Participant's Name: Arts & Media Camps (ages 7-15) Art and Digital Photography Jr. 7-10 $350 Music & Beat Production 7-10 $350 Acro (Rhythm Gymnastics) 7-12 $350 Cake Decorating & Baking 7-12 $360 Cartoons and Comics 7-12 $350 Visual Arts 7-12 $360 Dance 7-14 $350 Fashion Design 7-14 $360 Theatre Arts 7-14 $350 Adventures in Film Making (weekly themes ) 10-15 $350 Art and Digital Photography Sr. 10-15 $350 Chefs in Training 10-15 $360 Creative Writing 10-15 $350 Dance (2 weeks) 10-15 $700 3-D Digital Design: Art 10-15 $350 Digital Cartooning 10-15 $350 Film Making: Advanced (2 weeks) 10-15 $700 Film Making: Special Effects 10-15 $350 Fine Art Advanced 10-15 $360 Musical Theatre (2 weeks) 10-15 $700 Stop-Motion Animation 10-15 $350 Science & Success camps (ages 7-15) Adventures in Math Jr. 7-10 $350 Video Game Design Jr. 7-10 $350 Wacky Scientist Jr. 7-10 $360 Adventures in Math Sr. 10-15 $360 Coding for Kids 10-15 $350 3-D Digital Design: Science 10-15 $350 Doctors in Training 10-15 $450 Entrepreneur Camp 10-15 $350 LEGO Robotics 10-15 $350 Money Smarts 4 Kids 10-15 $350 Money Smarts 4 Kids Advanced 10-15 $350 Robotics Advanced 10-15 $350 VEX Robotics 10-15 $365 Video Game Design Sr. 10-15 $350 Wacky Scientist Sr. 10-15 $360 Essay Writing (Half Day Summer Academy Enrichment Course) 13-15 $375 (or cost for 2 week or 12 day) Page 1 of 5
Sports & Adventure Camps (ages 7-15) Golf Jr. (p.m. only) 7-10 $250 (or cost for 2 week or 12 day) Exploring the Sports (a.m.)/golf Jr. (p.m.) 7-10 $365 Introduction to Martial Arts 7-10 $350 Basketball 7-15 $350 Exploring the Sports 7-15 $350 Soccer 7-15 $350 Tennis 7-15 $365 Try-Triathlon (p.m. only) 7-15 $235 Adventure Pursuits (Canoeing & Rock Climbing) 10-15 $415 Advanced Soccer 10-15 $360 Exploring the Sports: Extreme Sports Challenge 10-15 $365 Flag Football 10-15 $350 Golf Sr. (a.m. only) 10-15 $250 Golf Sr. (a.m.)/exploring the Sports (p.m.) 10-15 $365 Martial Arts Medley 10-15 $350 Mountain Biking & Trail Running 10-15 $350 Performance Swim a.m. only 10-15 $235 Trip Tastic! 10-15 $450 Survivor Skills 10-15 $350 Volleyball 10-15 $350 sports & adventure overnight camps (ages 10-15) Taxes applicable to overnight camps. Temagami 5-day Experience (3 day/2 Night Canoe Trip) 10-13 $950 Temagami 12-day Experience (9 day/8 Night Canoe Trip) 12-15 $2100 Each Temagami trip will be supervised by Appleby s Outdoor Education Director, qualified instructors and outdoor guides. Temagami overnight trips will pick-up and drop-off at in Oakville and transportation to and from Appleby s Northern Campus in Temagami is included in the cost of the 5-day and 12-day camps. Meals, camping gear and tents, canoes, life jackets and paddles are all provided for campers once they arrive to Appleby s Northern Campus on Rabbit Nose Island in Temagami (500 km north of Toronto). Temagami 5-day Overnight Canoe Trip The trip will be five days in length, departing Monday morning and returning Friday afternoon. The main component includes a basic level canoe trip consisting of three-days and two-nights camping and canoeing in the pristine wilderness of Lake Temagami. Temagami 12-day Overnight Canoe Trip During their 12 days, campers will spend the first two days learning new skills and preparing for the following 9-day, 8-night canoeing and camping trip. Page 2 of 5
Our Early Discovery Camps feature exciting weekly themes! See the chart to the right for more details. Early Discovery Camps (ages 4-7) : Nickelodeon Days : Canada D'Eh! : Super Hero : Pan Am Games : Pirates & Princesses : Holiday Celebrations Weekly ThemES Arts Discovery (Full Day) 4-7 $350 Camp & Sports Discovery (Full Day) 4-7 $350 Camp & Sports Discovery (Half Day a.m.) 4-7 $250 Nature & Science Discovery 4-7 $350 2015 early DISCOVERY camps WEEKLY THEME details : Appleby Circus : Fairy Tales : Around the World : The Great Outdoors Week 1: Nickelodeon Days Let s get animated! Sponge Bob and Dora the Explorer gave us a few loony ideas for fun this week. Don t forget the green slime! Week 2: Canada D'Eh! This week is short but one thing it isn t short on is fun! We will be celebrating the birth of our fabulous country with games, crafts and a lot of red and white! Week 6: Holiday Celebrations Join us for a week-long celebration of all your favourite holidays! Valentine s Day, Christmas in July and even camp-wide trick-or-treating. Don't forget your costume! Week 7: Appleby