2026 Destination Clic: Registration Form

Instructions

How to prepare?

Please read the instructions carefully before proceeding.

This form is intended only for participants in the Glendon Destination Clic Program for participants in grades 8 to 10, during the following session: June 29 to July 17, 2026 (3 weeks)

The questions on the form aim to collect information specifically about the participant. A section dedicated to parent/guardian information will be provided at the end of the form. We suggest that the participant and parent/guardian fill out the form together.

This form may take up to 30 minutes to complete. The form does not have an auto-save feature, so be sure to complete it in one session to avoid losing your progress. We highly recommend filling out the following form using a computer or a laptop.

What do I need?

Before You Begin

To help complete the registration smoothly, please have the following documents ready. Note that the below information should pertain to the participant and not the parent/guardian.

Required:

Photo ID
Social Insurance Number (SIN)
Health insurance/coverage information

If applicable:

Documentation for additional support needs (e.g., physician’s note, copy of individualized learning or educational plan)
Proof of severe allergies requiring an EpiPen (e.g., note from a doctor or pharmacist, or a photo of prescription or EpiPen showing full name)
Documentation for a medically required special diet (e.g., physician’s note)

Accepted file formats: PDF, JPEG, JPG, or PNG.

All information and documents will be kept confidential, used solely for verification purposes, and securely deleted after review.

Need help?

If you have any questions regarding registration, please contact us by email or phone:

Email: clic@glendon.yorku.ca
Phone: +1 416-487-6708
Hours: Monday to Friday, between 9:00 a.m. and 4:00 p.m. (Toronto local time)

Our office is closed from 12:30 p.m. to 1:30 p.m. on weekdays for lunch, as well as on weekends and statutory holidays.

Registration Form

RM_Stats
Participant
Agreement
Housing
Health
Waiver
Payment
Participant Information

All questions refer to the participant’s information unless otherwise indicated.
First Name^*
Last Name^*
Preferred Name
Phonetic Pronunciation of Preferred Name
Gender^*
Personal Pronouns^*
Complete Address^*

Address Line 1 ^*

Address Line 2

City ^*

Province or State ^*

Country ^*

Postal or Zip Code ^*

Email^*
Mobile Number^*
Other Number
Birth Date^*
Have you ever participated in the Glendon Destination Clic program?
Previous Participation in Glendon Destination Clic^*
Yes

No

If yes, in what year?^*

Personal Statement

In a few sentences, please explain your motivation for joining the Glendon Destination Clic program. What are your personal and/or educational goals, and how do you hope this program will support your learning?
Statement^*

Additional Information

Do you identify as Indigenous (First Nations, Métis, or Inuit)? This helps us connect participants with Indigenous-specific resources and supports on campus.
Indigenous Identity
Yes

No

I prefer not to answer

Please upload a valid photo ID. This will help us confirm your identity upon arrival at the program.
Upload ID (accepted formats: PDF, JPEG, JPG, PNG).^*
As part of the government-funded Destination Clic program, we are required to issue tax documents (T4A and T2202) to all participants. The Social Insurance Number (SIN) of the participant is required for this purpose.
If the participant does not have a SIN, please indicate “N/A” below. By doing so, you acknowledge and consent that the participant will not receive the T4A and T2202 tax documents.
SIN^*

Program Agreement

This agreement applies to the French as a First Language Destination Clic program offered at Glendon Campus, York University, for participants in grades 8 to 10. The purpose of this agreement is to foster a safe, inclusive, and enriching environment that supports cultural exchange, educational growth, and language acquisition. This program is designed to offer an immersive experience that not only enhances language skills but also encourages self-exploration, personal growth, and a deeper understanding of diverse cultures.
We ask that all participants commit to engaging with these core aspects of the program. If your intention is not to embrace the opportunities for cultural learning, self-reflection, and educational development, we kindly request that you reconsider your enrollment. This experience is as much about personal discovery as it is about language learning, and your active participation in this journey is vital to creating a positive and meaningful experience for all.
As a reminder, the Glendon Destination Clic program is designed to provide a comprehensive linguistic and cultural learning experience. Through ongoing efforts, the program will offer a variety of excursions, activities, and programming tailored to educational and linguistic objectives. Furthermore, all activities, programming, and excursions must be accessible to participants from diverse socio-economic and cultural backgrounds, in alignment with the program’s status as an Official Languages Program supported by a government bursary.
By agreeing to the conditions outlined below, you help contribute to a supportive and transformative learning environment for everyone involved. Any violation or failure to adhere to these conditions may result in a participant being sent home and excluded from completing the program.
For a sample schedule of mandatory program activities, please refer here.

