Student Activity Form

This form is utilized for students and host to report external activities such as short and long term trips (non-school related), sleepovers and any activities that should be documented or require parent permission.

If this is an emergency, please contact your MHN representative immediately along with the appropriate help from emergency providers such as healthcare providers or law enforcement.


Please be detailed with the descriptions and answer ALL the questions below.

Who is submitting this form?

How do you like your experience so far?

How often does the host talk to you?

Provide the reason and general description of your external activity and reason for this form.

Where will you be going?

When and how long will you be going for?

When will you return?

For Student Activities:Who is the alternate contact and their relationship to you? You must provide all contact information (Address, phone number and e-mail).

Is your alternate contact an adult? 
If you answer "No" you may not be permitted to participate unless you have written or verbal confirmation from a guardian.

Is your alternate contact accompanying you on your trip?
If you answer "No" you may not be permitted to participate unless you have written or verbal confirmation from a guardian.

For Student Activities:Describe who is going with you? You must provide all contact information (Address, phone number and e-mail) of at least one other contact that will be with you.

Additional notes

For Students: Have you received permission from your parents, custodians and host for this activity.

If you answer "No" you may not be permitted to participate unless you have written or verbal confirmation from a guardian.

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Tel: +1 905 520 2882 (Canada)

1035 Ellesmere Road,

Toronto, ON, Canada

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