Registration Information :

Size: px

Start display at page:

Download "Registration Information :"

Ella Hicks
5 years ago
Views:

2 Registration Information : Last Name: First Name: Gender: Male Female Grade completed (June 2018): Birthdate: M D Y Address: City: Prov: PC: Home Phone: Father s Name: Cell Ph: Wk Ph: Mother s Name: Cell Ph: Wk Ph: Child Lives with: Both Parents Mother Father Other Address: ***Your summer camp confirmation and any additional correspondence will be sent to the address provided above. A different person who may be contacted in event of an emergency: Name: Relationship: Home Phone: Cell Phone:

3 Medical Information : Health Care #: ***required for camp attendance Any food or drug allergies? Y / N If yes please provide details below Any medications required? Y / N If yes please provide details below May the following medications be administered if necessary? Tylenol Y / N Allergy Medication Y / N Throat Lozenges Y / N Cough Syrup Y / N Advil Y / N Please describe in detail any behavioral or emotional challenges we may observe (eg. Seizures, headaches, ADD/ADHD, FAE/FAS, eating disorders etc.) How does your camper react in social situations? (eg. Makes friends slowly, likes group activities, passive/aggressive etc.) Does your child have any fears that we should be made aware of? Is there anything we should know about your campers sleeping habits? (eg. Bed wetting, night terrors, sleep walking etc.)

4 Camp Information : Cabinmate Request: ***must be within one year of age/grade Camp & Date applying for: ***each camper will be limited to a maximum of 2 different camps per summer Elementary Camps Camp Grade Dates Registration Adventure July 8-13 $375 Adventure July $375 Adventure July $375 Adventure Aug $375 Quest Aug $305 Quest Aug $305 Splash 1 K - 2 July $125 Splash 2 K - 2 Aug $125 Fort July 1-6 $365 Fort July $365 Fort July 29-Aug. 3 $365 Fort Aug $365 Youth Camps Camp Grade Dates Registration Plunge July 1-6 $390 Plunge July 29-Aug. 3 $390 Fort 2 Jr. High 6-9 July 8-13 $380 Fort 4 Jr. High 6-9 July $380 Fort 7 Jr. High 6-9 Aug $380 Fort 8 Sr. High 9-12 Aug $290 AIA Volleyball 7-11 July 1-6 $495 Waterski Camp 7-11 July 1-6 $495 Media Camp 8-11 July 29-Aug. 3 $495

5 Camp Activities : If applying for an Adventure, Plunge or Quest Camp, please number (1-5) the following activities in order of preference. Campers will be placed in 2 or 3 of their chosen activities. Archery Colossal Derby Cars $10 Fishing Gigantia Paddling Shooting Gallery Something Crafty $10 Stageshow Strategex Survivor Wacky Sports Waterskiing/Wakeboarding $40 (gr. 3+) Wind Surfing (gr. 4+, Adventure and Plunge only) If applying for Splash, Fort, Sports or Media Camp there is no pre-selection for activities. Fort campers will select activities on a daily basis once they arrive at camp. Activity fees will not be charged until the scheduling is complete about a week before the camp begins.

6 Fee Calculation : Enter Cost of the Camp *Bunk Bag $25 (Shirt Size: ) Available shirt sizes: Youth S-L, Adult S-XL *Weekend Bunk Bag $15 (Shirt Size: ) * SABC Water Bottle $15 Enter Activity Fee (if applicable) Enter Staff Fund Donation (optional) Most of our summer staff are college students who give of their summer and receive minimal pay. We have set up a staff fund to allow you to give to staff who need help to return to school. Tax deductible receipts are issued for donations of $10 or more. Family Discount (3 or more children $100 off) - TOTAL AMOUNT OWING *Bunk Bags must be pre-ordered by June 1. Bunk Bags include an SABC T-shirt and highlight video of their week at camp in a vinyl backpack. Weekend Camps have no video available so please purchase the Weekend Bunk Bag. Payment Options: Payment in full enclosed (cheque, cash, money order) Two cheques enclosed: $40 deposit dated for today s date Balance post-dated for June 15, 2018 $40 deposit and request application for sponsorship Please charge the TOTAL FEE to my: VISA MasterCard Card #: Exp Date: Name of Card Holder: Signature: Full payment must accompany registrations, with exception of sponsorship applicants. Please make all cheques payable to SABC. Record the date of your post-dated cheque as there is a $20 NSF fee. Confirmation of your acceptance, as well as more detailed information regarding what to bring to camp, registration day procedures, and closing programs will be sent to you by upon processing this completed registration form. Much of this info can also be found on our website. SABC s cancellation policy is to withhold the $40 deposit for cancellations made more than two weeks prior to camp starting. If cancellation is made within two weeks to the start of the program no refund of camp fees will be issued unless the cancellation is due to illness and a doctor s note is provided. All donations are non-refundable once processed.

Cave Springs Camp Registration Form

Cave Springs Camp Registration Form Camper Information (please use one form per camper) Camper s Name: (Last) (First) Birthday: (D/M/Y) Age: Gender: Does your child require 1:1 support? Yes No (Please