- Registration forms are to be accompanied with full payment.
Consent, Waiver and Indemnify Release of All Claims
I give permission for my chlid to participate in the activities of Summer Camp 2020. The signature(s) below provides the necessary permission for the participant to participate in the summer camp.
I understand that the completion of a consent form does not guarantee my child's place in camp as spaces are booked on a first come, first served basis.
Further, the undersigned (either the participant or, in the case of a minor, a parent or legal guardian for the participant) agrees to RELEASE and further DISCHARGE, INDEMNIFY, and save harmless Kennedy Road Tabernacle, its membership, employees, and Summer camp volunteers from any and all legal actions, causes of action, claims, and demands for damages, loss or injury, however arising from involvement in the summer camp WHETHER THE RESULT OF BODILY INJURY, ILLNESS, OR DEATH TO THE PERSON, OR LOSS OR DAMAGE TO PERSONAL PROPERTY, which may be sustained by the participant as a consequence of DIRECT or INDIRECT participation in the summer camp including but not limited to summer camp activity.
FAMILY LAW ACT (to be signed by a parent/guardian of minor participant)
The undersigned hereby agrees to INDEMNIFY AND SAVE HARMLESS Kennedy Road Tabernacle within the provisions of PART 5 OF THE FAMILY LAW REFORM ACT (ONTARIO) or any similar or successor legislation thereto from any claims pursuant to the Act by an eligible person identified by the Act. July 4, 2020
Medical Consent For A Minor (to be signed by a parent/guardian of minor participant)
The undersigned gives permission to take the said participant to a doctor or hospital and authorize medical treatment, including any form of emergency medical, surgical, dental or diagnostic treatment and/or anesthetic for the participant whom a duly qualified medical or dental practitioner may from time to time recommend as necessary or advisable in the participant's interest. The undersigned assumes the responsibility of all medical bills. It is understood the emergency contact (if different from the undersigned) will be contacted if at all possible and that the family physician noted below (if completed) will be contacted if at all posible, but in the event that the noted emergency contact or physician cannot be reached, camp staff may choose a duly qualified physician.
Summer Camp Staff is committed to:
- Ensuring the safety of campers at all times.
- Meeting individual needs without sacrificing the needs of the group.
- Developing a a healthy rapport between campers and leaders.
- Utilizing problem solving skills.
- Providing campers with a summer of laughter and fun.
The Summer Camp Staff will assess behavioural issues individually with concern for the child and the parent. Summer Camp reserves the right to dismiss your child from the program should their behaviour cause harm to themselves, participants, staff or property. There will be no refunds for children sent home due to behavioural issues.
Acknowledgement of Covid-19 guidelines and responsibilities
I am aware my child's temperature will be checked prior to entering camp each day. Should my child be found to have symptoms of Covid-19 as a result of daily screening, they will not be permitted to enter the premise. Should my child be ill or exhibiting any symptoms of Covid-19 prior to arrival at camp, they will be required to stay home and I/we will seek medical attention. If my child(ren) or anyone in the household have travelled outside of Ontario within the last 14 days, they will not be permitted into the camp and should be kept home to self-isolate. If my child(ren) present symptoms of Covid-19 while at camp, he/she will be safely isolated and I/we will be contacted to pick up the child(ren). I have communicated social distancing expectations to my child(ren) to the best of there age appropriate understanding.
Purposes and Extent
Kennedy Road Tabernacle is collecting and retaining this personal information for the purpose of enrolling your child in our summer camp, to assign the student to the appropriate classes, to develop and nurture relationships with you and your child, and to inform you of program updates and upcoming opportunities at our Church. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish Kennedy Road Tabernacle to limit the information collected, or to view your child’s information, please contact us.