Program Conditions

Any one of the following will constitute sufficient cause for dismissal from the program:
1.^*
Refusal to engage in the target language is unacceptable and is subject to dismissal from the program. The target language is to be consistently used throughout the duration of the program.
I accept.
1.1.^*
Once a participant has had three language warnings and has engaged in discussions regarding use of their target language with the Head/Assistant-Head Monitor, Program Coordinator and/or Program Director, they may be subject to dismissal from the program.
I accept.
2.^*
Attendance at classes, workshops, seminars, and mandatory program events is mandatory. Failure to attend mandatory program activities without valid permission from the Program Coordinator and/or Program Director is deemed unacceptable.
I accept.
2.1.^*
Without explicit permission or a substantiated justification, a Certificate of Program Completion will not be conferred upon participants absent from more than six mandatory program activities. A program activity is defined as a class, seminar, workshop, or other compulsory/mandatory program event. Instances of extenuating circumstances will be individually assessed by the Program Coordinator and/or Program Director.
I accept.
2.2.^*
Participants and/or their parents/guardians are required to communicate all absences from a program activity in writing to the office, regardless of reason, for tracking purposes.
I accept.
2.2.1.^*
Participants who do not communicate absences to the office can expect a follow-up from program staff in the form of a phone call and wellness check in residence. This is to ensure the safety and well-being of all program participants during their time at Glendon. If participants are still yet to be found in their residence room and/or on campus, staff and security will conduct a search of the campus. If a participant cannot be located, parents and/or guardians will be notified, and Toronto Police Services will be contacted.
I accept.
2.3.^*
Any absences or instances of conflicting commitments that interfere with the program's scheduled classes, workshops, seminars and compulsory events will be considered as official absences. This includes but is not limited to illness, employment, family obligations, other academic classes, etc.
I accept.
2.4.^*
Program staff will notify participants and their parents/guardians when a participant is approaching the maximum allowable number of absences and may be at risk of forfeiting their certificate of completion.
I accept.
2.5.^*
If a participant exceeds the maximum allowable number of absences (six) from mandatory program activities, they will be notified via email and required to leave the program at their own expense within 24 hours.
I accept.
3.^*
Any conduct characterized by disrespect, irresponsibility, disruption, lack of cooperation, or harassment towards any individual is strictly prohibited.
I accept.
3.1.^*
Acts of harassment, bullying (including cyberbullying), dissemination of gossip, use of inappropriate language, or engagement in slander, whether overtly or covertly, are deemed unacceptable. This encompasses inappropriate written communications via social media platforms, text messages, email, as well as postings in public areas of the campus such as classroom whiteboards or blackboards, public bulletin boards, washrooms, common spaces in campus facilities or residence halls, among others. Instances of sexual harassment will be addressed in accordance with York University’s Policy on Sexual Violence, accessible via this link: https://thecentre.yorku.ca/policy-and-process/
I accept.
3.2.^*
A strict zero-tolerance policy regarding all forms of violence, inclusive of verbal, physical, and sexual violence, shall be enforced. Participants found to engage in violent behaviour will be promptly expelled from the program.
I accept.
4.^*
Inflicting damage upon property or engaging in acts of vandalism against all York University premises, including those of the Glendon Campus, inclusive of public areas on campus, vegetation, residential facilities, and communal spaces, is strictly prohibited. This prohibition extends to the damaging or vandalizing of personal belongings or possessions of others throughout the program duration.
I accept.
4.1.^*
Any act of vandalism, including but not limited to the intentional destruction, defacement, or damage of property, will not be tolerated under any circumstances. This applies to all areas of York University campuses, including the Glendon Campus, and including outdoor spaces, residence areas, communal rooms, classrooms, and all common areas of the main campus buildings.
I accept.
4.2.^*
Vandalism of a more severe nature, or repeated violations, may result in immediate dismissal from the program. The participant will be sent home without the opportunity to complete the program, and no refund will be issued.
I accept.
4.3.^*
Participants are expected to treat all residence rooms and communal areas of the residences, including common rooms, shared bathrooms, corridors, lobbies, stairwells, elevators, and laundry facilities, with respect and consideration. In addition to keeping these spaces clean, participants are expected to be mindful of noise levels and ensure their personal belongings do not clutter shared areas. Participants should clean up after using any common space, promptly report any issues to program staff, and avoid obstructing hallways or other shared resources. In their own rooms, participants should maintain tidiness, monitor noise levels, etc. Disrespecting shared spaces or failing to be considerate of others’ needs may result in disciplinary action.
I accept.
4.4.^*
Participants are under no circumstances allowed access to or use of the kitchen facilities in the Glendon residences. This includes but is not limited to the use of facilities and the appliances, including but not limited to the stove, sink, microwave and fridge. Any unauthorized items found in the kitchens, including food found in fridges, may result in items being discarded without prior warning, and no refund will be provided.
I accept.
4.5.^*
The $250.00 security deposit paid by a participant upon registration may be retained should instances of property vandalism or other damage be identified throughout the duration of the program.
I accept.
5.^*
The Glendon residence room keys and residence access cards issued to participants at the beginning of the program are the sole responsibility of the participant. Keys and access cards are not to be loaned, transferred, or shared under any circumstances. Glendon reserves the right to charge fees for lost, damaged, or unreturned keys and access cards.
I accept.
5.1.^*
