1 LATVIAN CULTURAL CAMP (LATVIEŠU KULTŪRAS NEDĒĻA) 2016 REGISTRATION JULY 17-23, 2016 www.tervete.ca Latvian Cultural Camp is a new week-long sleepaway camp for children ages 6 to 14 years who don t speak Latvian but who are interested in learning about their Latvian heritage. The goal of the camp is for the children to make new friends, enjoy the outdoor/indoor activities program, and learn some Latvian in a non-classroom setting in the Latvian community of Tervete in the beautiful Laurentian mountains located between Montreal and Ottawa. Location: 68 Chemin Tervette, Grenville-Sur-La-Rouge, Quebec, Canada **Please take note English and Latvian will be spoken during this session. Most of the activities will take place outdoors (weather permitting) and will include: supervised swimming, sports, arts & crafts, music and dance program, and preparation for end-of-camp bonfire skits. Emphasis will be placed on having the children creatively express themselves, all in a safe environment. For more information, please send an email to: valde@tervete.ca Camp Fees: 1st child - $375 / 2 nd child - $375 / 3 rd child - $350 / 4 th child - $350 Deadline to register is by April 30th, 2016. After this date there will be a $25 fee per child. **All prices in Canadian dollars HOW TO REGISTER: Please pay on-line at www.tervete.ca with VISA or MASTERCARD OR send your cheque (Canadian cheques only) to: TĒRVETE, c/o Sarma Merdian, PO Box 23, Clarence Creek, Ontario K0A 1N0. Make cheques payable to: TERVETE Inc. We will send you an acceptance letter by May 24, 2016 at the latest. Take note: all health forms need to be filled out in their entirety. CULTURAL CAMP WORKBEE: As Tervete is a non-profit organization, we have to get the camp in order and ensure the grounds are safe and ask that parents participate in one of the following workbees that take place rain or shine (lunch is provided for both dates):! Saturday, June 4, 2016 10 a.m. 4 p.m.! Saturday, July 2, 2016 10 a.m. 4 p.m. If you cannot participate these dates, we ask that you make a payment of $125 that can be paid when you register on-line or when you send your cheque.
2 ARRIVAL AND DEPARTURE INFORMATION Arrival: Camp begins on Sunday, July 17 th and includes lunch. You can officially register and move your children into their appointed cabins and meet their counsellors from 9 a.m. until 10:45 a.m. Your child s health card / health insurance should be given to the registration desk at this time. If your child takes any medication, please speak with your child s respective counsellor, the first aid counsellor, or the head counsellor. Departure: Everyone is welcome to the end of camp bonfire at 7:30 p.m. on Saturday, July 23 rd. After the bonfire, there is an official camp closing and a small celebratory gathering in the dining hall with coffee and snacks during which time children are placed in parents care and responsibility. Please make sure to take your child s belongings from the cabins at this time as no children are permitted to stay in the camp overnight. ACCOMODATIONS IN TERVETE Parents and families can find sleeping accommodations at the Big House (Lielā Māja) or camp in the tent area. To make reservations and find out rates for both, please contact: Lauma Cenne at lauma@hulagirlquilts.com or (819) 242-3915 /summer only. CAMP ACCOMODATIONS AND SUGGESTED LIST OF ITEMS CABINS: Campers stay in unheated cabins with bunk beds (twin mattress) and a functioning smoke detector. The cabins have some shelving for needed items (such as toiletries), hooks, and a shared closet/hangers to hang clothes (jacket, dress, shirts, etc.). There is room to store a small suitcase/bag underneath the bunk beds. Please write your child s name in all of their items, especially in their Tervete camp T-shirts which are available for $15 / shirt and can be picked-up at the camp when you register your child/children the first day. A sleeping bag, a blanket, and a fitted sheet for a twin-sized bed is highly recommended. There are no washing machines or dryers on the premises, but if there is an emergency, the camp staff will make sure to accommodate the situation. RECOMMENDED ITEMS: Provincial Health cards or health insurance information Give medications to the appropriate camp personnel Tervete T-shirt (can be picked-up at registration the 1 st day of camp) Fitted twin sheet and pillow with pillowcase Sleeping bag with an extra blanket Pyjamas for hot nights and chilly nights Toiletries soap, washcloth, shampoo (phosphate-free is preferable), toothbrush, toothpaste, comb or brush, lipbalm with sunscreen, dental floss, face towel, and SWIMMING TOWEL Water bottle / Canteen IMPORTANT!
