JPCH Special Activity Request

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Name(Required)
MM slash DD slash YYYY
Time(Required)
:
MM slash DD slash YYYY
Alternate Time(Required)
:
Have you and/or your group visited JPCH before?(Required)
Do you plan to bring gifts or giveaways during your visit?(Required)
Please read:(Required)
Submission of this form does not guarantee approval of the event. Please allow up to three business days to hear back from our team. All activities must be safe for young children (no latex balloons, toxic or flammable materials, sharp tools, inappropriate content, glue guns, irons, etc.) All items must be politically and religiously neutral and inclusive of all children. Pamphlets and business cards cannot be distributed. Promotional materials are not permitted. No food or drink can be provided without prior communication and approval. No homemade food is allowed. All visitors must be 18 years of age or older. Visiting groups are NOT permitted to take photos or video of patients, families or patient care areas. Photo requests must be pre-approved and JPCHF and/or SHA team members will take photos for visiting groups. Cell phones are NOT permitted to be used during visiting group sessions. All activities will take place in the Child Life Zone or Family Theatre. Any and all items to be distributed to patients must be screened by the Child Life team. Items may be distributed later by staff. Visiting groups must be dressed in appropriate attire. Please wear closed toed shoes, no flip flops or sandals. Costumes may be worn, if appropriate to the care setting. If worn, costumes must be clean and not interfere with hand hygiene or use of personal protective equipment. Toy weapons are strictly prohibited as part of any costume. Due to infection control guidelines, mascot costumes are not permitted within the facility. Pay parking is available on-site. Follow the directions into the parkade. Parking must be paid for upon arrival at one of the pay stations located inside the hospital or through the ParkMobile app.

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