In the event that a residence room key is lost or damaged, the participant will incur a lost key fee of $175.00, to cover the cost of the lock rekeying and key replacement. This fee will be paid by the participant directly to Glendon Housing & Ancillary Services. No new keys will be issued to a participant until all outstanding fees have been remitted. Payment can be made in person to Glendon Housing & Ancillary Services between the hours of 9:00am to 4:00pm (EST) Monday to Friday. York University, including Glendon Destination Clic and Glendon Housing & Ancillary Services, will not be held liable for any losses that occur as a result of a room being left unlocked.
I accept.
5.2.^*
If a residence room key is lost more than once, an additional $175.00 rekeying and key replacement fee will be charged for each instance. This fee will be paid by the participant directly to Glendon Housing & Ancillary Services. No new keys will be issued to a participant until all outstanding fees have been remitted. Payment can be made in person to Glendon Housing & Ancillary Services between the hours of 9:00am to 4:00pm (EST) Monday to Friday. Glendon Destination Clic and Glendon Housing & Ancillary Services will not be held liable for any losses that occur as a result of a room being left unlocked.
I accept.
5.3.^*
If a residence access card is lost or damaged, the participant will incur a $30.00 replacement fee. This fee will be paid by the participant directly to Glendon Housing & Ancillary Services. A new residence access card will not be issued to a participant until all outstanding fees have been remitted. Payment can be made in person to Glendon Housing & Ancillary Services between the hours of 9:00am to 4:00pm (EST) Monday to Friday.
I accept.
5.4.^*
If a residence access card is lost more than once, an additional $30.00 fee will be charged for each instance. This fee will be paid by the participant and directly to Glendon Housing & Ancillary Services. Payment can be made in person to Glendon Housing & Ancillary Services between the hours of 9:00am to 4:00pm (EST) Monday to Friday.
I accept.
5.5.^*
The residence room key and access card issued to each participant during the program are uniquely numbered and must match the participant’s assigned room. Upon departure, participants are required to return the exact key and access card provided to them during the program. Failure to return the residence room key or access card, or returning items that do not match those issued, will result in the following charges, which will be deducted from the participant’s security deposit: - Incorrectly numbered or unreturned residence room key: $175.00 per key - Incorrectly numbered or unreturned residence access card: $30.00 per access card
I accept.
5.6.^*
Glendon Destination Clic reserves the right to enforce this policy and charge the participant accordingly for any lost, damaged, unreturned or incorrectly numbered residence room keys or residence access cards. Charges may be directly withheld from the participant’s security deposit.
I accept.
6.^*
The possession and/or consumption of illegal drugs, non-prescription narcotics, and/or prescription medication for purposes other than those prescribed are strictly prohibited.
I accept.
6.1.^*
It is prohibited for individuals under the age of 19 to possess or consume alcohol, as well as to supply alcohol to any person below the age of 19.
I accept.
7.^*
Possession of open alcohol containers and/or alcohol contained in breakable containers in public areas within the campus and its residential facilities, including stairwells, hallways, washrooms, and elevators, is strictly prohibited.
I accept.
8.^*
For the safety, security, and comfort of all participants, bringing guests (defined as individuals not enrolled in the Glendon Destination Clic program) into the Glendon residences is strictly prohibited, with the exception of the designated move-in and move-out days. Guests are allowed only in common areas on campus, and not within individual or common residence spaces.
I accept.
9.^*
Guests (defined as individuals not enrolled in the program) are not permitted to participate in or attend scheduled program activities whether on or off campus, including organized excursions and trips, as well as programming or scheduled events. This ensures that participants can fully engage in the program experience without disruption to the program or concern for safety.
I accept.
10.^*
For reasons related to security and room capacity limitations, guests, including but not limited to family members and friends, are not permitted to attend graduation ceremonies or other program events. We appreciate your understanding and cooperation in maintaining a secure and respectful environment for all members of the program.
I accept.
11.^*
While mental health resources are available to support participant during their stay on campus, our program is not equipped to function as a crisis centre. Any crisis situations that arise will be escalated to emergency services, including hospital or police intervention, as necessary. If a participant has experienced a recent crisis prior to the start of the program, we strongly encourage they prioritize their recovery and carefully reconsider enrolling in our program. A foreign environment may exacerbate symptoms and could hinder a participant’s well-being.
I accept.
12.^*
Upholding academic integrity stands as a cornerstone to the values upheld by both York University and Glendon Destination Clic. For detailed guidelines, please refer to York University’s Policy on Academic Integrity (https://www.yorku.ca/unit/vpacad/academic-integrity/).
I accept.
12.1.^*
Throughout assessments, projects, in-class activities, presentations, and homework assignments, participants are expected to demonstrate honesty and responsibility in their academic endeavours, adhering strictly to York University’s policies on academic integrity and academic honesty. Any involvement in academic misconduct may result in immediate dismissal from the program. This encompasses excessive reliance on or misuse of translation tools (Google Translation, DeepL, etc.), as well as the utilization of artificial intelligence tools (ChatGPT, etc.) for the generation of assignments or presentations, among other infractions.
I accept.
12.2.^*
Plagiarism is unequivocally prohibited and will warrant dismissal from the program.
I accept.
13^*
If participants need to receive mail at Glendon Campus during the program, please send all packages and mail to the address below: *Participant’s First and Last Names* – Glendon Destination Clic Program York Hall A112 2275 Bayview Avenue Toronto ON M4N 3M6
I accept.
13.1.^*
