Narrow Lake Youth Camp 2019 Student Camp Form

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1 Hello Summer Camper! Welcome to Narrow Lake Youth Camp, or, if you are returning, welcome back! It is my privilege to lead the Narrow Lake Youth Camp, I am grateful to have the opportunity this year to work more closely with you and others at camp. At Narrow Lake Youth Camp, we strive for excellence in all aspects of summer camping for our campers. We are proud of our more than 30 years of excellent providing this summer camp in Alberta. We stand on the side of young people and strive to serve them well. If at any time you need information or assistance, or have a suggestion concerning how we might improve our services, please do not hesitate to call myself at Or us at narrowlakeyouthcamp@outlook.com. Please take a moment to read through this information. The youth camps are held at Narrow Lake Conservation Center, which is located approximately 25 minutes southwest of Athabasca. Due to the success and popularity of our youth camp we will be once again be offering two camps this summer. Both camps will offer the same courses and certifications. Please register for the one that fits with your schedule. The camp is open to both girls and boys ages (due to Federal firearms regulations all participants must be 12 years of age by the end of the camp week). Due to the high interest of the camp and limited space, a refund policy has been put into effect. If you are unable to come to camp, you can cancel with a full refund prior to May 31, If you cancel after May 31, 2019, $250 refund will be given. If you cancel three weeks prior to the camp start date no refund will be given, a no show on the day of camp sign in, will also be given no refund. However, if a club has paid for your student, they can send someone else in the place of that student with no money lost. If the camp is full please narrowlakeyouthcamp@outlook.com and ask to go on the waiting list. If someone drops out you will be notified depending on your priority level. Official acceptance letters will be mailed out beginning of May. This will include which week and which level the camper is enrolled in, as well as drop off & pick up times. Also, a recommended packing list and directions. Camp is usually full end of April so get your forms in as soon as you can. No news is good news, just look for the information package in the mail. Our chef is a culinary instructor at N.A.I.T. Our chef is able to accommodate for any food allergies as long as it is made aware of on the registration form. There is plenty of food available for all, when seconds are called don't be shy, to go get more till you are full! This is an Outdoor camp, majority of their time is spent outdoors, including experiencing sleeping in a tent. These are outfitter tents, for the last night of camp the campers get to experience the outdoors and get to sleep in a lean-to that they build. It makes for a fun and eventful experience. The cost for the week is $500 per participant, this fee includes all lodging, meals Sunday dinner till Saturday BBQ. Also includes all instruction, course books, course fee s and testing for the various certifications. All participants are to take these courses serious as it is not a guarantee that they will pass their tests. I hope that I will have the opportunity to meet you in person. Sincerely, - Camp Director, Narrow Lake Youth Camp 1

2 Please print legibly, mail this form in with registration fees or form if you are e-transferring the registration fees. Part A: Camp Information I want to attend camp: Camp 1: June 30- July 6 Camp 2: July I am sponsored by the Fish & Game Club I am NOT sponsored by an Alberta Fish and Game Club * For insurance purposes, you need to be a member of the Alberta Fish and Game association. * 1 st year BASIC Camper - Select any courses that the camper has previously taken. Hunter s Training 2 nd year- ADVANCED Camper Classes they will be taking: - Restricted Firearms Safety (Narrow Lake) - Wilderness Survival (Narrow Lake) - Leadership (Narrow Lake) Un-Restricted Firearms Safety Boater s Safety FEE $ ALL FORMS ZONE 4 AND 5 AFGA MEMBERS ARE DUE NO LATER THAN APRIL 15, ALL NON- ZONE 4/5 MEMBER FORMS WILL BE TAKEN IN DATE RECEIVED, AFTER APRIL 15, 2019, FORMS WILL BE TAKEN UNTIL CAMPS ARE FULL. NO POSTDATED CHEQUES PLEASE! They will be sent back. Please note, due to space and availability you will be notified if there will be a change in the time slot. Sending In cheque or money orders secures your spot. *** There will be a $50 charge to all NSF cheques received. Please make cheques or money orders payable to and enclose fees with forms: Cheques payable to: Narrow Lake Youth Conservation Camp Send to: c/o, Registrar Morinville, AB T8R 0B7 Paid By: Please check payment Option Cheque: Make payable to Narrow Lake Youth Conservation Camp- Please Mail camp registration form and payment. Money Order: Make payable to Narrow Lake Youth Conservation Camp- Please Mail camp form and payment. E-Transfer: Password: - Please camp registration form and payment. * Confirmation letter will be mailed out when the camp is full, with items to bring, drop off and pick up times* Part B: Camper Information *Due to Federal firearms regulations, all participants must be 12 years of age by the end of the camp week* Last name: First name: Gender: Female Male Other Date of Birth Indicate shirt size: (Indicate size for ordering: Youth, or Adult (S, M, LG..) No exchanges will be available: 2

3 Part C: Primary Household Information Mailing Address: Town/City: Postal Code: Name of Parent/Guardian #1: Name of Parent/Guardian #2: Home Phone# Alternate Phone # Address: Pick up and Drop off Authorization: *Please state if anyone other then Parent/Guardian #1 or #2 will be picking up/ dropping off your camper* Name: Relation to camper: : Emergency Contact: Relation to Camper Home Phone# Alternate Phone # Part D: Emergency Contact Information AHC Number *Please attach photocopy * Family Doctor: Family Doctor Address: Alternate Phone # Medical Waiver: Part E : Medical Information of Camper In case of a medical emergency, I understand that every reasonable effort will be made to contact me. If I cannot be reached, I give my permission to any Physician selected by the camp director to secure necessary treatment, including hospitalization. To the best of my knowledge my child is in good health. Signature of Parent/ Guardian Print name of Parent/ Guardian Date 3

