Creating summer memories since To make sure your application is complete, please check that you have included the following items:

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Theodora Kelley
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1 To make sure your application is complete, please check that you have included the following items: Fully completed Camper Application Form fill out one form per camper 1 recent photograph of camper with child s name printed on the back Fully completed family information form fill out one Fully completed family Fees and payment form indicating payment plan and method of payment $400 Deposit per camper cheque enclosed or credit card Authorization Form completed Mail or Drop it off Creating summer memories since 1962 When to Apply Mail or deliver application to: The camp fills up quickly, it is best to apply in the fall. However, applications are considered at any time. MAIL DELIVER Year-Round Camp Office 101 Duncan Mill Road, Suite 309 M3B 1Z3

2 Conditions of Enrolment 1. The (BVG) 2017 camp season begins on Monday, July 3, 2017 and ends on Friday, August 25, The regular camp day runs from 9 a.m. to 4 p.m., Monday to Friday. 2. A Camper Application Form must be completed for each child. A current photo of the camper must accompany each Camper application Form. A Family Information Form must be completed for each family. 3. Applications cannot be processed unless accompanied by a $400 deposit for each child, bearing the same date as the application. Payment shall be made by Visa or Mastercard. 4. Camper applications, a Family Information Form and a Payment Information Form must be completed in full, signed and dated, and accompanied by the deposit and balance of fees. Space is limited and applications will be accepted in the order they are received in the camp office. In order to ensure the utmost accuracy when processing applications, we prefer that forms be filled out online, via mail, courier or in person, rather than by fax. 5. Parents agree that BVG can collect, use, disclose and retain personal information as set out in their Privacy Pledge. BVG s Privacy Pledge and your consent apply to all the personal and financial information provided. 6. The Director reserves the right to refuse enrolment if in her opinion it is in the best interest of the camp. 7. campers will not be admitted to camp until the balance of fees is paid for the specific period. Please choose one of the following methods of payment: (a) A deposit and post dated cheque/visa/mastercard for the balance dated May 1, (b) A deposit and five post-dated cheques/visa, January 15 to May 15, (c) A deposit and post-dated cheque/visa/ Mastercard for the balance dated December 1, 2016 (a 4% discount will apply). (d) Payment in full. (Fees for campers registered after May 1 st must be paid in full upon registration.) 8. camp fees include door-to-door transportation within our stated boundaries. Pick-ups outside of our boundaries may be able to be arranged and may require additional fees. Our fees also include lunches and snacks, daily towel service, BVG knap sack, camp T-shirt, camp DVD, group photo (if camper is registered and in attendance on the photo day which is scheduled once per month), cook-outs, barbecues, overnights and the regular camp program. Day Camp fees are not subject to H.S.T. 9. someone must be available to receive the camper at the end of the day. In the event that either no one is available or the person is not recognized as someone previously documented as authorized to receive the child, including nanny, grandparents, neighbour) the child will be returned to camp, or, if possible will be returned home at the end of the route. Parents will then be responsible for a charge of $25 to cover transportation, delays, and supervision costs. 10. The camp reserves the right to delay departures / hold our campers and staff safely indoors during severe inclement weather. 11. Written permission from parents is required for a camper to be dropped off at home without adult supervision. Children must be at least ten years of age and parents must accept responsibility for making adequate provision for the child s protection and care under the circumstances. 12. There will be no changes to the usual transportation arrangements, such as early pick-ups, bus changes, etc., unless they can be accommodated by the camp. 13. children who are leaving camp by car must be picked up at their regular dismissal time (4:00 to 4:15 p.m.). Children who are not picked up on time will be brought to the Camp Office to await pick-up. For children picked up after this time, there will be a charge of $15 per hour per child for the care of each child. 14. A 2% interest per month will be applied to any outstanding balance after May 1, 2017, or May 15, 2017, in the case of the monthly payment plan. NSF cheques and declined Visa/Mastercard payments are subject to a $25 service charge and either cash or a certified cheque will be required for the outstanding amount. 15. changes: will only be made prior to May 1, 2017, if these changes can be accommodated by the camp. Any requests for changes must be made in writing. There is a $25 administrative charge for any changes to the dates of registration for an equal or greater number of weeks (i.e., different session) made for each registered camper. Any changes to the dates of registration to a lesser number of weeks will be considered a cancellation and subject to the $195 cancellation fee. 16. extensions: Parents of children who are not registered for the full 8-week session have the opportunity, if space is available, to extend their child s stay. There is no guarantee that there will be space to accommodate enrolment extensions. The cost of the additional session will be based on the cost of that specific additional session as outlined in the fee schedule. 