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2015 CAMPER REGISTRATION TORCH TRAIL BIBLE CAMP
Please print clearly and complete all marked lines. Campers Name:______________________________ IS THIS CAMPER A BOY _____OR GIRL_____ Birthdate____ /__ /____ Age____ Grade _______ Circle one m d y as of camp fall 2015 Parent/Guardian:___________________________ Address:__________________________________ City_____________________________Prov._____ PostalCode____________Home#______________
Work#_________________Cell#_______________ Email_____________________________________ Cabin Mate Preference:______________________ (Both campers must request each other to guarantee placement. One person of similar age only) *ALL FEES INCLUDE T-‐SHIRT/TUCK/TAXES Early Fees: fees paid in full before April 30th, 2014 Late Fees: fees postmarked after May 1, 2015 Early / Late ____JUNIOR 1 8-‐12 yrs. July 5-‐10 $315 / $340 ____JUNIOR 2 7-‐10 yrs. July 12-‐17 $315 / $340 ____JR. TEEN 12-‐14yrs. July 19-‐24 $315 / $340 ____SQUIRT 6-‐8 yrs. July 26-‐28 $175 / $200 ____TEEN 14-‐18 yrs. Aug. 2-‐7 $315 / $340 ____JUNIOR 3 9-‐11 yrs. Aug. 10-‐15 $315 / $340 ____Out Trip 13-‐18 yrs. Aug 17-‐21 $315 / $340 ____LIT 14+ July 19-‐24 & Aug. 2-‐7 $375 / $400 Discounts Available: Family Discount-‐ the first two children from the same family pay the full amount, and each additional child receives a $25.00 discount. Please call if you need an application for the campership fund. This fund provides financial assistance for those who cannot afford the total fees. SKILL SELECTION-‐Please choose the following skills only if you want them in addition to the wide range of skills every camper will receive including swimming and riding. Available for JR. Camps, and JR Teen only ___SWIMMING LESSONS: $50.00 Red Cross Level previously Completed_____ Life Saving Level previously Completed_____ NOTE: ALL CAMPERS WILL HAVE A CHANCE TO SIGN UP FOR RIDING AND WILL BE DIVIDED INTO GROUPS ACCORDING TO SKILL LEVELS. THERE WILL BE NO EXTRA FEES CHARGED. SELECT CAMPER T-‐SHIRT SIZE (included in fees) Youth: Small Medium Large Adult: Small Medium Large Extra Large HEALTH FORM Camper’s Full Name___________________________ Saskatchewan Personal Health Number____________ Is the camper? (Please check the ones that apply) Anaphylactic ___ Carry an Epi Pen_____ Seriously Allergic______ if so, to what?_____________ Details:_______________________________________
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_____________________________________________ Any health Concerns_____________________________ _____________________________________________ Medications:___________________________________ Please note that although we cannot guarantee an allergen free environment, we will make every effort to accommodate children with severe allergies. All campers will meet with the nurse for any medical needs as well as for a lice screening prior to moving in. Emergency Contact: (In case parent or guardian cannot be reached) Name: _________________________________ Phone _____________Phone_____________ I am enclosing a cheque/money order for: $____________ Registration Fees ______ _______Swimming Lessons (optional $50) ____Advanced Horsemanship (optional $40) _____________Less Discount (if applicable $25) TOTAL
For office use only: PAID BY:______________________________________ Cheque #________ Notes:________________________________________
PLEASE READ THIS PAGE CAREFULLY: _____________________________________________
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____________________ PARENT/GUARDIAN PERMISSION FORM
– PLEASE READ PRIOR TO REGISTERING –
In case of emergency, I understand every effort will be made to contact me. In the event that I cannot be reached in an
emergency situation, I hereby give permission to licensed emergency and health care personnel to provide treatment,
services and transport necessary to maintain the health of my child. In the event medication, medical advice, treatment
and/or equipment are required, I agree to accept financial responsibility for fees in excess of provincial and or private
medical insurance. I agree that the information on this form may be disclosed to such emergency and health care
personnel. In the event of illness, accident, emergency, or any other circumstance requiring medical treatment, such
treatment may be procured for the participant without legal or financial obligation to Torch Trail Bible Camp and One Hope
Ministries of Canada. All known health issues of my child have been stated to the camp. I will notify the camp if my child is
exposed to any infectious diseases prior to arriving at camp.
I agree to allow photographs or video of camp activities, which may include my child, to be used in camp promotional
material including without limitation brochures, CDs, DVDs, the camp website and newsletters.
I have read and understood the terms of this agreement and BY ALLOWING MY CHILD (REN) to participate in the camp; I am
voluntarily agreeing to abide to these terms. I confirm that the participant [my child] is physically and mentally able to
participate in all activities of the camp, unless specifically indicated otherwise in writing.
Child’s Name: __________________________________________ Parent/Guardian Signature: ________________________________
Date: __________________________________________________
Torch Trail Bible Camp & One Hope Ministries of Canada
INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT
WARNING! By signing this document you will waive certain legal rights, including the right to sue. Please read
carefully.
1.
