day camp forms to print
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a story of epic adventure.
sAGA ADMINIstRAtIoN DIRECtoR
CHARtWELL BAPtIst CHURCH
www.chartwellmississauga.com
ChartwellMississauga.com/saga
PARENT), (the CAMPER), who has my permission to attend and participate in Summer Camps run by Chartwell Baptist Church located at Chartwell Baptist Church (CBC) and Clarkson Road Presbyterian Church (CRPC). THE CAMPER hereby agrees to abide by the behavioral guidelines for the camp and the parent agrees that in the event that the CAMPER fails to comply with the guidelines or behaves in such a way as is likely to cause damage or injury to persons and the parent shall be responsible for any costs incurred in rectifying any damage. I also agree to pay additional care costs if my child is not picked up by 3:30 pm, as stated in camp policies.
All Saga Camps are run by Chartwell Baptist Church who have been providing the (inc. Clarkson ADDRESS apt #)community with quality summer programs for more than ten CITY years. Camp is run by carefully screened and children’s programing.
HOME PHONE
HEALTH CARD NO.
(completed by June 2016)
is for campers who have completed Grades 1-4
is for campers who have completed Grades 5-7
THE PARENT
Does the applicant use an epi-pen or have any emotional, behavioural, for campers who have completed 2-7/ No physical, dietary, allergic,ismedication or other concerns? (pleaseGrades circle) Yes If “Yes”, please state VERY CLEARLY here or attach a note of explanation. CAMP HoURs
obtain the services of a duly licensed physician and to secure appropriate treatment equivalent medical insurance. to travel to Lewis Bradley pool and all parks on foot, and to swim at these pools, over the course of the summer, as well as to travel by bus
Camp Programming: 10 am – 3:00 pm Supervised Sign-out: 3 – 3:30 pm ExtENDED CARE
camp. In the event that the parent does not receive the weekly newsletter from the CAMPER, it is the parent’s responsibility to contact Chartwell the following day to obtain a copy thereof. THE PARENT AND THE CAMPER hereby acknowledge that there are inherent risks involved in the travel and group activities which comprise the camp, and voluntarily elect to assume said risks as their sole responsibility. The parent and the CAMPER hereby release Chartwell Baptist Church, Clarkson Road Presbyterian Church and its pastors, leaders, servants, agents, employees, and volunteers from any and all liability, claims, damages and costs for loss, personal injury, accident, misfortune or by Chartwell Baptist Church. It is understood that Chartwell Baptist Church and CRPC shall take reasonable precautions to provide for the health and safety of the CAMPER. that Saga is a Christian camp where CAMPERS will participate
DAYTIME PHONE EMAIL ADDRESS looking after these campers.
NAME Day Camp: DAYTIME spinPHONE Camp sports RELATION TOCamp: CAMPER
Bagged Lunch (nut-free) Sunscreen Sun Hat Comfortable Shoes
REGIstER EARLY: All camps have limited numbers for each week, so register early to ensure your
Can the above stated camper walk home alone? (circle) Y / N ____ (Initial) having read and understood each of the foregoing provisions and agree to abide by the terms of this agreement, authorization and waiver.
DAy Camps, priority is given to to campers who liveout. List*At theSAgA names ofand any SPIN adults who have your permission sign your child within the L5J postal code. All other registrations will be placed (Any names not on this list will be unable to sign the camper out withouton a a wait-list which handwritten note) opens on June 6th.
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- - - - -- ---
x Camps
--
.--
----- --
a story of epic adventure.
sAGA ADMINIstRAtIoN DIRECtoR
CHARtWELL BAPtIst CHURCH
www.chartwellmississauga.com
ChartwellMississauga.com/saga
PARENT), (the CAMPER), who has my permission to attend and participate in Summer Camps run by Chartwell Baptist Church located at Chartwell Baptist Church (CBC) and Clarkson Road Presbyterian Church (CRPC). THE CAMPER hereby agrees to abide by the behavioral guidelines for the camp and the parent agrees that in the event that the CAMPER fails to comply with the guidelines or behaves in such a way as is likely to cause damage or injury to persons and the parent shall be responsible for any costs incurred in rectifying any damage. I also agree to pay additional care costs if my child is not picked up by 3:30 pm, as stated in camp policies.
All Saga Camps are run by Chartwell Baptist Church who have been providing the (inc. Clarkson ADDRESS apt #)community with quality summer programs for more than ten CITY years. Camp is run by carefully screened and children’s programing.
HOME PHONE
HEALTH CARD NO.
(completed by June 2016)
is for campers who have completed Grades 1-4
is for campers who have completed Grades 5-7
THE PARENT
Does the applicant use an epi-pen or have any emotional, behavioural, for campers who have completed 2-7/ No physical, dietary, allergic,ismedication or other concerns? (pleaseGrades circle) Yes If “Yes”, please state VERY CLEARLY here or attach a note of explanation. CAMP HoURs
obtain the services of a duly licensed physician and to secure appropriate treatment equivalent medical insurance. to travel to Lewis Bradley pool and all parks on foot, and to swim at these pools, over the course of the summer, as well as to travel by bus
Camp Programming: 10 am – 3:00 pm Supervised Sign-out: 3 – 3:30 pm ExtENDED CARE
camp. In the event that the parent does not receive the weekly newsletter from the CAMPER, it is the parent’s responsibility to contact Chartwell the following day to obtain a copy thereof. THE PARENT AND THE CAMPER hereby acknowledge that there are inherent risks involved in the travel and group activities which comprise the camp, and voluntarily elect to assume said risks as their sole responsibility. The parent and the CAMPER hereby release Chartwell Baptist Church, Clarkson Road Presbyterian Church and its pastors, leaders, servants, agents, employees, and volunteers from any and all liability, claims, damages and costs for loss, personal injury, accident, misfortune or by Chartwell Baptist Church. It is understood that Chartwell Baptist Church and CRPC shall take reasonable precautions to provide for the health and safety of the CAMPER. that Saga is a Christian camp where CAMPERS will participate
DAYTIME PHONE EMAIL ADDRESS looking after these campers.
NAME Day Camp: DAYTIME spinPHONE Camp sports RELATION TOCamp: CAMPER
Bagged Lunch (nut-free) Sunscreen Sun Hat Comfortable Shoes
REGIstER EARLY: All camps have limited numbers for each week, so register early to ensure your
Can the above stated camper walk home alone? (circle) Y / N ____ (Initial) having read and understood each of the foregoing provisions and agree to abide by the terms of this agreement, authorization and waiver.
DAy Camps, priority is given to to campers who liveout. List*At theSAgA names ofand any SPIN adults who have your permission sign your child within the L5J postal code. All other registrations will be placed (Any names not on this list will be unable to sign the camper out withouton a a wait-list which handwritten note) opens on June 6th.