17. cancellation Policy: Your deposit and any payments made are refundable (less a service charge of $195 per child) provided written notice is received prior to May 1, After that date there can be no refund of fees. In the event of cancellation, we do not apply deposits or fees to siblings. 18. Refund Policy: Days missed for any reason cannot be refunded. Days missed cannot be made up. Refunds are only possible in the case of illness of more than three consecutive camp days, under the conditions of our Medical Tuition Refund Insurance Policy. No other refunds are possible. 19. Medical Tuition Refund Insurance Policy: Medical Tuition Refund Insurance is available at the time of enrolment for a premium of $10 per week. This insurance covers against the possibility that a camper must withdraw from camp due to illness or injury. If a camper is absent from camp for more than three consecutive camp days, the plan will provide a proportional refund of camp fees for those days in excess of the three days. Refund requests must be made in writing to the Camp Administration and must be accompanied by a written confirmation from the child s Doctor. Refunds will be processed by the last business day of September. There will be no refunds given after May 1, 2017 if you do not have this insurance. If coverage is desired, please check the space provided on the Camper Application Form and add the correct premium to your deposit. 20. camper Health Information and Consent Forms will be mailed to all registered campers. These forms must be completed by the parent or guardian and received by the Camp prior to June 1, 2017, or upon registration if after that date. No child will be permitted to participate in camp activities without a fully completed Health Form. 21. changes often occur from the time of enrolment until camp begins, as well as throughout the child s stay at camp. It is the responsibility of Parents to notify the Camp Office of any changes in regard to their child s physical or emotional health, parent s marital status, change of address or any phone number or emergency contact changes. 22. The Camp is entitled to assume that the emergency contact/alternate pickup information ( designated individuals ) provided in the Camper Information Form is acceptable to both parents unless a parent expressly advises the Camp in writing that they decline or withdraw their permission in respect of any designated individual. Parents are responsible for communicating this and all other relevant information to the other parent. Parents are responsible for providing the Camp with any court orders or other legal documents that a parent asserts limits the parental rights of the other parent. In asking the Camp to rely on any such documentation the requesting parent is thereby agreeing to release, indemnify and hold harmless the Camp from any claims by the other parent as a result of the Camp acting upon such directives. In the absence of appropriate legal documentation, where there is any dispute or conflict between parents as to permissible designated individuals, the Camp shall only accept persons as designated individuals who are mutually agreed between the parents. In the event that parents are unable or unwilling to efficiently and clearly identify designated individuals to the Camp and facilitate pick-up, drop-off and other arrangements, the Director may, in her sole discretion, determine that the Camper s session will be terminated, with or without advance notice. In such cases there shall be no reimbursement of fees. 23. While every reasonable effort is made to safeguard campers belongings, the camp cannot be held responsible for the loss or damage of any of the campers belongings while at camp including but not limited to eyeglasses, retainers, hearing aids, ear plugs, clothing, etc. 24. campers with behavioral concerns may require additional supervision in order for them to safely remain at camp. If, in the opinion of the Director, a camper requires extra supervision, and it is reasonable and possible for the camp to provide this extra supervision, it is understood that this additional cost must be assumed by the Parents. 25. The Director reserves the right to terminate the stay of any camper if in the opinion of the Director it is in the best interest of either the child or the camp. In such an event, it is understood that at the discretion of the Director, either no refund or a proportionate refund, minus $195 administrative charge may be made. A refund, if any, will be processed by the last business day in September. 26. campers are expected to demonstrate basic respect for the dignity and rights of others. The Director reserves the right to implement an established process and/or suspend and/or terminate the stay of any camper, without refund, who violates the camper Code of Conduct based on the following guidelines: zero tolerance of physical or psychological abuse/ bullying; respect for camp property and the property of others; behavior that requires supervision beyond a reasonable level 27. Parents agree to pay for any and all damages intentionally caused by their child to camp property and/or the property of others. 28. Parents agree to allow their child(ren) to participate in all camp activities, camp overnights and in any supervised activities or trips not on camp property. 29. The camp reserves the right to place each child in the swim level which we deem best suited to the child s capabilities. 30. While every reasonable effort is made to hire competent, experienced activity specialists for every activity listed in this brochure, the list is subject to change based on the availability of appropriate specialists. 31. Parents consent to the use by BVG of the registered camper in camp photographs, videos and new media. 32. Parents agree to give camp officials authority to act on their behalf in the case of an emergency.