This is a binding legal agreement; therefore clarify any questions or concerns before signing. As a Participant in
camps, events, programs, and activities organized, operated or conducted by Torch Trail Bible Camp and One
Hope Ministries of Canada (collectively the “Events”), the undersigned, being the Participant and the
Parent/Guardian of the Participant (collectively the “Parties”) acknowledge and agree to the following terms:
Disclaimer
2. Torch Trail Bible Camp and One Hope Ministries of Canada and its directors, officers, committee members,
members, employees,
volunteers, participants, agents and representatives (collectively the “Organization”) are
not responsible for any injury, personal injury, damage, property damage, expense, loss of income, or loss of any
kind suffered by a Participant during, or as a result of, participating with the Organization and/or in any Events,
caused by the risks, dangers and hazards associated with the Organization and/or the Events.
Description of Risks
3 The Participant is participating voluntarily with the Organization and/or in the Events. In consideration of the
Participant’s participation in with the Organization and/or in the Events, the Parties hereby acknowledge that they
are aware of the risks, dangers and hazards and may be exposed to such risks, dangers, and hazards. The risks,
dangers, and hazards include, but are not limited to, injuries from participating in or with the following
activities or equipment:
Archery
Flag/Touch Football
Soccer
Swimming
Zip Lining
Arts and Crafts
Pedal cars
Rifle Range/ Pelletry
Canoeing
Outdoor Adventure
Baseball
Horsemanship/Riding
Hiking
Volleyball
Broomball
Basketball
Ball Hockey
Performing Arts
Nine Square
Rocketball
Wide Games
Sling Shot
Wall/Rock
Climbing
Hatchet Throwing
4.
Knife Throwing
The risks, dangers, and hazards also include, but are not limited to, injuries from:
a) Failing to comply with the rules established for participation
b) Bad weather conditions including hypothermia, sunstroke, or dehydration
c) Vigorous physical exertion, rapid movements, and quick turns and stop
d) Failing to remain within designated areas and supervised activities
Furthermore, the Parties are aware:
a) That the Participant’s risk of injury is reduced if he or she follows all rules established for
participation; and
b) That the Participant’s risk of injury increases as he or she becomes fatigued.
Release of Liability
5. In consideration of the Organization allowing the Participant to participate, the Parties agree:
a) To freely accept and fully assume all such risks, dangers and hazards and possibility of personal injury,
death, property damage, expense and related loss, including loss of income, resulting from participating with the
Organization and/or in the Events; and
b) To forever release the Organization from any and all liability for any and all claims, demands, actions and
costs that might arise out of the Participant’s participation with the Organization and/or in the Events, or from the
physical risks associated with same.
Acknowledgement
6. The Parties acknowledge that they have read this agreement and understand it, that they have executed this
agreement voluntarily, and that this Agreement is to be binding upon themselves, their heirs, executors,
administrators and representatives.
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Printed Name of Participant
(Ages 13-17 only)
_____________________________________
Signature of Participant
_______________
Date of Birth
_____________________________
Printed Name of Parent or Guardian
_____________________________________
Signature of Parent or Guardian
_______________
Date
GENERAL IMPORTANT INFORMATION FEES, PAYMENTS, AND REGISTRATION: •
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Fees include 2 items of tuck per day, (10 in total); a camp T-‐shirt, choice of 3 skills per day, and all applicable taxes. Fees for ALL campers are due with registration forms. Each camp has an early bird discount of $25 if registration is post-‐marked prior to April 30th, 2015. Registrations can be paid by cheque or money order, however, all registrations received after July 1, 2015 will need to be paid with money order, or cash. Registrations over the phone will not be taken under any circumstances. $25.00 charge for NSF cheques. Cancellation Policy: All but $50 will be refunded if registration is cancelled with one week’s notice. No shows will not be refunded. Camp fees are legitimate childcare expenses, and may be deducted from your tax return. A receipt will be issued for your camp fees. IF YOU DO NOT HAVE ACCESS TO A PRINTER THEN PLEASE CALL 306-‐428-‐2989 AND FORMS WILL BE MAILED TO YOU. CHECKLIST FOR REGISTRATION: o Complete all the forms in full o Climbing wall waiver for Junior camps only o Make cheques/money orders payable to Torch Trail Bible Camp for the full amount required. o Mail: TTBC Box 84 Choiceland, SK S0J 0M0 ARRIVAL/PICK UP AT THE CAMP: SUNDAY 4:00-‐5:00 • All camps begin on Sunday with registration no earlier than 4:00 pm. All children will be screened for head lice before moving into their cabin. • The pool will be open during registration for public swim if you wish to use it while you are here. NOTE: The Out Trip Camp begins on Monday at 10:00 am. Campers will receive notification of items to bring and details of the camping trip in the summer. This camp ends on Friday at 5:00pm. PICK UP: FRIDAY NOON All of our camps end with a closing program at 11:30am. Parents and campers are encouraged and welcome to attend a BBQ lunch to follow. PLEASE BRING: o Sleeping Bag & Pillow Notebook, Pen, Bible if you have one Modest swimwear and towel Extra shoes, hat, jacket, rain gear Sunscreen, Bug Spray Warm clothes, old clothes, as well as several changes of clothes. o Personal toiletries, toothbrush etc. PLEASE DO NOT BRING: o Please leave at home cell phones, IPods, and all similar technology. o All medications of any kind must be handed in to the camp nurse upon arrival. The campers cannot have any medication whatsoever in the cabins. o Bringing prohibited items to camp will risk the campers being sent home or the item being confiscated. o
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