About this Survey

What is CLAY?

The CLAY Conference is for high school students who wish to develop their leadership skills, challenge themselves, and cultivate lifelong friendships. 

CLAY is a 3-day, 2-night leadership conference unlike any other! Delegates will embark on an experience that provides students with the opportunity to share and expand their knowledge in open, innovative and interactive session-based environment with other students. Session-based activities are facilitated by McMaster student leaders to create a safe and conducive environment to self-development and exploration of topics such as: trust and risk, leadership and communication, empowerment and self-awareness.

CLAY takes place in May 2018 bringing together high-school students from all across the greater McMaster / Hamilton / GTA community for a fantastic weekend of learning, leadership and a lot of fun at Camp Trillium. The delegate fees for the weekend are an all-inclusive fee covering the first minute you arrive to the very end of the conference, this includes transportation, accommodations, food, programming, and swag.

All delegates are expected to find transportation to and from McMaster University, where the conference will start and end. However, the majority of the conference will occur at Camp Trillium, a professional setting well suited to meet the needs of each delegate and the conference as a whole. 

CLAY 2018 will take place May 25th, 26th and 27th.

For any questions or concerns, please feel free to contact the CLAY Coordinator (Rachel Persaud) by e-mail at CLAY@msu.mcmaster.ca

 
** All collected information will be used for conference purposes only**
 

Who is Eligible to Attend?

Any student who is currently attending highschool in Ontario is eligible to participate as a delegate at CLAY. You do not require any previous leadership/extra-curricular experience to apply. 
 

Conference Fees

CONFERENCE FEE:
 
For all individual registrations - payment MUST be made through our online portal. 
 
Single Payment: $165.00 (plus HST)
 
All CLAY registration Fees are final and non-refundable. You may transfer your registration to another individual if necessary by notifying CLAY@msu.mcmaster.ca no later than May 1st. 
 
******* Financial Assistance *******
In addition to our payment plan, we also offer a program for students who may require help in overcoming the financial barriers associated with CLAY. If you want to find out more about this program, or you know someone who might take advantage of this opportunity please email CLAY@msu.mcmaster.ca. 

This survey is anonymous. Even if you are logged in your personal information will not be saved.

CLAY 2018 Delegate Registration: Full Individual Payment

1. Delegate Information

It is important that you provide an email address that is checked regularly and an appropriate phone number through which you can be contacted if necessary.


* Indicates required.

How did you hear about CLAY 2018? *

Choose up to 5 answers that apply.

Have you previously attended CLAY as a delegate, if so, how many times? *

Name of requested roommate - if applicable (same gender):

T-shirt size: *

Choose one.

Postal code: *

Province: *

City: *

Participant address: *

What grade are you in? *

What is your high school? *

Telephone number: *

My gender is: *

Email address: *

Date of birth (DD/MM/YYYY): *

Preferred name: *

Last name: *

First name: *

2. Emergency Contact Information

It is important that you provide appropriate phone numbers through which emergency contacts can be contacted if necessary.


* Indicates required.

Secondary emergency contact email address: *

Secondary emergency contact phone number: *

Secondary emergency contact relationship to participant: *

Secondary emergency contact name: *

Primary emergency contact email address: *

Primary emergency contact phone number: *

Primary emergency contact relationship to participant: *

Primary emergency contact name: *

3. Medical & Dietary Information

Please type 'N/A' for any questions which do not apply to you.


* Indicates required.

Participant health card number: *

Please list/describe any medical conditions that may prevent participation in an activity: *

Please list any medication that you will be bringing to the conference that you require: *

Please list any allergies to medication that you have: *

Please list any food allergies that you have: *

Please describe any meal accommodations you may require (Vegetarian, Vegan, Halal, etc.). If you are partaking in Ramadan, we have early and late meal times before and after sunset/sunrise, please make note if you would like this accommodation. There will also be a prayer space provided. *

Please describe any accommodations you may require (physical, medical, etc.): a member of our team will contact you to best meet your needs: *

4. Risks and Liability Waiver

To Participants and Parents/Guardian's of Minor Participants:

By initialing this form and clicking 'I Agree' at the bottom of this page I hereby agree to understand the following:

The CLAY Conference is an opportunity for high school students to take part in an innovative and hands-on experience in which they will have the ability to develop their leadership skills. During this conference McMaster University student leaders will oversee the activities. After the daily events are concluded, participants will have a certain degree of freedom and autonomy of movement that university students normally enjoy.

Conference activities are reviewed for risk management and planned in a manner that provides participants with enjoyable, educational activities with minimal risk. Risk is, nonetheless, part of all activities and is inherent in some physical activities. While the McMaster Students Union, McMaster University and Camp Trillium take reasonable precautions to ensure safety, there is always a possibility of injury.

By signing your initials below below and clicking 'I agree', you agree that McMaster University, the McMaster Students Union, Camp Trillium and the individual staff members will not to be held responsible for any injury or theft of personal property. By signing this document, you also agree to the disciplinary action taken by CLAY executive members if the delegate violates one of the zero tolerance policies, including but not limited to possession of drugs, alcohol or weapons, and engaging in violent behaviour. Disciplinary action for zero tolerance policies entails the delegate being sent home immediately and at their own expense.

McMaster Students Union, McMaster University and Camp Trillium require acknowledgement of the conditions under which this conference is offered. Signature of the participant is acceptable only if he/she has reached age of majority, otherwise, parents or guardians of minor participants must sign. I understand the conditions above under which the CLAY Conference is offered and agree that these conditions are acceptable to me/my charge.


