Event # 3798 Back to Calendar

VOLUNTEER OPPORTUNITY - Balmy Beach Sports Camp 2018 COUNSELOR IN TRAINING - Registration Form


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Male Female
Pick up/Drop off
Yes No
Yes No
Medical Information
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Parent/Guardian
Parent/Guardian
Emergency Contact Person
Registration Policy

1. I agree that that the registered camper must abide by the rules and regulations of the camp, the constitution and its by-laws. In consideration of the above camper being part of the Balmy Beach Canoe Club, the undersigned hereby releases and discharges the said Balmy Beach Canoe Club, the Balmy Beach Club and the Board of Management of the Balmy Beach Park Commission, its Directors, its Staff, its Agents and other people authorized by the Balmy Beach Club from all claims, causes of action, suits, and all manner of actions form any injury to persons or property, however caused, that the Undersigned or the Undersigned’s Heirs, Executors, Administrators or Assigns, may have.

2. Periodically, pictures of club members are taken and displayed in brochures, newspapers, the club website etc. I consent to the public use of these pictures for these publicity purposes .

3. This authorizes a camp Counselor, Administrator or Balmy Beach Canoe Club Coach to have medical or surgical or dental aid administered to the camper in the event of a medical emergency. This includes the administration of over the counter pain relievers and/or anti-inflammatory medications). I understand that it is my responsibility to keep the camp management advised of any change in the above information as soon as possible, and that in the event no one can be contacted camp management will admit the camper to the hospital if deemed necessary. I hereby authorize the physician and nursing staff of any Emergency Unit to undertake examination, investigation and necessary treatment of the camper.

I have read and agree to the Registration Policy above