Download Report

Register
TODAY!
Kids & Critters Summer Camp
2015
About the Camps
The Oakville and Milton Humane Society is
a resource centre that promotes the
human/animal bond through education.
We emphasize kindness, compassion, and
respect for all living things.
The shelter is inviting all kids to this year’s
Kids & Critters Summer Camp!
This animal education camp focuses on
learning about how to care for and protect
animals in our community and beyond!
Through games, crafts and of course,
animal interaction, kids learn to respect all
living things—big and small!
Details
Camp Location:
445 Cornwall Road,
Oakville, ON
Time:
9:00am – 3:30pm
Drop off:
Pick up:
8:30am – 9:00am
3:30pm – 4:00pm
*** At this time we cannot offer before or after care.
Please make sure this time works for your family ***
Dates:
June 29th - July 3rd
FULL
FULL
FULL
July 27th – 31st
Aug. 4th – 7th **
FULL
FULL
Cost:
Purrfect Pets
Fur, Feathers & Fins
Dog Days of Summer
Cats Rule. Dogs Drool.
The Cat’s Meow
Pawsitively Pets
Dog Days of Summer
Friends Fur-ever
6-8 year olds
9-12 year olds
9-12 year olds
6-8 year olds
9-12 year olds
9-12 year olds
9-12 year olds
6-8 year olds
$275.00/week ** $220.00/4 day week
There will be a weekly field trip for 9-12 year olds.
Registration


Full payment must be made in order to secure a spot in the program
There is a non-refundable administration fee of $25.00 upon refund. Cancellations must be
made one week prior to the start of your registered camp week.
Step 1:
Fill out the registration form.
Step 2:
Fax the registration form to 905-845-1973.
Email the registration form to [email protected].
Mail the form or bring it to the shelter in person.
Step 3:
A receipt will be sent to the mailing address on the registration form, and an email
will be sent confirming your spot in the program.
For more information on the program, call 905-845-1551 ext. 45
445 Cornwall Road, Oakville, ON L6J 7S8, 905-845-1551 ext 45
www.omhs.ca
[email protected]
Kids and Critters Summer Camp 2015 Registration Form
Name of Parent:
___________________________________________________________
Name of Camper:
___________________________________________________________
Mailing Address:
___________________________________________________________
(Street/Apartment)
Home Phone:
(City)
(Postal Code)
_______________________ Cell Phone: _________________________
Male or Female: _________ Date of Birth: ________________ Age of Camper: _________
Email: _______________________________________________________________________
You will be receiving all of your program information via email.
T-Shirt Size - Child Sizes:
S
M
L
Adult Sizes:
Would you like to be added to our mailing list?
S
M
Yes
L
XL
No
Emergency & Medical Information
Emergency Contact (other than parent): ___________________________________________
Relationship to Camper: ____________________ Phone Number: _____________________
The Oakville and Milton Humane Society houses all types of animals. Unfortunately, if your child has
allergies to dogs, cats, small animals, or birds, they will experience a reaction while in the shelter
because of our air handling system. We will not be able to keep your child away from the specific
animal that he/she is allergic to.
Does your child have any allergies or other medical conditions?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Does your child have any special needs and/or receive any assistance at school?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Pizza Lunch
On the Friday of each camp week, we will be offering a pizza lunch. Please fill out the pizza
form at the end of this registration form. Prices are as follows:
Pop = $1.50
Slice of pizza = $2.00
445 Cornwall Road, Oakville, ON L6J 7S8, 905-845-1551 ext 45
www.omhs.ca
[email protected]
Permission Form Waiver
I give the Oakville and Milton Humane Society permission to use photos of my child, taken during
the summer camp, for shelter use.
Yes
No
In consideration of being permitted to participate in all of the OMHS summer camp activities to be
held at the OMHS, 445 Cornwall Road and the park to the east of the shelter and field trips as per
schedule, I, the undersigned, agree to assume all risk of loss or injury to my child, or damage to my
property, while on the premises while my child is participating in the summer camp activities and
hereby release and waive any right of action I might acquire against the OMHS and its employees,
servants, agents or volunteers.
By my signature, I acknowledge that I have read this release and have voluntarily accepted it.
Please Print Name
Signature
Date
Camp Weeks (Please check the weeks you would like your child to attend)
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
June 29 – July 3
July 6 - 10
July 13 - 17
July 20 - 24
July 27 – 31
August 4 – 7**
August 10 - 14
August 17 – 21
Purrfect Pets
Fur, Feathers & Fins
Dog Days of Summer
Cats Rule. Dogs Drool.
The Cat’s Meow
Pawsitively Pets
Dog Days of Summer
Friends Fur-ever
6-8 year olds
9-12 year olds
9-12 year olds
6-8 year olds
9-12 year olds
9-12 year olds
9-12 year olds
6-8 year olds
Payment Information
Camp Cost
(# of weeks) ____________
# of Pop
# of Pizza
Pizza Day
I would like to help a less
fortunate child
attend programming
____________
____________
$275.00
(or $220 for short week)
=
$1.50
$2.00
=
Please accept my donation of:
$10___ $15___ $20___ other___
=
Total Cost
Payment Options
Cash
Debit
Credit Card:
Visa
Name on Card:
Credit Card Number:
Cheque
MC
(payable to Oakville & Milton Humane Society)
Expiry Date (m/y):
445 Cornwall Road, Oakville, ON L6J 7S8, 905-845-1551 ext 45
www.omhs.ca
Receipt #:
[email protected]
OFFICE USE
Date Received:
(short week)