Packages will be picked up by our staff once per day from the Glendon Mail Room. Participants are responsible for collecting their mail and/or packages from the our office (room YH A112) promptly. It is the participant’s sole responsibility to retrieve their mail and packages, a friend and/or delegate cannot retrieve them on behalf of another participant. No exceptions will be made.
I accept.
13.2.^*
Glendon Destination Clic is not responsible for any issues related to mail carriers, lost packages, or missing items that do not arrive at the Glendon Campus or are not properly delivered to the program office or the Glendon Mail Room.
I accept.
13.2.1.^*
Please note that couriers do not deliver packages directly to residence rooms. As such, items addressed to participants in residence may get lost or misplaced, as mail carriers will not hesitate to leave them wherever they see fit, including in public residence lobbies or other areas of campus accessible by the public. This may result in lost packages and/or mail. Glendon Destination Clic will not be held accountable for lost packages.
I accept.
14.^*
The $250.00 security deposit ensures that participants will be held accountable to cover any of the damages or losses outlined below to the York University campuses or residences, including those of the Glendon Campus.
I accept.
14.1.^*
Any damages, lost property, or unnecessary service or cleaning costs caused by a participant to the residences, classrooms, facilities and/or property of York University, including the Glendon Campus, through neglect, accident or intent will be charged to the participant(s) involved.
I accept.
14.2.^*
Where two participants occupy the same room in the residence buildings and responsibility for damage or loss in the room is attributed to both participants, the cost of damage or loss will be divided and assessed equally between the two bursary participants occupying the room.
I accept.
14.3.^*
Where damage or loss occurs in the common areas of York University campuses, including the Glendon Campus, and the blame rests on the participants, the cost of damage or loss will be divided and assessed equally among all the participants, or those residing on specific floors, and deducted from their deposits if the assessed amount is less than $250.00 per participant. If the amount exceeds $250.00, participants will be billed for the difference. No issuing of final program certificates will be done until all money is collected.
I accept.
14.4.^*
In the event of an emergency where the participant cannot make a payment on-site for transportation (e.g., Uber, taxi, Lyft, etc.) to and/or from the hospital or clinic, the $250.00 security deposit may be used to cover the cost of such transportation. The participant will be required to reimburse the transportation costs as soon as possible upon return to campus, and any outstanding balances will be deducted from the security deposit at the conclusion of the program. If the amount exceeds the balance remaining on the security deposit, participants will be billed for the difference. No issuing of final program certificates will be done until all money is collected.
I accept.
14.5.^*
Unpaid costs for any lost, damaged, unreturned or incorrectly numbered residence room keys or residence access cards will be withheld from the $250.00 security deposit.
I accept.
14.6.^*
Payments can be made in person through debit card or credit card (Visa or Mastercard).
I accept.
14.7.^*
The $250.00 security deposit will be refunded to the original credit card used for payment, provided no damage or additional fees have been incurred. Due to internal daily transaction and refund limits, please allow 8 to 12 weeks post-program for reimbursements to be processed.
I accept.
15.^*
By participating in this program, I acknowledge that I am entering an area where photography, video recording, and audio recording may occur. I authorize York University’s Glendon Campus and its representatives to capture and use photographs, videos, and audio recordings of me. I further grant York University’s Glendon Campus the right to use, reproduce, display, broadcast, and distribute these recordings in any current or future media for promotional, public outreach, educational, and administrative purposes. All photographs, videos, and recordings will remain the property of York University’s Glendon Campus.
I accept.
16.^*
Cell phones or electronic devices must be put away when instructors, language monitors or staff are speaking or facilitating program activities to ensure a distraction-free environment. During unauthorized periods, excessive or inappropriate use of electronic devices – including but not limited to texting, phone calls, emailing, use of social media, or gaming – is strictly prohibited and may disrupt the program. Failure to comply with these guidelines may result in disciplinary action, including temporary confiscation of devices during unauthorized periods, or dismissal from the program.
I accept.
17.^*
Participants of the Glendon Destination Clic program are not, under any circumstances, permitted to leave the Glendon campus unaccompanied. Participants must always be accompanied by a program teacher, language monitor and/or staff when leaving the campus grounds.
I accept.
17.1.^*
Participants may leave campus under parental or guardian supervision, provided the program office has been notified in advance. When possible, it is preferable that a minimum of 2-business days’ notice be provided in writing to the program office by parents and/or guardians. All participants leaving campus with a parent and/or guardian must abide by the sign-out and sign-in procedures in place. No exceptions will be made. Failure to abide by the sign-in and sign-out procedures may result in disciplinary action, including dismissal from the program.
I accept.
17.2.^*
Participants should not be signed out during mandatory program fulfilment hours, including times allocated to class, seminar and workshop, and mandatory evening activities. If a participant is absent from any mandatory program activities, they will accumulate an absence, per the attendance policy outlined in section 2.
I accept.
17.3.^*
Under no circumstances can a participant be picked up by a parent, guardian or other adult during an off-campus excursion or any sort of off-campus trip. Participants can only be signed out by a parent or guardian at the Glendon campus during office hours.
I accept.
Note: If dismissed from the program, participants must leave the campus immediately, within 24 hours, and return home at their own expense.
By initializing below, I have read, understood, and agree to the Program Agreement Form.
Participant's Initials^*
Parent/Guardian Initials^*
Date^*
Housing Agreement

