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REGISTRATION FORM
Summer with Amigos Camp
INSTRUCTIONS
Carefully read the following instructions:
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Before submitting this registration form, check the Camp Overview section on the website to ensure there are spots available.
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Your camp spot is only secured if you have fully completed and submitted the following registration form, along with all camp fees.
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The last day to register for the camp week is Friday July 14th at 1:00 pm.
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Read, understand, and agree to all our Camp Policies and Registration Agreement before submitting a registration.
SECTION A. HOUSEHOLD INFORMATION
A.1. Camper's Information
A.2. Family Information
First Parent or Guardian
Second Parent or Guardian
Additional Parent or Guardian
A.3. Emergency Contacts
Emergency Contact #1
Emergency Contact #2
Emergency Contact #3 (Optional)
A.4. Authorized Drop off/Pick up Persons
List below all persons +18 yrs. of age (parents, guardians, or others) authorized to drop off or pick up your child. ONLY the persons listed below will be authorized to pick up your child from camp, for the safety of your child there will be NO exemptions. Authorized person will be required to show photo ID.
*Note: If you need to update this list before the start of camp, contact us as soon as possible.
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SECTION B. MEDICAL INFORMATION
B.1. Medical Information
This section must be completed and signed by families to include all information related to allergies, medications, medical limitations, etc.
For further information read our Medical Policy.
Note: Our camp is an allergy aware environment. Please do not send your child to camp with any peanut or nut products.
Note: If your child requires an EpiPen, please provide two (2) non-expired EpiPens; one (1) for your child to carry with them, and one (1) for the staff to keep with them.
Note: Give details on your child’s medications such as medication name, dose, and times taken during camp hours and any notes on giving this medication to your child.
B.2. Additional Information
In this sub-section provide any additional information that we need to be aware of, to ensure that your child will have a safe and successful summer camp experience with us.
Note: If your child requires special medical, behavioural, or social support; contact us before submitting a registration, as we may not have the right supports in place for all children.
B.3. Medical Waiver
This medical waiver must be signed by a Parent or Guardian to complete the registration
To the best of my knowledge my child is in good health and has my permission to engage in all camp activities, with the exemption of any physical limitations as described.
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I hereby request and give permission to ‘Latin Roots Cultural Project’ staff to assist my child in administering his/her prescribed medicine and/or EpiPen according to Latin Roots Cultural Project Policies and instructions provided in this form. I fully acknowledge that with administration of medication and/or EpiPen may be certain risks or hazards for which I will not hold Latin Roots Cultural Project or any of its staff, volunteers, or members responsible.
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By signing this waiver, you confirm that you have read, understand, and agree to be bound by this Medical Waiver.
SECTION C. REGISTRATION SCHEDULE
C.1. Camp Details Summary
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Camp days: July 17 to July 21
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Camp hours: 9:00 am to 4:00 pm
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Camper drop off hours: 8:30 am to 9:00 am
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Camper pick up hours: 4:00 pm to 4:30 pm
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After-Care hours: 4:30 pm to 5:00 pm (additional fee of $25 CAD per camper, per week)
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Camp week fee: $210.00 CAD per camper, per week.
C.3. Payment Methods
Choose your preferred method of payment and follow the instructions. Once you have completed the payment, you MUST come back to finish and submit this form to complete your registration.
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If you are choosing to pay by e-transfer, please use the "Camp Fees Calculator" below to determine the amount to pay.
SECTION D. REGISTRATION SUMBISSION
In order to submit this registration you must have completed the following:
*Required fields are missing