1 OF 2 Camper Name(s) list ALL Parent 1/Legal Guardian Name (First/Last) e-mail Occupation Home Address Postal Code Relation to Camper(s) Home No. Work No. cell No.

3 1 OF 2 Camper Name(s) list ALL Parent 1/Legal Guardian Name (First/Last) Occupation Home Address Postal Code Relation to Camper(s) Home No. Work No. cell No. Parent 2/Legal Guardian Name (First/Last) Occupation Home Address Postal Code Relation to Camper(s) Home No. Work No. cell No. Family Information Parents are: Married/common law Separated Divorced Single Applicant lives with: Both Parents Mother Only Father Only Guardian Name(s) of step-parents, if applicable: Are there any restrictions on either parents or legal guardians access/custody: No Yes, describe the details Emergency Contact Information 1. Name 2. Name 3. Name Relation to Camper Relation to Camper Relation to Camper Home No. Home No. Home No. Work No. Work No. Work No. Cell No. cell No. cell No. Conditions of Enrolment at Your acceptance of ALL the following conditions is necessary in order for your child(ren) to be enrolled: I/we hereby apply for registration for the herein-named child for the camping services indicated in this application. I/we have enclosed the deposit and either post-dated cheques or Visa for payment in full for the child being registered. I/we have read the Conditions of Enrollment and the Fee Schedule and agree to abide by the conditions outlined. I/we hereby give the camp officials permission to act on my/our behalf in case of an emergency. I/we agree to release and indemnify BVG from any and all claims for damages arising as a result of any accident, injury, or otherwise sustained by the herein named child arising from participation in any camp activities. I/we have read BVG s Privacy Pledge and agree that BVG can collect, use, disclose and retain personal information as set out in their Privacy Pledge. Consent applies to all the personal and financial information provided which is currently in BVG s possession and may subsequently be provided by me, unless I subsequently revoke my consent in writing. I/we consent to the use by BVG of the herein-named child in camp photographs, videos and new media. parent/legal GUARDIAN Signature The signor acknowledges that he/she is also acting as agent of the other parent with authority to enroll the child at camp and to execute this Agreement on his or her behalf. Date