The conditions and policies outlined in this document are designed to ensure a safe, secure, and respectful environment for all participants in the Glendon Destination Clic program while staying at York University’s Glendon Campus. These measures are put in place to protect both the participants and the facilities, promote responsible behaviour, and a safe and secure experience for all. By adhering to the policies and conditions, and with the help of participants' responsibility, respect, cooperation, and support; participants will be able to fully engage in and benefit from all that the immersive language program that is Glendon Destination Clic.

Housing Conditions

1.^*
Inflicting damage upon property or engaging in acts of vandalism against all York University residences, including those on the Glendon Campus, is strictly prohibited. This prohibition extends to the damaging or vandalizing of personal belongings or possessions of others throughout the program duration.
I accept.
1.1.^*
Any act of vandalism, including but not limited to the intentional destruction, defacement, or damage of property, will not be tolerated under any circumstances. This applies to all areas of York University residences, including those on the Glendon Campus.
I accept.
1.2.^*
Vandalism of a more severe nature, or repeated violations, may result in immediate dismissal from the program. The participant will be sent home without the opportunity to complete the program, and no refund will be issued.
I accept.
1.3.^*
Participants are expected to treat all residence rooms and communal areas of the residences, including common rooms, shared bathrooms, corridors, lobbies, stairwells, elevators, and laundry facilities, with respect and consideration. In addition to keeping these spaces clean, being mindful of noise levels, and ensuring personal belongings do not clutter shared areas, participants should also clean up after using any common space, promptly report any issues to program staff, and avoid obstructing hallways or other shared resources. In their own rooms, participants should maintain tidiness, monitor noise levels, etc. Disrespecting shared spaces or failing to be considerate of others’ needs may result in disciplinary action.
I accept.
1.4.^*
Participants are under no circumstances allowed access to or use of the kitchen facilities in the Glendon residences. This includes but is not limited to the use of facilities and the appliances, including the stove, sink, microwave and fridge. Any unauthorized items found in the kitchens, including food found in fridges, may result in items being discarded without prior warning, and no refund will be provided.
I accept.
1.5.^*
The $250.00 security deposit paid by a participant upon registration may be retained should instances of property vandalism or other damage be identified throughout the duration of the program.
I accept.
2.^*
The Glendon residence room keys and residence access cards issued to participants at the beginning of the program are the sole responsibility of the participant. Keys and access cards are not to be loaned, transferred, or shared under any circumstances. Glendon reserves the right to charge fees for lost, damaged, or unreturned keys and access cards.
I accept.
2.1.^*
In the event that a residence room key is lost or damaged, the participant will incur a lost key fee of $175.00, to cover the cost of the lock rekeying and key replacement. This fee will be paid by the participant directly to Glendon Housing & Ancillary Services. No new keys will be issued to a participant until all outstanding fees have been remitted. Payment can be made in person to Glendon Housing & Ancillary Services between the hours of 9:00am to 4:00pm (EST) Monday to Friday. York University, including Glendon Destination Clic and Glendon Housing & Ancillary Services, will not be held liable for any losses that occur as a result of a room being left unlocked.
I accept.
2.2.^*
If a residence room key is lost more than once, an additional $175.00 rekeying and key replacement fee will be charged for each instance. This fee will be paid by the participant directly to Glendon Housing & Ancillary Services. No new keys will be issued to a participant until all outstanding fees have been remitted. Payment can be made in person to Glendon Housing & Ancillary Services between the hours of 9:00am to 4:00pm (EST) Monday to Friday. Glendon Destination Clic and Glendon Housing & Ancillary Services will not be held liable for any losses that occur as a result of a room being left unlocked.
I accept.
2.3.^*
