: Minor participants must have the authorization of a parent / legal guardian to be able to perform the activities offered by BougeBouge. responsibility for the following: The acts of minors during the practice of the activity; Control of minors' activities as part of activity initiatives; The consequences of acts of minors that would result from the activity. In particular, we encourage you to get involved in your child's initiative or to supervise him in his approach. Depending on the age of your child, the parents' involvement can greatly influence the success of the XXX activity and their personal development. In addition to the parental authorization request, the request for justification of expenses and the reference of a professor BougeBouge has no obligation to ensure supervision or to confirm the information filled in by the participant, unless it appears grossly unreasonable. Here are some proposals to supervise your children in his initiative: Ensure that his child: comes into contact with trusted individuals Offering him trusted contacts or acquaintances does not take unnecessary risks respects the recommendations of the government as to the Covid either respectful and well-intentioned throughout the process Assist your child in: Developing an action plan Activities that could prove to be risky