GRINS Youth Focus Group Registration Information:Please fill out this form if you are interested in helping us out with strategy for developing an interactive workshop for high school aged youth on risks of gambling harms to themselves and to their community. No expertise in gambling issues is necessary - we want to learn what kind of learning activities engage teens. We will ask about your familiarity with gaming and gambling, and discuss learning styles, such as: What are your favourite ways to learn? What keeps things fun and interesting? The event will be held online (Zoom), so you can participate from anywhere in Nova Scotia. Participants will receive a $25 gift card as a thankyou. (See choices below.) The group will be held at 7pm on Wednesday, April 13. If you are under 19 you will need a parent or guardian to sign this form. Note that the group is limited to 20 participants, so the form will disappear after 20 people have signed up!Name *Your age *Must be between 14 and 19Phone NumberOptionalEmail Address *Street Address *Apartment, suite, etcTown *Province *Postal Code *Choice of Gift Card *Happy TeenHappy StudentGoogle Play StoreUltimate Dining CardWhich gift card would you like?Comments or Questions0 / 180Permission from Parent or Guardian to particpateBy signing below, the named parent or guardian authorizes the above named youth to participate in the focus group on learning styles and preferences.Name of Parent of Guardian *Person who can authorize you to participate in the focus groupEmail Address of Parent or Guardian *Signature of Parent of Guardian *Start signing your signature hereYour browser does not support e-Signature field.By signing here, you authorize the youth named above to participate in the focus group Send RegistrationPlease do not fill in this field.