If a residence access card is lost or damaged, the participant will incur a $30.00 replacement fee. This fee will be paid by the participant directly to Glendon Housing & Ancillary Services. A new residence access card will not be issued to a participant until all outstanding fees have been remitted. Payment can be made in person to Glendon Housing & Ancillary Services between the hours of 9:00am to 4:00pm (EST) Monday to Friday.
I accept.
2.4.^*
If a residence access card is lost more than once, an additional $30.00 fee will be charged for each instance. This fee will be paid by the participant and directly to Glendon Housing & Ancillary Services. Payment can be made in person to Glendon Housing & Ancillary Services between the hours of 9:00am to 4:00pm (EST) Monday to Friday.
I accept.
2.5.^*
The residence room key and access card issued to each participant during the program are uniquely numbered and must match the participant’s assigned room. Upon departure, participants are required to return the exact key and access card provided to them during the program. Failure to return the residence room key or access card, or returning items that do not match those issued, will result in the following charges, which will be deducted from the participant’s security deposit: - Incorrectly numbered or unreturned residence room key: $175.00 per key - Incorrectly numbered or unreturned residence access card: $30.00 per access card
I accept.
2.6.^*
Glendon Destination Clic reserves the right to enforce this policy and charge the participant accordingly for any lost, damaged, unreturned or incorrectly numbered residence room keys or residence access cards. Charges may be directly withheld from the participant’s security deposit.
I accept.
3.^*
Possession of open alcohol containers and/or alcohol contained in breakable containers in public areas within the campus and its residential facilities, including stairwells, hallways, washrooms, and elevators, is strictly prohibited.
I accept.
4.^*
For the safety, security, and comfort of all participants, bringing guests (defined as individuals not enrolled in the program) into the Glendon residences is strictly prohibited, with the exception of designated move-in and move-out days. During these times, guests are allowed only in common areas, not within individual residence spaces.
I accept.
5.^*
The $250.00 security deposit ensures that participants will be held accountable to cover any of the damages or losses outlined below to the York University campuses or residences, including those of the Glendon Campus.
I accept.
5.1.^*
Any damages, lost property, or unnecessary service costs caused by an participant to the residences of York University, including those on the Glendon Campus, through neglect, accident or intent will be charged to the participant(s) involved.
I accept.
5.2.^*
Where two participants occupy the same room in the residence buildings and responsibility for damage or loss in the room is attributed to both participants, the cost of damage or loss will be divided and assessed equally between the two bursary participants occupying the room.
I accept.
5.3.^*
Where damage or loss occurs in the common areas of York University campuses, including the Glendon Campus, and the blame rests on the participants, the cost of damage or loss will be divided and assessed equally among all the participants, or those residing on specific floors, and deducted from their deposits if the assessed amount is less than $250.00 per participant. If the amount exceeds $250.00, participants will be billed for the difference. No issuing of final program certificates or transfer of files to other academic institutions will be done until all money is collected.
I accept.
5.4.^*
Unpaid costs for any lost, damaged, unreturned or incorrectly numbered residence room keys or residence access cards will be withheld from the $250.00 security deposit.
I accept.
5.5.^*
Payments can be made in person through debit card or credit card (Visa or Mastercard).
I accept.
5.6.^*
The $250.00 security deposit will be refunded to the original credit card used for payment, provided no damage has occurred. Due to internal daily transaction and refund limits, please allow 8 to 12 weeks post-program for reimbursements to be processed.
I accept.
6.^*
Curfew will be enforced daily, Monday through Sunday. All participants are required to be in their assigned rooms in residence between 10:00 PM and 6:30 AM daily. For information regarding behaviour that is prohibited in the residence buildings, refer to the York University Residence Community Standards webpage here: https://reslife.yorku.ca/handbook/community-standards
I accept.
7.^*
Quiet hours will be monitored and strictly enforced by overnight staff. Participants who fail to comply with these hours may face disciplinary action, which could include possible dismissal from the residence. - Sunday to Thursday: 11:00 PM to 7:00 AM - Friday to Saturday: 12:00 AM to 7:00 AM
I accept.

