CAMP PROGRAMS FORM
CAMPER PERMISSION SLIP
Please complete one package per child.
Name(s) of Participant(s): ______________________________________________________________
I, ________________________, give permission for my child to leave the Canada Games Centre (CGC)
grounds while attending camps to play at different sites in the immediate area. My child will always remain
in the company of the CGC Camp Staff and safety precautions will be observed at all times. I also give
permission for my child to attend any field trip associated to their weekly camp.
In addition, to protect your child’s personal privacy, the Centre has a strict “no amateur
photography/recording” policy. We ask your permission to take photo’s for promotional materials; however,
general/outside photography will not be permitted. These photos will be protected and your child will not be
named online.
The CGC has a strict pick-up and drop-off policy to protect your child’s safety. I have read and understand
the Transportation Policy and have completed the accompanying form. I also understand that my child(ren)
will not be permitted to leave camp on their own, or leave with someone not listed, without prior consent.
The CGC Camp Program is committed to making camps a safe and enjoyable environment for all
participants. By signing below, you agree to our program and behavioural guidelines and understand that
your child’s behaviour should be respectful and not offensive to others. Please take the time to review
these expectations with your child. The CGC Camp Program staff will make parents aware of any
behavioural concerns that may arise; however, the CGC reserves the right to remove any child from
camp for continued or serious poor behaviour.
As part of our Camp Safety procedures, swim tests are administered every Monday. I hereby allow my
child to take part in a swim test to determine whether or not a life jacket is needed through his/her week
at camp. I agree with the outcome and have no issues with my child wearing a life jacket/belt, if the swim
test deems that as the outcome.
____________
Initials
____________
Initials
____________
Initials
____________
Initials
____________
Initials
I, ________________________, have read and understand all matters outlined in the CGC Camps – Parent Handbook.
In signing this document, I understand the inherent risk of injury while participating in recreational activities at the CGC
Camps. I understand the CGC and its employees are not held liable for any of these injuries sustained at camp, as well
as any lost, damaged, or stolen property.
Parent/Guardian Signature:
Date:
CAMP PROGRAMS FORM
CAMPER TRANSPORTATION
ARRANGEMENTS
Name of Participant: ___________________________________________
Unless the Canada Games Centre Staff is aware that your child will be walking to camp, children MUST be
accompanied into the centre, and signed into camp daily by a parent or guardian.
Only the individuals named below will be permitted to sign your child out at the end of each camp day. Please
let us know if there are to be changes to the names listed below throughout the duration of summer camps.
This notification should come in writing to [email protected] . Each individual will be asked for
photo identification before a child is allowed to leave camp. Please understand we will not allow your child to
leave with any unnamed individual without contacting you first. This will cause a delay in your child leaving
camp.
The following individuals may pick up my child from camp each day.
Name: ______________________________________________ Phone #: __________________
Name: ______________________________________________ Phone #: __________________
Name: ______________________________________________ Phone #: __________________
Name: ______________________________________________ Phone #: __________________
Walking to/from Camp Arrangements
My child will be permitted to walk to and from the Canada Games Centre on the following day(s):
________________________________________________________________________________.
I understand my child will not be permitted to come to, or leave camp if this form is not completed and
submitted to the CGC Camp Staff.
Should someone arrive to pick up your child that is not listed above, we will not let your child leave the Centre
without contacting the primary guardian listed. This will cause a delay in your child leaving camp. Please
submit any changed/addition in writing to avoid any delay’s in your schedule.
Parent/Guardian Signature: _______________________________________________
CAMP PROGRAMS FORM
CAMPER MEDICAL INFORMATION
Name of Participant
Birth Date
Name of Parent/Guardian
Daytime Phone Number
Emergency Contacts (Different from Parent or Guardian, and available during camp hours)
Name #1
Relation to Participant
Daytime Phone Number(s)
(1)
Name #2
Daytime Phone Number(s)
(2)
Relation to Participant
(1)
(2)
MEDICATIONS/ALLERGENS/BEHAVIOUR
1.
Will the participant require medication while in our care?
□ YES
□ NO
□ YES
□ NO
□ YES
□ NO
□ YES
□ NO
If yes: Medication Name (s)
Administered When/How
Will your child require assistance to administer?
2.
Please list your child’s allergies and reaction to the allergen.
3.
Do any of the above allergies require the use of an epi-pen?
Which:
Can you child self-administer the epi-pen?
4. Does your child have any non-medical concerns we should know about? (various behavioural concerns)
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Please be sure to give any/all medication to a Camp staff member each time your drop your child off for safe
keeping. Also ensure your child is wearing their epi-pin if necessary. All medications/epi-pens should be clearly
labeled with your child’s name.
Please make sure you inform Camp Staff of any changes to the above information ASAP.
______________________________________________________
___________________________
Parent/Guardian Signature
Date