Camp Connections

1. Registration Information

Date of application

First Name *

Surname *

Date of Birth (YYYY/MM/DD)

Age

Street Address *

City/Town *

Province/State *

Postal Code / ZIP *

Email Address

Phone Number *

Health Card Number *

T-Shirt Size *

Church Affiliation * Church Affiliation

Emergency Contact 1 Full Name *

Emergency Contact 1 Home Phone *

Emergency Contact 1 Cell Phone *

Emergency Contact 1 E-Mail *

Emergency Contact 2 Full Name *

Emergency Contact 2 Home Phone *

Emergency Contact 2 Cell Phone *

Emergency Contact 2 E-Mail *

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Includes: food, lodging and Camp shirt. Excludes: transportation to and from Camp

How many ADULTS are you registering for Family Camp? (including yourself) *

How many Children AGED 6-11 are you registering for Family Camp? *

How many Children AGED 3-5 are you registering for Family Camp? *

How many Children AGED 0-3 are you registering for Family Camp? *

Will this be your first time at Camp Connections? *

Yes, I'm a first time camper!

No, I'm coming back for more!

Are you taking advantage of the Friends of Camp Connections early registration discounts? *

Yes! I am registering before February 15th (100% of early bird discount applies)

Yes! I am registering before March 1st (50% of early bird discount applies)

Yes! I am registering before April 1st (25% of early bird discount applies)

No...I've missed the early registration deadlines

Total Tuition Before Discounts

Total Tuition Payable after discounts (Canadian dollars)

Deposit

Please select how you wish to pay today: *

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Please be informed that many photos are taken during Camp; some of these photos may be used on our webpage, or in Grace Communion International publications. Generally campers are not identified by name. We cannot guarantee a group photo including your applicant will not be used. Camp Connections may use any photos and videos taken that include the applicant at any Camp Connections event in its publications or those of its sponsors, Generations Camp Ministry, Grace Communion International and Friends of Camp Connections.

Parent/Guardian *

I have read and understood the consent and release above and I agree

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6. Parental Consent and Camp Connections Release

I/We recognize the risks of physical and aquatic activities. I am/We are satisfied with the precautions taken for the health and safety of my child at Camp. I/We covenant not to sue and to release, indemnify and save and hold harmless, Grace Communion International, the Camp Connections Camp Planning Team, all their affiliated organizations and boards of trustees or directors, officers, agents and employees, and Camp counselors or helpers, from and against claims or suits brought against the Church or camp based upon or resulting from material, moral or bodily injuries sustained by or arising out of, or in the course of, attendance at Camp.

Parent/Guardian *

I have read and understood the above disclaimers and agree to abide by them

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As a Camper, I will strive towards conduct as defined by Jesus Christ in the two great commandments, “love towards God, and love towards neighbour.” I understand that the expectations at Camp include being respectful and cooperative, reflecting modesty in dress and appearance as appropriate for the activity, abstaining from pairing off, sexual activity, offensive language, possession or use of intoxicants, or illegal drugs. I understand that I am expected to participate fully in all activities, unless exempted by camp administration. I understand that I am to wear appropriate clothing for the activities, as outlined on the camp web-site. I understand that failing to abide by the rules and standards of the Camp can result in my being sent home at the expense of my family.

Applicant (Camper) *

I have read and understood the above declaration and I agree to abide by it

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8. Health Insurance and Liability Waiver

Without exception, all campers must bring their provincial health card (or equivalent if visiting from outside of Canada) to Camp with them. Applicant must be covered by Provincial Health Insurance or equivalent medical insurance. The Camp program requires campers to engage in a wide range of physical activities. Good health and fitness are important. Precautions are taken for the safety and health of campers, but in the event of accident or sickness, Grace Communion International, its staff, and its volunteers are hereby released from any liability.

Parent/Guardian *

I have read and understood that above and I agree

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By law, the administration of medication, including over-the-counter medication (such as Tylenol and Aspirin) to campers or personnel 18 or under MUST be approved by a legal guardian, and administered by the appointed Camp health personnel. In the event that a camper requires medical attention while at Camp, on site first aid personnel will asses the situation and deal with minor injuries, including the administering of over-the-counter medications when deemed appropriate. In the event of a medical emergency, or other health issue deemed to require further medical attention, the situation will be referred to the local hospital or clinic. The parent/guardian will be notified immediately of any serious medical issues including the need for special medication, x-rays, or other serious treatments.

Parent/Guardian *

I hereby agree that over-the-counter medications (such as Tylenol, Aspirin etc) may be administered to this camper by camp appointed health personnel.

Parent/Guardian *

In case of surgical emergency, I hereby give permissions to the attending physician to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my child as named above.

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Is there anything else you wish to add that has not been covered elsewhere in this application?

I agree that my typed name below is the electronic equivalent of my written signature and that I agree with all of the statements on this application and acknowledge that I have given the most accurate and current medical information possible. *

Please ensure you register all other participants in your family (adults and children) using the "Add a Participant" button on the "Register" page. Each person must be registered separately. Thank you!!

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Social Links

Family Camp Registration

1. Registration Information

2. Registration Fees

5. Parental Consent and Photo Release

6. Parental Consent and Camp Connections Release

7. Applicant Code of Conduct Declaration

8. Health Insurance and Liability Waiver

9. Medical Issues and Administration of Medication

10. Sign and Submit