A Rocha Ontario - Immersive Bee Experience (July 5, 2025)

Order Number
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Your order number can be found your Eventbrite ticket.
  • Can't find it? Check your inbox for a confirmation email.
  • Haven't paid yet? Start the process at the A Rocha Ontario page.

General Information




Medical Information




Please indicate if you have any health concerns we should be aware of for the purposed of this event. 

If you have any allergies or dietary restrictions, please list them here.

Please let us know if you carry an epipen.
Media Consent
I hereby grant A Rocha Canada (ARC) the absolute right and permission to use, re-use and distribute, without financial consideration, photographs, video and/or audio of myself (named above) in any and all media, in perpetuity. I also consent to the use by ARC of my (named above) personal story for use in any media.

To help us understand the success of our programs, as well as the growth and transformation of our program participants, A Rocha will be gathering participant stories through voice recordings at relevant sharing times (eg. opening and closing circles).

Program participants will be made aware when they are being recorded. These recordings and stories are for internal use only (for gathering data) and will not be publicized in any way, unless Media Consent has been approved above.

The safety and privacy of our participants is vital. If you have questions or concerns, please send us an email at cedar.haven@arocha.ca.

This will act as an electronic signature, confirming
that you have read and agree to the terms above.

Assumption of Risk and Liability Waiver
While this event willl be appropriately facilitated by our stafff, there is inherent risk involved. A Rocha Canada and Staff will not be held liable for any injury sustained during program activities.

In consideration of A Rocha Canada (A Rocha Ontario) accepting my registration for the Immersive Bee Experience event, I declare that:

I understand that I will inform an A Rocha Staff member of any known honeybee allergies or reactions, including to honey, prior to the experience. 
I, the undersigned, understand the risks associated with visiting a bee yard, including, but not confined to: trips, falls, lifting of equipment, bee stings, sun exposure, and ticks. 
On a rare occasion, if I, or my dependant(s) get stung, I will advise an A Rocha staff member, who will assist me in caring for the sting site and any reaction, as appropriate. 

I accept that neither the educator, nor the hosting facility is liable for any injury, or damages, to person or property, resulting from the taking of the class. I hereby agree to release and waive any claims that I have now or hereafter may have against A Rocha Canada. 

A parent or guardian must sign below for children under the age of 18. By submitting your name below, you acknowledge and accept the possible risks, dangers and hazards associated with participation in the activities of this event.


This will act as an electronic signature, confirming
that you have read and agree to the terms above.


Registering another person?
If you are registering more than one person, they must share the same Emergency Contact Information below. Additionally, all persons registered on this form must be paid for together.

Primary Emergency Contact




This email will receive all program communication
and important announcements.

Secondary Emergency Contact
In case of emergency, where the primary contact cannot be reached, this person will be contacted.




This email will receive all program communication
and important announcements.
Confirmation
By submitting your name (first and last) below you confirm that the information above is accurate.
This will act as an electronic signature, confirming
that you have read and agree to the terms above.

Contact Information