4 Other Information: Please list all medications and serious medical symptoms of your camper in the space below. This is to ensure that medical treatments are taken care of by our on staff medical person(s). ALL medication is to be given to the camper registrar on the time of arrival to ensure safety of student and others on site. PLEASE SEND ALL MEDICATION IN ORIGINAL PRESCRIPTION BOTTLES WITH DOSAGES AND NAMES MATCHING THE STUDENT. IF THE NAME DOES NOT MATCH, WE CANNOT USE IT! Medical: Part F: Tell Us About Your Camper Will your camper be taking medication while at camp? Yes No Please list any medications, dosages and times that they are taken: Please list any and all medical, behavioral, or mental conditions, Does your camper have any allergies? Yes No If Yes please specify Does your camper require a reader for testing? Yes No Food Allergies Does your camper have any dietary Restrictions? Gluten Free Lactose Vegetarian Other Please list any dietary Restrictions that your camper has: Other: Is your camper excited to attend camp? Yes No 4

5 Has your camper spent nights away from home before? Yes No THE ALBERTA FISH AND GAME ASSOCIATION RELEASE OF LIABILITY (PLEASE PRINT CLEARLY AND LEGIBLY) I, Parent/Guardian FULL NAME, am registering, my child, for the Great North Wildlife Affiliates Inc. a/o Alberta Fish & Game Association Narrow Lake 2019 Youth Conservation Camp to be held at Narrow Lake Conservation Centre near Athabasca, AB. I hereby release the Great North Wildlife Affiliates Inc. a/o Alberta Fish & Game Association and/or its members, heirs and/or executors from all actions, causes of action, suits, debts and liabilities of any kind arising from or out of the attendance of the Narrow Lake Youth Conservation Camp I completely understand the inherent risk of the activities that I am going to take part in, and that the Alberta Fish and Game Association cannot guarantee the safety of any participants. Some of these activities include: - Water activities, fishing, canoeing, kayaking, boating and swimming. Including riding on a boat, paddling and lifting a canoe or kayak. - Being around fire. - Encounters with wildlife, walking or hiking on variety of terrains including flat, rocky, hilly, swampy. - Injuries to self or from others, equipment hazards, and transport in any vehicle before, during or after and event to or from any location - Use of white gas stoves and fires for cooking meals - Exposure to extreme weather that, may cause injury due to cold or heat, which may prevent or force route and itinerary changes. - Use of archery, firearms and other various hunting equipment. - Remote locations with poor communication and inability to get rescue or medical assistance easily. - I am voluntarily participating and agree to accept all the risk and possibility of death, personal injury, property damage and/ or loss resulting from my involvement with the program - I also understand that Narrow Lake Youth Conservation Camp is not responsible for my lost or stolen items. I fully comprehend and understand the implications of this Waiver and Release. I am aware of the risk and accept it, and I am signing this document freely and voluntarily. Dated this day of, 2019 at In the province of SIGNED: (PLEASE PRINT CLEARLY) (SIGNATURE) WITNESS: 5

6 (PLEASE PRINT CLEARLY) (SIGNATURE) Photo and Video Release Form: - Photos and videos are taken throughout the camp to be used to promote the Narrow Lake Youth Conservation Camp and AFGA, activities to our members and to the general public, via newsletter, displays or through the AFGA website and/or Narrow Lake website. - There is also a 24-hour video surveillance on the property, to ensure safety of all participants. I hereby, give the Alberta Fish & Game Association permission to use my child s image and likeness in any program informational or marketing material in any medium, and to televise my participation in the workshop for the purpose of promotional/marketing and public display. (Signature of Parent/ Guardian) (Name of Parent/ Guardian) (Date) Sweater: Part G: Merchandise *If you would like, you can preorder a sweater for the camper, or for your family. These are $45 in hunter green, with embroidered camp logo with your camper s name and the year that they attended camp. *If you would like to preorder a sweater, please fill out the information below and send a separate cheque or money order payable to Narrow Lake Youth Conservation Camp. You will receive the sweater on Saturday when you sign out your camper. *Sweaters that are pre-ordered, will not be able to have any information changed as they will already be made. Payment is required as the sweater are non-refundable due to being person specific *Upon drop off, you can also order a sweater Name: (Please print name you want on the sweater) Sweater Size: (Campers Sweater Size) ** Please attach a photo copy of the campers AHC Card, and their Birth certificate and attach to registration package** Adult Volunteering Information: - Please note priority will be given to those campers whose parents or guardians volunteer as a kitchen helper In order to keep our camp cost at a reasonable cost it is important to have parent or guardian volunteering as a kitchen helper. Without this assistance, it would be tremendously difficult to supply the quality and attention the campers currently receive. What will be my kitchen helper duties? To work collaboratively as a team member. To provide assistance where ever and when ever assistance is needed. To take direction from instructors, camp chef, managers and director. Assist with the maintenance of equipment, facility and materials if required. What if I have no experience? This is not a problem, you will be trained, or only get involved as you feel comfortable. 6

7 What will be the cost? There is no cost to volunteers. We supply accommodations, and meals. A confirmation letter will be sent with a list of items to bring and other information will be mailed to approve volunteers prior to coming to camp. If you are interested in applying as a adult volunteer please narrowlakeyouthcamp@outlook.com and you will be send the application 7

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