Circus An entire week of clowning around! From face painting to carnival games, this week is sure to be fun! Look forward to a special guest visiting us from the circus! Week 3: Super Hero Do you have super powers? Then this week is for you! Bring your super powers and your super costumes because it s time to save the world! Week 4: Pan Am Games Start off with the Flag Festival to learn about Pan Am and Parapan Am Games! Just like the Canadian Athletes, campers will compete in some fun activities against the 41 Pan American Countries and perhaps even learn some dance moves with Pachi the mascot! Week 8: Fairy Tales Through timeless stories such as Jack & the Beanstalk and Little Red Riding Hood, campers will have a fairy tale theme week of fun! Be ready to run in a game of Giants, Wizards & Elves, make a crown or steal the treasure from a dragon! Week 9: Around the World Create a Lego Eifel Tower, a Mexican Mask, and then head to Europe to play Spain, Spoon, Spaghetti! Join in a fun game of UK toilet paper football or get wrapped up like an Egyptian mummy! Week 5: Pirates & Princesses Hear Ye! Hear Ye! and a Yo Ho-Ho! Riches and gold await the Princesses from across the land and Pirates of the sea who take on the treasure hunt, the royal ball and a swashbuckling pirate party! Week 10: The Great Outdoors From campfire sing-a-longs to tent building competitions to going on a bear hunt, campers will surely get a taste of the great outdoors this week and will have the camp badge to prove it! Camp Care Cost before & after care camp options (ages 4-15) Before & After Care is available daily for all age groups. You must pre-register for this service and your camper will be entertained with a variety of activities organized by our fabulous instructors daily from as early as 7:30 a.m. until our extended 6:00 p.m. pick-up time. Snack is also provided daily in the morning and afternoon. Late fees will apply when campers are picked up after 6:00 p.m. Weekly Before Camp Care (7:30 9:00 a.m.) 4-15 $25 Weekly After Camp Care (3:30 6:00 p.m.) 4-15 $55 Weekly Extended Before & After Camp Care 4-15 $65 Page 3 of 5
participant Information Last Name: First Name: T-Shirt Size (circle): Child S M L Adult S M L XL Sex: M F (as of June 2015): Birthdate (MM/DD/YYYY): Parent/Guardian #1: Parent/Guardian #2: Salutation: Mr. Mrs. Ms. Dr. Other: Last Name: First Name: Salutation: Mr. Mrs. Ms. Dr. Other: Last Name: First Name: Home Phone: ( ) Home Phone: ( ) Business Phone: ( ) Business Phone: ( ) Cell Phone: ( ) Cell Phone: ( ) Email: Mailing Address: Family Parent/Guardian #1 Parent/Guardian #2 Street: Email: Emergency Contact: Name: Relationship to Participant: City: Home Phone: ( ) Province: Cell Phone: ( ) Postal Code: Business Phone: ( ) Authorized pick up list In addition to parents/guardians, and the mentioned Emergency Contact, please list the names of any others who can pick up your participant (nanny, grandparents, neighbours, etc.) from Camp: name relationship to Participant Contact Phone Number Health Certification All participants must have health insurance. Ontario residents are covered through OHIP, and should indicate their number below. If the participant is not a resident of Ontario, please indicate the insurance company and policy number below. By signing the bottom of the form, the parent/guardian indicates the applicant is in good health. Health Card (OHIP) Number (Ontario residents): Insurance Company (non-residents): Please indicate any health concerns (allergies, medical conditions, medication): Policy Number: Does this participant have any food allergies? If so, please indicate and to what severity: cannot guarantee an allergy-free environment. All campers must be able to identify their own allergies and carry the needed medication for treatment. Program support Please indicate any other concerns to aid our staff in providing the best care for your children (behavioural, emotional, etc.). Page 4 of 5