4 2 OF 2 Transportation Form Please check one: YES, my child/children will take the bus to and from camp in the a.m. and p.m. NO, my child/children will NOT require any bus transportation. If combining bus and car, please check appropriate box: My child/children will NOT require morning bus transportation to camp. I will drive my child/children to camp (8:30-9:00 a.m. arrival). My child/children will require p.m. bus transportation home. My child/children will NOT require after camp bus transportation home from camp. My child/children will be enrolled in the After Care Program and I will pick them up prior to 6:00 p.m. My child/children will NOT require after camp bus transportation home from camp. I will pick up my child/children at camp (4:00-4:15 p.m.). My child/ children will require bus transportation to camp in the morning.» You MUST live within our transportation boundaries for door-todoor service. Where sufficient numbers occur, these boundaries may be expanded. Pick-ups outside of our boundaries, if able to be arranged, may require additional fees. Those living outside our boundaries may be asked to meet the bus at a suitable meeting point. Pick-ups in this case may be earlier than 8:00 am.» If you have not indicated on your application that you live outside of our boundaries, and it is subsequently determined (i.e. during the routing process) that you are in fact out of our boundaries for door-to-door transportation, we will not be responsible for providing bus transportation. For transportation boundaries, call the camp office. if your home address is not your pickup and drop-off address, please indicate alternate address here: In addition to parents, and the mentioned Emergency Contacts, the Camper(s) may be released to the following individuals (nanny, grandparents, neighbours, etc.) from the Camp Bus or by Camp Personnel: 1. Name Relation to Camper No. ( ) no. ( ) 2. Name Relation to Camper No. ( ) no. ( ) 3. Name Relation to Camper No. ( ) no. ( ) Privacy Pledge - recognizes that trust in our camp is fundamental to our relationship with our customers. We are committed to protecting the privacy and the confidentiality of personal information. We have a designated Privacy Officer responsible for overall personal information protection as well as compliance with Personal Information and Protection of Electronic Documents Act ( PIPEDA ). This Privacy Pledge outlines how we will ensure the confidentiality and privacy of the information that is entrusted us with. Full details of our privacy provisions can be found in the Privacy Policy. We collect, use, retain and disclose necessary information (including medical information) about your child and your family for the purpose of assisting us in providing the best and most appropriate care for your child. We give information only to those who are involved in providing service to your child, or as required by law. personnel sign a Confidentiality Agreement. Contracted third parties who assist us in providing services to your child must assure us in writing that they have a privacy policy that prevents them from using the information for any other purpose than that for which they were hired. We do not sell or rent your personal information to any company, organization or individual. We depend upon you to update any personal or medical information that may change. We will protect your personal information by security safeguards appropriate to the sensitivity of the information. We will retain your information throughout and beyond this camp season to enable us to communicate with you and to contact you when we feel that we have new information or programs that may be of interest to your family. We will continue, as in the past, to serve our customers professionally. Further specifics about the collection and management of your personal information are included in our Privacy Policy and are available upon request. *Note: In order to maintain our safe and efficient route, we cannot accept any transportation requests.*

5 Admission to program is subject to availability Camper information Name (First/Last) Date of Birth (DD/MM/YY) Female Male Gender Age of Camper as of July 1, 2017 current Grade The following information is required to provide the best possible program for your child. If there is anything in addition to the following information, about which the Camp Director should be aware, please include a note with the details. Describe your child s behavior characteristics and personality Describe how your child gets along with other children Has your child ever been involved in a bullying situation? No Yes, describe the details: Does your child have any fears, anxieties or concerns that may affect their camp experience? No Yes, describe the details: Do you have any concerns about your child in regard to any of the following? special needs behavioral emotional physical eating ADHD Yes, elaborate on medical communication developmental social ADD No a separate sheet of paper Will your child require extra counsellor support, over and above the usual camper-staff ratio? No Yes, it is understood that this additional cost must be assumed by the parents. Please contact the Camp Director prior to sending in this application. Will your child be restricted from participating in any camp activities? No Yes (If yes, explain): Does your child have any previous camp experience? No Yes, Name of Camp(s): Name of Sibling(s) 1. AGe ATTending : No Yes 2. AGe ATTending : No Yes 3. AGe ATTending : No Yes Camper s Present School Name: Health Information Further details must be provided on the Camper Health Information and Consent Form which will be mailed prior to the start of camp. Health Card NumbeR camper s Doctor Doctor s Phone Will medication be taken during the summer? No Yes Location/Branch: Life Threatening Food/Allergies: Eating Habits: Kosher vegetarian Other: cabin friends (Please request friends here for your child s cabin) Name A Friend you would like in your Child`s Cabin (in same Grade): We will make every attempt to fulfill only matching requests, but parents of both campers must make the request at the time of registration. We are unable to honour negative requests. We have limited flexibility in granting group requests, we will not guarantee any requests and we reserve the right of final decision regarding group requests. Non-matching requests will not be considered.

6 2016 Fee Schedule Registration Discounts» Take advantage of the 4% discount if you pay in full by December 1, 2016.» We offer sibling discounts for second or more children. Special fees» Additional fees will be charged for campers requiring extra counsellor support.» An extra $25/week will be charged for each child requiring 2 different pick-up and drop-off locations. Join us to make summer memories! Week Session Length July August Koala Panda Monkey Hippo Lynx Cheetah Jaguar Tiger Pre-LIT LIT 4 weeks July 3-28 $2,135 $2,665 $2,795 $2,665 $1,800 4 weeks July 31 - August 25 $1,980 $2,495 $2,630 $2,495 $1,660 2 weeks July 31 - August 11 $1,030 $1,300 $1,395 $1,300 2 weeks August $1,030 $1,300 $1,395 $1,300 6 weeks July 3 - August 11 $2,745 $3,460 $3,650 $3,460 $2,325 6 weeks split July 3-28 & August $2,745 $3,460 $3,650 $3,460 $2,325 7 weeks July 3 - August 18 $3,055 $3,830 $4,040 $3,830 $2,485 8 weeks July 3 - August 25 $3,420 $4,245 $4,350 $4,245 $2,795 Specialty Camps Offered to Week July August Multi-Sport * Monkeys, Hippos, Lynx & Cheetahs No charge Baseball Hippos, Lynx, Cheetahs & Jaguars $150 per week Basketball Hippos, Lynx, Cheetahs & Jaguars $150 per week $120 per week Tennis Hippos, Lynx, Cheetahs, Jaguars, Tigers & Pre-LITs $225 per week $180 per week Horseback Riding Hippos, Lynx, Cheetahs, Jaguars, Tigers & Pre-LITs $275 per week Golf Hippos, Lynx, Cheetahs, Jaguars, Tigers & Pre-LITs $275 per week Dance Hippos, Lynx, Cheetahs & Jaguars $150 per week Robotics Cheetahs, Jaguars, Tigers & Pre-LITs $150 per week CSI Tigers & Pre-LITs $150 per week Duelling Debate Tigers & Pre-LITs $120 per week $150 per week

7 Camper 1 Name unit Total # weeks Sports/ Arts Camp (list Camper 2 Name unit Total # weeks Sports/ Arts Camp (list Camper 3 Name unit Total # weeks Sports/ Arts Camp (list Deposit (Required with submission of application) Enter Deposit Amount and Payment ($400 x # of campers) $ Visa MC Visa or Mastercard authorization Name of Cardholder Account No. expiry Date (MM/YY) Signature It is the responsibility of the cardholder to advise the Camp Office of any changes to this account information. Declined credit card payments and NSF cheques are subject to a $25 service charge. Balance of Fees All fees will be calculated by the camp office and you will be sent an invoice with your balance owing. Early Payment 4% Discount Payable in full by December 1, 2016 Cheque Visa/MC Single Payment Payable by May 1, 2017 Cheque Visa/MC Monthly Payment Plan 5 equal payments, made on the 15th of each month from January to May, 2017 Cheque Visa/MC

2018 Application. Easy Online Enrollment: Application valid 1/16/18. New Jr. Camp Pricing!

2018 Application. Easy Online Enrollment: Application valid 1/16/18. New Jr. Camp Pricing! FAMILY INFORMATION 2018 Application Easy Online Enrollment: WWW.SLDC.COM Application valid 1/16/18 New Jr. Camp Pricing! 30 YEARS S L D C Celebrating Our 30th Anniversary! Family Name Home Phone Address