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True Life Church
rEGISTRATIONS ACCEPTED AS OF JUNE 22, 2020 ARE FOR A WAITING LIST
Waterski Camp 2020 Individual Camper Online Registration Form
Please note that campers must be entering these grades in the fall of 2020 in order to qualify for attendance.
**In order to take advantage of the family rate, campers must be siblings in the same immediate family.
***A non-refundable registration fee of $100 is required at the time of application for each student.
This amount will be deducted from the full fee.
This year we are limited to the number of campers we are able to accept. We can accommodate 32 students. (16 girls/16 guys) on a
first come first serve basis.
We can not guarantee your spot until we have received your registration.
Camp Fees for 2020
$310.00/ Camper
Registration Fee: $100.00
(non-refundable)
Please Note:
Registration Fee is applied to the total camp fee
Family 3 or more $275 each
Payments for camp may be made by Cheque, Cash, Debit, or Credit at the Church Office or you can E-TRANSFER to Judy at the TLC Office. Email:
finance@bellaliant.com
*
Indicates required field
Are you registering your Daughter or Son
*
I am registering my Daughter
I am registering my Son
Contact Information
Parent Name: First and Last
*
First
Last
Parent Name: First and Last
*
First
Last
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Camper Name
*
First
Last
Home Phone Number
*
Cell Phone (Parent)
*
Parent Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Emergency Contact Information
Should you have plans to be away from home during the week your child is at camp, please provide the necessary contact information where we will be able to reach you should it become necessary to do so.
Emergency Contact Name, Phone Number and Relationship to Camper
*
Camper Information:
Birthdate: (M/D/Y
*
Grade in the September 2020
*
Home Church
*
Other Information needed for Camp
Swimming Ability
*
Excellent
Good
Fair
Poor
Non-Swimmer
Is there any information we need to know with regards to your child's swimming ability
*
T-Shirt Size
*
Adult S
Adult M
Adult L
Adult XL
We will do our best to assure the camper gets the proper size shirt but we cannot guarantee shirt size at this time
Due to
Covid-19
policies, we will do the best to accommodate cabins and boat assignments.
Roommate(s) Request:
*
Boatmate(s) Request:
*
Medical Information:
In order to provide campers with the most conscientious care possible while at camp, we ask that you fully disclose any and all medical concerns, prescription and over-the-counter medication use, and other physical, emotional, social, or behavioural concerns by answering the following set of medical questions.
Family Physician:
*
Medicare no.
*
Date of last tetanus shot: (m/d/y)
*
Please list any medications (prescription or otherwise) the camper will bring with them to camp. (if none, please say no meds required)
*
Please list any allergies along with the type and severity of the reaction. (If none, please put no allergies)
*
Does the camper presently, or at times in the past, struggle with any of the following (check all that apply)?
*
Heart Issues
Ear Aches
Skin Irritations
Hernias
Indegestion
ADD/ADHD
Hay Fever
Asthma
Diabetes
Seizures
Heat Stroke
Sleepwalking
Concussion
Nausea/vomiting
Other (please explain) in box OTHER
NONE
Please check any and all medications that can be administered to the camper by the camp nurse.
*
Gravol
Benadryl
Dristan
Ibuprofen
Tylenol
Claritin
Reactin
Rub a535
Polysporin
Hydrogen Peroxide/disinfectant spray
NONE
** Other:
*
Please disclose any physical, emotional, mental, social, or behavioural concerns or limitations we should be aware of. (if none, please put NONE)
*
Permissions: (Please read carefully and check below)
Parent or Guardian, please be sure to read and check each of the following .
I Understand
*
I understand that, should my child be involved in any unsupervised camp activities (i.e. late-night pranks, roughhousing) which cause damage to either the campground or the personal belongings of another camper or staff member, I will be responsible to make restitution for the full replacement or repair costs as soon as they are determined.
I Consent
*
I consent to my son/daughter’s picture being used in future promotional materials for Waterski Camp. I understand that no personal details will be disclosed for any reason
Parent Name
*
First
Last
Parent Email
*
Date:
*
I have read this consent
*
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.
I Understand
*
I understand that boating, water sports, and other camp activities have inherent risks beyond the contemplation and control of camp staff. Precautions are taken for the health and safety of your child, but in the event of accidental death, injury or illness, True Life Church, its staff and volunteers are hereby released from any and all liability. I give the leadership of this camp the authority to make medical decisions in my absence on my child’s behalf. In the event that any camper requires special medication, x-rays or treatment, parents/guardians will be notified immediately. In case of a surgical emergency, I hereby give permission to the attending physician to hospitalize, secure proper treatment for, and to order anaesthesia or surgery for my child.
Precautions are taken for the health and safety of your child, but in the event of accidental death, injury or illness, True Life Church, its staff and volunteers are hereby released from any and all liability. I give the leadership of this camp the authority to make medical decisions in my absence on my child’s behalf. In the event that any camper requires special medication, x-rays or treatment, parents/guardians will be notified immediately. In case of a surgical emergency, I hereby give permission to the attending physician to hospitalize, secure proper treatment for, and to order anaesthesia or surgery for my child.
Submit
Payment may be made by Cheque, Cash, Debit, Credit at the Church office or you can
E-Transfer to the Finance Department at True Life
to Judy. Email:
finance@bellaliant.com
Home
Thrive
Waterski Camp 2020
Contact Us
True Life Church