* Indicates required.

Do you agree to the risks and liability conditions as listed in the above RISKS AND LIABILITY WAIVER? (Please note if you do not agree to assume these risks, your registration to attend the CLAY 2017 conference will be declined.) *

Choose one.

Do you understand the purpose of this waiver? *

Choose one.

Date (the day this form was filled out): *

Choose a date from the calendar below.

Parent/Guardian's initials (if participant is under the age of 18):

Parent/Guardian's name (if participant is under the age of 18):

Participant's initials: *

Participant's date of birth (DD/MM/YYYY): *

Participant's name: *

5. Academic Release Waiver

o Participants and Parent/Guardian's of Minor Participants:

I hereby authorize the absence of the undermentioned student to attend CLAY 2018 on May 25th - May 27th 2018 at McMaster University and Camp Trillium as their Parent/Guardian, if the undermentioned student is not 18 years of age.

I acknowledge that this student will be missing a full day of class (Friday May 25th, 2017) to participate in the conference.


* Indicates required.

Date (the day this form was filled out): *

Choose a date from the calendar below.

Parent/Guardian's initials (if participant is under the age of 18):

Parent/Guardian's name (if participant is under the age of 18):

Participant's date of birth (DD/MM/YYYY) *

Participant's initials: *

Participant's name: *

6. Image Release Form

To Participants and Parent/Guardian's of Minor Participants:

By initialing this form and clicking 'I Agree' at the bottom of this page I hereby agree to understand the following:

For good and valuable consideration, the receipt of which is hereby acknowledged, I hereby consent to the photographing of myself and the recording of my voice and the use of these photographs and/ or recordings singularly or in conjunction with other photographs and/or recordings for advertising, publicity, or commercial purposes. I understand that the term “photograph” as used herein encompasses both still photographs and motion picture footage.

I further consent to the reproduction and/or authorization by CLAY 2018 to reproduce and use said photographs and recordings of my voice, for use in all domestic and foreign markets. Further, I understand that others, with or without the consent of CLAY 2018 may use and/or reproduce such photographs and recordings.

I hereby release CLAY 2018, and any of its associated or affiliated companies, their directors, officers ,agents, employees and customers, and appointed advertising agencies, their directors, officers, agents and employees from all claims of every kind on account of such use.

Furthermore, all photographs and recordings are property of the hired agency during CLAY 2018, and I understand that I may be liable for unauthorized use unless I am explicitly permitted to copy, reproduce, or share these photographs with other parties.


* Indicates required.

Do you agree to the risks and liability conditions as listed in the above IMAGE RELEASE FORM? (Please note as we cannot guarantee any particular participant's image will not be used, if you do not agree to assume these risks, your registration to attend the CLAY 2017 conference will be rejected.) *

Choose one.

Date (the day this form was filled out): *

Choose a date from the calendar below.

Parent/Guardian's initials (if participant is under the age of 18):

Parent/Guardian's name (if participant is under the age of 18):

Participant's date of birth (DD/MM/YYYY): *

Participant's initials: *

Participant's name: *

7. Bus Liability Waiver

To Participants and Parent/Guardian's of Minor Participants:

By initialing this form and clicking 'I Agree' at the bottom of this page I hereby agree to understand the following:

I realize that there are potential risks inherent in my participation in this outing. I freely and voluntarily accept and assume all such risks, dangers and hazards and the possibility of personal injury, death, violence, property damage or loss, during all the time of this trip/event, resulting from activities during this trip/event. I accept my responsibility to abide by the laws of the country, to ensure that I have adequate medical coverage, protect personal possessions and obey all the rules set out for this trip/event.

BUS LIABILITY WAIVER AND INDEMNIFICATION

In consideration of approval to participate in this trip/event, I and any personal representative, hold harmless, release and forever discharge McMaster University, The McMaster Students Union, their directors, officers, faculty, staff, students, volunteers, agents, trainees, or employees from any and all actions, causes of actions, including negligence, claims and demands for damages, loss or injury, resulting from or arising out of my participation in this trip/event.

I also indemnify and save harmless McMaster University and the McMaster Students Union from any and all actions, causes of actions, demands, expenses or losses whatsoever which they may bear as a result of my participation in this event, by reason of damage to any and all property and any and all personal injuries, including death of others or myself.


* Indicates required.

Do you agree to the risks and liability conditions as listed in the above BUS LIABILITY WAIVER? *

Choose one.

Date (the day this form was filled out): *

Choose a date from the calendar below.

Parent/Guardian's initials (if participant is under the age of 18):

Parent/Guardian's name (if participant is under the age of 18):

Participant's date of birth (DD/MM/YYYY): *

Participant's initials: *

Participant's name: *

8. Important Notes

After we have received your completed registration form, a confirmation e-mail will be sent indicating that one spot has been reserved for each delegate who completed registration. Registration is not complete until this form has been submitted and payment has been made through the secure McMaster Students Union payment portal.

CLAY 2018 starts May 25th 2017. Delegates will be expected to arrive to the McMaster University Campus at the Ivor Wynne Centre at 10:00AM on May 25th and will return at approximately 7PM on May 27th.

More logistics and details for what is needed for CLAY (welcome letter, packing list, etc.) will be provided to delegates no later than May 1st 2018.

If you have any questions please email the Conference Coordinator (Rachel Persaud) at CLAY@msu.mcmaster.ca

On behalf of myself and my team, thank you for registering! We will work our hardest to ensure your time at conference is incredible!


* Indicates required.