RAHR 2019 Registration

Rotary Adventure in Human Rights

RAHR is a program focusing on human rights and experiencing Winnipeg and surrounding areas. Only 24 students will be selected to attend RAHR 2019. Get your application in early as the program will fill up quickly.

RAHR Dates: August 18 to 24, 2019

RAHR Location: The Canadian Museum for Human Rights and the University of Winnipeg

Deadline for application: May 15, 2019

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* 1. Name of Student

Name

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Preferred Pronoun

He/Him

She

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* 3. Birthdate (e.g. January 1, 2018)

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* 4. Name of parents or legal guardian

Name

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 5. Is the parent and/or legal guardian a Rotarian?

Yes

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* 6. Name of High School

Complete Address:

Name of Principal

Email of Principal

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* 7. Which grade will you be entering in September 2019?

Grade 11

Grade 12

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* 8. Have you ever been involved in other Rotary youth programs?

Yes

Other (please specify)

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* 9. What recreation, hobbies, sports and cultural activities do you participate in?

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* 10. What other information can you provide us to help us understand your potential for selection? (e.g. achievements, awards, talents)

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* 11. What are you interested in the Rotary Adventure in Human Rights program and what do you hope to gain that will help you with your present and future plans?

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* 12. Please list four (4) topics that you would like to learn most about?

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* 13. Do you have any dietary restrictions and/or preference?

Vegetarian

Vegan

Halal

Kosher

Gluten

Diabetic

None

Other (please specify)

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* 14. RAHR STUDENT Agreement: If I am accepted as a participant, I fully understand that attendance to RAHR is a privilege and fully agree to abide by all the regulations established by the officials of RAHR. I will strive to be a worthy representative of my school and community by contributing my best efforts towards the success of RAHR. I understand that this is a smoke free environment and agree to respect this regulation. I am fully covered by medical insurance. I understand that I am required to attend all meals, classes and activities. This is a closed program and no visitors or friends will be allowed while RAHR is in session.

I accept this RAHR 2019 agreement

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* 15. RAHR Parent/legal guardian Agreement: my son/daughter has permission to participate in RAHR 2019 and understands the RAHR agreement.

I accept this RAHR 2018 agreement