Event # 5821

BBCC Sports Camp COUNSELLOR IN TRAINING 2023 - Registration Form

*Participant First Name
*Participant Last Name
*Address
*City
*Province
*Postal Code
*Phone	Receive event updates by text message Subscribe to text message list
*Email	Subscribe to email list
*T-shirt size
Date of Birth
YOU WILL RECEIVE AN EMAIL FROM THE CAMP DIRECTOR PRIOR TO YOUR WEEK(S) AT CAMP WITH MORE USEFUL INFORMATION

Pick up/Drop off

*Camper may go home alone	Yes No
*Camper will be picked up	Yes No
Names of people authorized to pick up your child.

Medical Information

Allergies
*Does your child carry an Epi-Pen?	Yes No
Does your child carry any medication with them? Please specify.
Does your child suffer from any condition you think we should be aware of such as asthma, diabetes, etc?
Are there any accommodations we can make that will ensure your child has the best experience?

Parent/Guardian

First Name
Last Name
Home Phone
Cell Phone
Email if different from above

Parent/Guardian

First Name
Last Name
Home Phone
Cell Phone
Email (if different from above)

Emergency Contact Person

*First Name
*Last Name
*Phone 1
Phone 2

CIT Session 1 (2023 Jul 03-07)

Fee

CIT Session 2 - TreeTop Trekking (2023 Jul 10-14)

Fee

CIT Session 3 (2023 Jul 17-21)

Fee

CIT Session 4 - Wet N Wild Waterpark (2023 Jul 24-28)

Fee

CIT Session 7 - TreeTop Trekking (2023 Aug 14-18)

Fee

*Payment method
Promo Code
Comments
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. I am also aware that my participation in the Activities may put me at an elevated risk of contracting or being exposed to viruses or other illnesses that may be present in the general population and/or in public spaces and that I nevertheless choose to participate in the Activities and fully assume the risk of doing so. 3. 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 . 4. 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.
*Confirmation	I have read and agree to the Registration Policy above