2022 summer adventure day camps registration form

2022 Summer Adventure Day Camps Registration Form

MEMBER INFORMATION

PARENT/GUARDIAN INFORMATION

EMERGENCY CONTACT INFORMATION

*Please provide two emergency contacts OTHER THAN the parents/guardians listed above. *

MEDICAL INFORMATION

Does your child have any needs/requirements in the following areas? If yes, please explain further. If applicable, please indicate any diagnoses and medications that they are taking.

CONTRACT AGREEMENT

CAMP DETAILS

Hours of Operation

Monday to Friday from 7:30am - 5:30pm (CLOSED Monday August 1st)

Age:

Children must be 5 to 14 years old to attend our camps.

Field Trips:

We are offering our field trips this year FREE OF CHARGE! Field trips will be based on the theme for the week and will take place on Thursday every week. Additional permission forms will be required to participate in the field trips.

Snacks & Meals:

Included in our camp registration fee, is a breakfast, lunch, and afternoon snack daily. Our extended hours (7:30am-8:30am and 4:30pm-5:30pm) are also being offered again this year FREE OF CHARGE!

PAYMENTS

Our weekly rate is $130.

Please note, the fee for Week 5 (August 2nd-5th) will be $110.00 due to the stat holiday on Monday August 1st.

Our daily rate is $45.

Please note, we are CLOSED on Monday, August 1st, 2022.

Payment is due one week before the childs’ attendance at camp. If we do not receive the full payment one week in advance, the child will not be able to participate in the Summer Adventure Day Camp.

Payment methods: Given our COVID-19 procedures, we would like to encourage the use of e-transfers. E-transfers can be sent to ac.bcgb@stnemyap. Please include the child’s full name in the memo section. BGC Battlefords is set up for automatic deposit of e-transfers which means no password is required. When e-transfer is not available, the other forms of payment accepted at the office are: cash, debit or credit. Office hours are Monday-Friday from 8:30am-3:30pm.

CHANGES TO CONTRACT AND CANCELLATION POLICY

By signing this agreement, you are committing to this contract for the 2022 Summer Adventure Day Camps. Families are required to provide ONE WEEK’S NOTICE for any changes to this agreement in writing by completing a Contract Amendment Form.

ALL CHANGES/CANCELLATIONS MUST BE SUBMITTED PRIOR TO 12:00pm (NOON) MONDAY OF THE WEEK PRIOR TO THE CHANGES BEING REQUESTED. Please contact the office to request this form or visit our website (www.bgcbattlefords.ca). Refunds will be issued by September 30th, 2022 only if required notice has been received.

CUSTODY & RELATED COURT ORDERS

If a custody or court order exists, a copy of the order must be given to BGC Battlefords. The parent/guardian is responsible for providing accurate and up to date information concerning the legal guardianship of the child. Without a custody or court order on file, BGC Battlefords cannot deny access to the non-enrolling parent.

I have provided BGC Battlefords with legal documentation (custody or court order). Without this, BGC Battlefords cannot legally deny access to a non-enrolling parent.

MEDIA CONSENT & RELEASE

ASSUMPTION OF THE RISK AND WAIVER OF LIABILITY RELATING TO COVID-19

Parents/Guardians please read:

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is contagious and is believed to spread mainly from person-to-person contact. BGC Battlefords has put in place procedures to reduce the spread of COVID-19. Regardless of the precautionary measures in place, BGC Battlefords cannot guarantee that you or your child(ren) will not become infected with COVID-19. All program guidelines are subject to change with no notice upon government recommendations and requirements. Attending BGC Battlefords programs could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending BGC Battlefords programs and that exposure or infection may result in injury, illness, health complications or death. I understand that the risk of becoming exposed to or infected by COVID-19 at BGC Battlefords programs may result from the actions or omissions of myself and others, including, but not limited to, BGC Battlefords’ employees and program participants, and their families. By my signature, I confirm that I have read and understand the COVID-19 Procedures as posted on the BGC Battlefords website (https://www.bgcbattlefords.ca/covid-19-information/) or as shown to me in-person. I voluntarily agree to assume all risks and accept sole responsibility for any issues or complications my child(ren) or myself may experience or incur in connection with my child(ren)’s attendance and participation in BGC Battlefords programming. On my behalf, and on behalf of my children, I hereby release and hold harmless BGC Battlefords (legal name, Battlefords Boys and Girls Club), its employees, the program facility and all representatives from all liabilities, claims, actions, damages, costs, or expenses of any kind arising out of or relating to it. I understand and agree that this release includes any claims based on the actions, or omissions of BGC Battlefords, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any BGC Battlefords program.

REGISTRATION AGREEMENT

Parents/Guardians, please review these guidelines/rules with your child:

If you want to participate in BGC Battlefords (BGCB) Summer Adventure Day Camps and enjoy the activities they have planned, you must agree to respect the staff, volunteers, and the other children. YOU MUST UNDERSTAND THAT BGCB IS A SAFE PLACE FOR ALL CHILDREN, AND IF YOU ACT IN A WAY THAT MAKES SOMEONE FEEL UNSAFE, YOU WILL BE ASKED TO LEAVE. You will follow the rules set by the staff. You also understand that if you do not follow these rules, you may lose your privileges as a result and may not be able to return to Summer Adventure Day Camps in the future.

Parents/Guardians, please read and agree to, by initially beside, the following statements:

*If you would like your child to walk/bike to and/or from our Summer Adventure Day Camps, you will be required to fill out an additional permission form. Please contact the office to receive this form.

*If your child requires the use of any medications (for allergies, medical conditions, etc.) while participating in Summer Adventure Day Camps, separate medical/permission forms will be required. Please contact the office to receive these forms.

*If you would like a copy of this registration form, please contact the office at (306) 445-0002 or ac.bcgb@ofni.

BGC Battlefords is committed to protecting the confidentiality of personal information. The information collected will assist BGC Battlefords in service delivery and is kept confidential.