English Day Camp (ages 6-12) - Individual Registration

Remplissez le formulaire suivant pour vous inscrire à l'évènement English Day Camp (ages 6-12).

Please enter information in the form below to process registration for English Day Camp (ages 6-12).

Parent First name *

Parent Last name *

Best Way to Contact *

Prénom du campeur/Camper First Name *

Nom du campeur/Camper Last Name *

Organization

Address *

Address 2

City *

Province *

Postal Code *

Country *

Phone *

Cellphone

Email *

Camper Biological Sex *

Camper's Birthday *

YYYY/MM/DD

First Time Camper *

Where did you hear about Camp des Iles?

Comment

PARENT/GUARDIAN PERMISSION FORM

I agree to allow photographs

I agree to allow photographs or video of camp activities, which may include my child, to be used in any and all camp promotional material including the sharing of photographs and videos with ministry partners of One Hope Canada.

Understood the terms of this agreement *

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.

Right to request *

Camp Des Iles reserves the right to request any participant to withdraw from their camp if the participant is not acting in an appropriate and responsible manner.

Right to cancel *

Camp Des Iles reserves the right to cancel any week of camp and give a 100% refund.

Agree to share

I agree to allow Camp Des Iles to share my name, address & phone number with personnel & churches affiliated with the camp.

Permission to connect

We count it a privilege that you are sending your son or daughter to spend the week with us at camp this summer. During a week of camp, we look forward to many great friendships being formed! We have an amazing summer missionary team, and they love to stay connected with their campers throughout the year to hear how they are doing and answer any questions they may have about the topics discussed during chapel session and cabin devotionals. As part of our child and youth protection policy (www.insafehands.ca) we are committed to honouring you as a parent/guardian and to asking your permission before any contact occurs between campers and our missionaries (Facebook, Twitter, phone calls, etc.). Our missionaries would be honoured to be able to continue to stay involved in your child or youth’s life after camp. Please initial to indicate whether or not you give permission to our missionaries to stay in contact with your son or daughter. If you wish to discuss this further, please contact the camp director by phone or email (please see camp website for contact information). If you wish to withdraw your permission, please contact the camp office immediately to notify the camp director.

Head Lice Check *

I understand, that as a part of Camp Des Iles effort to prevent the spread of head lice, all participants will be required to have a head lice check performed by one of Camp Des Iles' staff during registration.

Informed Consent and Assumption of Risk

IN CONSIDERATION *

IN CONSIDERATION of being permitted to participate in any way at Camp Des Iles, operated by One Hope Ministries of Canada (hereafter known as ministry point), I acknowledge, understand, and agree: 1. Participation in activities could result in possible personal injury. Despite precautions taken by the ministry point, accidents and injuries may occur. By signing this form, I assume all risks related to the use of any and all spaces used by the ministry point. 2. To release from responsibility, the ministry point, including all missionaries, full-time and part-time, paid or volunteer, and the facilities used from any cause of action, claims, or demands now, and in the future that might arise out of the participant’s participation in activities at the ministry point or from the physical risks associated with the activities. 3. I accept all risks relating to such activities including personal injury such as: cuts, sprains, scrapes, bruises, fractures, broken bones, concussions, death, or any personal property damage/loss, which may occur on the camp premises. I understand these risks and will not hold the ministry point liable for any such injury. 4. Furthermore, I agree to obey all ministry point rules and take full responsibility for my behaviour in addition to any damage I may cause to the facilities utilized by the ministry point.

I have read *

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.

FOR PARTICIPANTS OF MINORITY AGE

This is to certify that *

This is to certify that, I, as parent/guardian with legal responsibility for this participant, have read this Informed Consent and Assumption of Risk Agreement, fully understand its terms, and that I have given up substantial rights by signing it, and sign it freely and voluntarily.

SIN for RL24

If you live in Quebec, then part of your camp registration fees can be claimed on your income taxes. If you wish to receive an RL24 form at the end of the year, please provide your Social Insurance Number. You can also provide this number in person on the first day of camp instead of typing it in here.

Payment Information

Amount

Payment Method *

Send E-Transfer / envoyer un virement électronique; campdesiles@onehopecanada.ca Credit Card (powered by Stripe)

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Credit or debit card*