Safety and Security Conditions

The safety and well-being of all participants in the Glendon Destination Clic program are of utmost importance. To ensure a secure and comfortable environment during their stay, the following safety and security protocols are in place.
1.^*
Both the Wood and Hilliard Residence buildings are equipped with exterior entrances which are locked at all times. Participants will have access to the building only through their residence access key cards, which are provided on move-in day. These key cards will grant entry to their assigned residence building. Participants must always carry their key cards to ensure they can enter their assigned residence building. Lost or stolen key cards must be reported immediately to Glendon program and/or Housing staff for replacement. Replacement fees will apply, per the specifications in Section 2 of the Housing Conditions section of the present Residence/Housing Agreement.
I accept.
1.1.^*
Participants will receive their residence room assignments on move-in day. Residence rooms in both the Wood and Hilliard Residence buildings are accessible via key. Participants must always carry their room key to enter their room. Lost or stolen residence room keys must be reported immediately to Glendon program and/or Glendon Housing & Ancillary Services staff for replacement and re-keying. Replacement fees will apply, per the specifications in Section 2 of the Housing Conditions section of the present Residence/Housing Agreement.
I accept.
1.2.^*
If participants leave their rooms unlocked for any period, Glendon Destination Clic or Glendon Housing & Ancillary Services will not be held responsible for any lost and/or stolen items.
I accept.
1.3.^*
York University Campus Security provides surveillance and monitoring of the campus 24/7 through campus patrols. Security personnel are available to respond to emergencies through first-aid, monitor the campus buildings and surrounding areas, and help when necessary. They are trained to liaise with program staff in case of any urgent issues that require the escort of emergency services. For more information, please see here: https://www.yorku.ca/safety/security-services/
I accept.
2.^*
In the event of an emergency (e.g., fire, medical issue, or security threat), York University Campus Security will respond immediately. Program staff will be available to assist in managing the situation, ensuring all participants' safety, and facilitating evacuation procedures if necessary. Participants will be briefed on emergency exits, fire alarms, and evacuation routes upon arrival.
I accept.
3.^*
Cleaning staff will be present on weekdays and Saturdays to maintain the cleanliness of the residence. This includes changing bed sheets (once a week), and pillowcases (once a week), also ensuring the overall cleanliness of the common areas including bathrooms.
I accept.
3.1.^*
If external cleaning services are required due to extenuating circumstances related to the cleanliness of common spaces caused by participants (such as bathrooms), an additional cleaning fee may be charged. This fee will be deducted from the security deposits of the participants who share and are responsible for maintaining that common area.
I accept.
3.2.^*
Participants are responsible for disposing of their personal garbage and recycling. Each participant must take their garbage and recycling to the designated disposal areas within the residence. Cleaning staff will not be responsible for removing garbage from individual rooms.
I accept.
3.3.^*
It is expected that participants will keep their rooms in a reasonably clean and tidy condition throughout their stay. Any issues with cleanliness or maintenance in individual rooms should be reported promptly to Glendon Destination Clic program or Glendon Housing & Ancillary Services staff.
I accept.
By initializing below, I have read, understood, and agree to the Housing and Safety and Security Conditions.
Participant's Initials^*
Parent/Guardian Initials^*
Date

Health Accommodations

Participants are encouraged to identify any accommodations they may require throughout the program. Additionally, participants are requested to disclose any medical conditions, as well as prescribed medications they are currently taking.
This information will be kept confidential and will not negatively impact your application. This will allow us to ensure that participants are equipped resources needed to succeed during their time at Glendon and to provide optimal assistance in the event of an emergency.