Camp program fee information Camp Program Fees include supervision by Appleby Camps staff, all of who are certified in Standard First Aid and CPR-C, have a police check and are extensively trained in Appleby s camp training program. All programs are led by experienced teachers and/or specially accredited head instructors. Instructor to camper ratios are 1:5 for the Discovery Camps (ages 4-7) and for all other camps the maximum instructor to camper ratio is 1:9. Fees include a nutritious lunch with hot selections for all full-day programs which run from 9:00 a.m. to 3:30 p.m. and recreational swim time in the indoor pool. Appleby s scenic 60- acre lakeside campus offers outstanding academic, art and athletics facilities, both indoor and outdoor, for all its camp programs. children's fitness & arts tax credit The children s fitness tax credit and children s art credit is available for all child and youth recreational programs that meet the criteria established by the CRA. For more information, please visit www.cra-arc.gc.ca. Waiver and consent Privacy Policy: Personal information collected for the Summer Camp will be used and held solely by. Information is collected for the operation of the camp which includes safety and emergency purposes, and for future correspondence with camp participants, which may include information about relevant upcoming events. Conduct: 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, who violates the camper Code of Conduct based on the following guidelines: zero tolerance of physical or psychological abuse/bullying; lack of respect for camp property and the property of others; behaviour that requires supervision beyond a reasonable level or behaviour deemed inappropriate by Camp staff. Refund Policy: Full refunds will be issued for any cancellation received 30 days prior to the first day of attendance of camp. For cancellations received 14 days prior to the first day of attendance of camp refunds will be subject to a $100 administration fee. Requests for cancellation received within 14 days of camp start date are non-refundable (full registration fee) unless a medical certificate accompanies the request. Refunds will not be granted for inclement weather or for days of camp not attended. Camps will do everything possible to avoid program cancellations; however we reserve the right to cancel a session of camp if the minimum enrollment is not met. In this circumstance, we will accommodate your child in an alternate program/alternate week or we will provide you a full refund at your discretion. Media Waiver: I hereby authorize the inclusion of my child in camp photographs and video and understand that this media will be used on Appleby s web-site, social media, hosted photo galleries and other sites related to school and camp program activities. Photos and videos may also be taken at any time for print or online promotional purposes but participants will not be identified. Concerns over this policy should be reported directly to Jenny Wyatt, 's Director of Camps at campphotos@appleby.on.ca. Medical Waiver: I, the undersigned, hereby authorize or anyone acting on its behalf, to acquire necessary medical aid that may be required as a result of any accident or injury sustained by my child. I hereby indemnify and save harmless from any and all actions, claims and demands for damages, loss or injury, however arising, which hereafter may have been sustained by my child while participating in the Summer Camps. I have read and agree to the above Stay Connected - Stay Informed Parent/Guardian #1 or Parent/Guardian #2 Signature As per the Government of Canada s new anti-spam legislation (CASL) Appleby Camps requires your consent in order to continue sending you information electronically about your child s camp program. By checking yes, you will continue to receive information regarding: urgent updates, direct access to photo galleries, special invitations, letters from the Camp Director and early registration notifications. Should you select no your name will be removed from our mailing list. Date Yes, keep me connected No, I do not wish to stay connected Payment information (Payment is due in full upon registration) Participant's Name: Total Payable: $ MasterCard Visa AMEX Card Number: Name on Card: (Cheques payable to ) Expiry Date (MM/YYYY): Signature: If paying by credit card, you may register by fax at 905-845-0617 or online at www.appleby.on.ca/campbrain. Financial information collected will only be used by and shared with the appropriate credit card company. Please fill out and return this form to: Appleby Summer Camps 540 Lakeshore Road West, Oakville, Ontario L6K 3P1 Phone: 905-845-4681 ext. 113 Fax: 905-845-0617 Email: camps@appleby.on.ca Web: www.appleby.on.ca/camps (to register online). Contact us about team or large group discounts. Page 5 of 5