3 Hat, sunglasses, and sunscreen Mosquito face-net Flashlight Fishnet bag for dirty clothes Long pants and shorts Long and short-sleeved shirts Tank-tops Underwear and socks Raincoat, warm jacket, sweatshirt/hoodie Running shoes, sandals/crocs, rainboots 2 bathing suits / swimshorts Nice outfit - dress / dresshirt/tie for the final dance/ball NOT REQUIRED: Musical instruments Latvian books Compass / watch Bell Call Me card Swim footwear Stuffed animal (for sleeping) RESTRICTED ITEMS: Chewing gum Snacks / drinks (they invite chipmunks and bugs!) Mobile phone Electronic games Radio Pocketknife Candles / matches Your child s safety is of the utmost importance to the camp board of directors and counsellors. We will do everything to ensure their safety during all activities. Regulations and rules will be strictly enforced.
4 REGISTRATION FORM 1. Parent names: 2. Parent names: Address: City / Postal Code: Tel. home ( ) Tel. work ( ) Address: City / Postal Code: Tel. home ( ) Tel. work: ( ) Tel. cell ( ) Tel. cell ( ) E-mail address: E-mail address: Emergency contact and telephone: 1. camper name: date of birth (d/m/y): 2. camper name: date of birth (d/m/y): 3. camper name: date of birth (d/m/y): 4. camper name: date of birth (d/m/y): Will you be at the workbee?: June 4th yes: " no: " OR July 2nd yes: " no: " TERVETE T-SHIRT ORDER: Do you need to order T-shirts? yes: " no: " What size and quantity?: (indicate child or adult size) FEES: Weekly Camp Fee (total) Workbee Fee (if unable to attend) $125 Donation to camp TOTAL I have read and understand the above-mentioned information in the previous two pages: Parent/Guardian Signature:
5 WAIVER FORM Photographs: I give my full consent that photographs of my child/children can be published on www.tervete.ca and on the Tervete Camp Facebook page. Please take note child/children s names will not be published. parent signature child s name(s) TRANSPORTATION: I give my full consent that my child/children can be transported by car / bus for some of the activities and for emergency/medical purposes. I understand that the responsible parties will have a valid driver s license and will strictly follow provincial road rules and regulations. parent signature child s name(s) Release of Liability and Waiver of Future Claims Tērvetes bērnu nometne (TBN) campers, visitors and other users recognize and acknowledge that there are certain risks of physical injury, and they assume full risk of any injuries, damages or loss which may be sustained as a result of any and all activities taking place during TBN. Upon entering the TBN campground, campers and visitors and other users waive and hold harmless TBN, its Board of Directors, Administration and other officers, agents, servicers, servants and employees from any and all claims from injuries, damages or loss which may result from any and all activities taking place on the campground. TBN is not responsible for stolen, damaged, or lost personal property of any worker, camper or visitor. Tērvetes bērnu nometne, a community-based camp, is not a member of the Quebec Camps association. _ parent signature date
CAMPER HEALTH EXAMINATION FORM 6 CAMPER NAME BIRTH DATE AGE HOME ADDRESS CITY, PROV., CODE MEDICARE / OHIP PARENT/GUARDIAN: HOME PHONE: WORK PHONE: ARENT/GUARDIAN: HOME PHONE: WORK PHONE: HEALTH HISTORY (check giving approximate dates): Frequent colds Frequent sore throats Sinusitis Abscessed ears Bronchitis Fainting Stomach upsets Constipation Kidney trouble Bed wetting Tuberculosis Diabetes Hay fever Hepatitis Heart trouble Convulsions Athlete s foot Sleep walking Chickenpox Measles German measles Mumps Whooping cough Poliomyelitis Rheumatic fever Epilepsy / fainting Appendicitis Asthma IMMUNIZATIONS (give approximate dates): KNOWN ALLERGIES: Diphtheria booster: Bee/wasp Whooping cough booster: carries ANA Kit: Tetanus toxoid booster: Peanuts Polio booster: Other foods German measles Penicillin Measles Hay fever Mumps booster: Ivy/oak/sumac Other booster: Other (specify):
7 If girl, has she menstruated? Has she been told about menstruation? Operations or serious injuries: Specific activities to be encouraged Specific activities to be restricted Physical or emotional abnormalities or other information of use to the Camp Nurse/Personnel: Injections or treatments required during camp List medications and reason for use IN CASE OF MEDICAL EMERGENCY: I understand that every effort will be made to contact parents and/or guardians of campers. In the event that I cannot be reached, I hereby give permission to the physician selected by the Camp Director or Nurse to hospitalize, transport, secure proper treatment, order injection, anesthesia or surgery for my child. Signature: Date: To the best of my knowledge, my child is in good health. I will notify the Camp if my child is exposed to an infectious disease during the three weeks prior to arriving at camp. Signature: Date: I permit Camp staff to administer Tylenol tablets and/or cough medicine to my child two times before contacting me, should they deem so necessary. Signature: Date: FOR CAMP USE: