2021 Day Camps Step 1 of 3 33% Camper's Name* First Last Parent or Guardian's Name* First Last Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email*Phone Number*Gender of Camper*MaleFemaleBirthdate* Date Format: MM slash DD slash YYYY Age*Please enter a number from 5 to 18.We will be sending you an email with important information (What to bring, what to know, drop off and pick up instructions, etc.) the week before your selected day camp starts. Please watch your inbox to make sure that you read and follow this letter. Select Camp - only camps listed are available*Ages 12-14 - Jul 19-23 ($25/day for 5 days )Ages 8-11 - Jul 26-30 ($25/day for 5 days )Ages 5-7 - Aug 3-5 ($25/day for 3 days )Ages 15-18 - Aug 6-8 ($25/day for 3 days )Each camp has a maximum number of campers that can participate. If a camp fills up, it will be indicated next to the choice. If you'd like to be put onto a waiting list for a camp that is full, please contact the office. T-Shirt Size*Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-LArgeCamper's Health Information The following section deals with information about medical conditions and information regarding to personal health documents for the camper. Please complete it fully as this information will be required when planning meals, activities, and in the event of an emergency.Sask Health # (or equivalent)*Doctor's NameDoctor's Phone NumberDoes the camper suffer from any medical or emotional conditions that may restrict normal activities and sports? Are there medications that we need to be aware of?*YesNoIf yes, please explain:Does the camper suffer from any allergies?*YesNoIf yes, please explain:Current medication and dose:In case of emergency, if parent/guardian cannot be reached, contact:*I grant permission to the camp to seek medical treatment in an emergency if a parent/guardian cannot be reached.*YesNo Total $ 0.00 CAD Informed Consent and Assumption of Risk READ BEFORE SIGNING I acknowledge, understand, and agree: 1. The COVID-19 virus pandemic remains an on-going threat. I understand that there still is a risk of exposure to the virus while my child attends the camp, in spite of the precautions that have been taken by Arlington Beach Camp & Conference Centre Inc. (ABCCC) in following directions outlined by local health authorities to try to limit exposure to the COVID-19 virus or to other communicable diseases. I further understand if my child has a pre-existing condition, it may make them more vulnerable to the virus. 2. Participation in activities (archery, mountain biking, outdoor games, etc.) could result in possible personal injury. Despite precautions taken by ABCCC, accidents and injuries may occur. By signing below, I assume all risks related to the use of any and all spaces used by ABCCC. 3. To release from responsibility, ABCCC, including all staff, full-time and part-time, paid or volunteer, and the facilities used from any cause of action, claims, or demands now, and in the future that might arise out of the participant’s participation in activities at ABCCC or from the physical risks associated with the activities. 4. I accept all risks relating to such activities including personal injury such as: cuts, sprains, scrapes, bruises, fractures, broken bones, concussions, death, or any personal property damage/loss, which may occur on the camp premises. I understand these risks and will not hold ABCCC liable for any such injury. 5. Furthermore, I agree to obey all ABCCC rules and take full responsibility for my child's behavior in addition to any damage I may cause to the facilities utilized by ABCCC. 6. I understand that my child will attend all camp sessions, follow all camp rules and cooperate with camp staff. If there is a continuing problem in any of these areas the camp reserves the right to send my child home, and a refund will not be issued. 7. I have legal custody over my child. 8. I grant permission for my child to participate in all camp activities. All activities will be modified to comply with the Re-open Saskatchewan COVID-19 guidelines. 9. I understand that appropriate pictures and videos are taken, and I grant permission for the camp to use any photo of my child for their promotional material. 10. I agree to give the staff at Arlington Beach Camp and Conference Centre my permission to give my child over the counter medications when deemed necessary. 11. Cancellation Policy: All payments made are non-refundable except in cases of sickness or an emergency. 12. If I am staying on the grounds during camp, I understand that I am not permitted to interact with my child. Please speak with staff before interacting with your child. I have read this Informed Consent and Assumption of Risk Agreement, fully understand its terms and the risks I am assuming by signing it, and sign it freely and voluntarily. PLEASE NOTE: You need to go through the following check-out process in order to be officially registered. If the process fails or if you are unsure about whether the transaction went through, please contact the camp at 306.484.4460 Signature*