Do you have health insurance?^*
Yes

No

If you have provincial health coverage, please indicate the province of coverage and provide your health card number. If you are covered by a private or non-provincial insurance plan, please include the name of the insurance provider, your policy number, and any other relevant details.
Health Insurance Information^*
Do you have any conditions that might require additional support or accommodation during the program (related to learning, physical or mental health, etc.)?
Additional Support^*
Yes

No

If yes, kindly provide details regarding your situation and specify any necessary accommodations by uploading an official document (e.g. physician’s note, individualized learning/educational plan, etc.).
Additional Support (Details)^*
Additional Support (accepted formats: PDF, JPEG, JPG, PNG).^*
Do you have any specific medical conditions? (e.g., seasonal allergies, asthma, diabetes, epilepsy, seizures, heart troubles, etc.)?
Medical Conditions^*
Yes

No

Medical Conditions (Details)^*
Are you taking any prescription medications?
Prescription Medications^*
Yes

No

Prescription Medications (Details)^*
Do you have any serious allergies that may require the use of an EpiPen?
Severe Allergies - EpiPen Required^*
Yes

No

If yes, please provide more details below and upload proof of documented disclosure of your allergy and medical proof of your need for an EpiPen (e.g. note from doctor or pharmacist, picture of your prescription or EpiPen, clearly stating your name).
Severe Allergies (Details)^*
Proof of Need for EpiPen for Severe Allergies (accepted formats: PDF, JPEG, JPG, PNG).^*

Meal Accommodations

Please note that all our meals accommodate a wide range of dietary restrictions and preferences (for example: vegetarian, vegan, Halal, etc.). Please note that York University is not a nut-free facility.
Note: Regrettably, participants are not permitted access to a kitchen under any circumstance. If you require access to a kitchen, kindly consider seeking admission at another institution.

Please indicate your dietary preferences^*
I eat meat

I am pescatarian

I am vegetarian

I am vegan

Do you require a special diet for medical reasons?
Medical Dietary Needs^*
Yes

No

If yes, please provide more details in text bow below and upload proof of documented disclosure from your physician. All persons requiring dietary accommodations due to medical reasons are required to provide a doctor's note. Participants with dietary restrictions that are not medically documented must personally cover the costs of meal supplements.
Medical Dietary Needs (Details)^*
Proof of Medical Dietary Needs (accepted formats: PDF, JPEG, JPG, PNG).^*
Do you have any non-life-threatening food allergies or sensitivities?
Food Allergies/Sensitivities^*
Yes

No

Food Allergies/Sensitivities (Details)^*
Do you require a special diet for religious reasons?
Religious Dietary Needs^*
Yes

No

Religious Dietary Needs (Details)^*

Information of Parents/Guardians & Emergency Contact

Provide details for the participant’s parents/guardians and emergency contact.
Contact Person 1
First Name^*
Last Name^*
Relationship to Person^*
Email^*
Mobile Number^*
Other Number

Contact Person 2
First Name^*
Last Name^*
Relationship to Person^*
Email^*
Mobile Number^*
Other Number

In case parents/guardians are unreachable, please provide details for an emergency contact.
First Name^*
Last Name^*
Relationship to Person^*
Email^*
Mobile Number^*
Other Number

Family Doctor Information

First Name
Last Name
Clinic/Hospital Name
Clinic/Hospital Address

Address Line 1

Address Line 2

City

Province or State

Country

Postal or Zip Code

Phone Number
Other Number

Waiver

I understand that participation in the Destination Clic Program, hosted by Glendon Continuing Education, both on and off the Glendon Campus of York University, involves a certain degree of risk that could result in injury, death or loss or damage to person or property. After carefully considering the risk involved, I hereby release, hold harmless and waive all claims associated with the scheduled activities of the Destination Clic program hosted by Glendon Continuing Education, which I may have against Glendon Continuing Education on Glendon Campus of York University, its employees, directors, agents, and volunteers.
I have read and understood the above.^*
Yes

Future Contact

I give York University’s Glendon Campus permission to contact me about future campus programs, events, and activities.
Contact Consent
Yes

No

Registration Fee and Security Deposit Payments

$275.00 non-refundable registration fee +

$250.00 refundable security deposit =
$525.00 in total

> Click here to read about the registration fee and security deposit payments.

I agree to pay $525.00 in total for the Destination Clic program at Glendon Campus of York University.^*
Yes

Name on Credit Card^*

Please Read Below Before Submitting

To complete your registration, please click on the "Proceed to Payment" button below and kindly WAIT to be redirected to the product and billing page.
We thank you for your interest in the Glendon Destination Clic program and we look forward to meeting you soon!

2026 Destination Clic: Registration Form

Instructions

How to prepare?

What do I need?

Need help?

Registration Form

Participant Information

Personal Statement

Additional Information

Program Agreement

Program Conditions

Housing Agreement

Housing Conditions

Safety and Security Conditions

Health Accommodations

Meal Accommodations

Information of Parents/Guardians & Emergency Contact

Family Doctor Information

Waiver

Future Contact

Registration Fee and Security Deposit Payments

Please Read Below Before Submitting

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