Explorations Green Day Camp Registration

Day Camp Registration Form. Please fill out this form in it's entirety.

Summer Day Camp Fees:

Regular Rate of $225 begins March 1, 2021
* if paying $225 no deposit is required
* if not paying in full a $25 deposit per week per child is required in order to hold your space. The remainder of payment is due 1 month before Camp starts,

Short week rate: $180/week
A $25 non-refundable deposit per child, per week is due at time of registration if you are not paying in full.

Camp Schedule for 2021 Summer:
July 5 - 9: Water Week (sold out)
July 12 - July 16: Food and Nutrition Week (SOLD OUT)
July 19 - July 23: Survivor Week (sold out)
July 26 - July 30: Waste and Conservation Week (Sold out)
Aug 3 - Aug 6: Water Week (SOLD OUT)
Aug 9 - Aug 13: Food and Nutrition Week (sold out)
Aug 16 - Aug 20: Survivor Week (SOLD OUT)
Aug 23 - Aug 27: Waste and Conservation Week (sold out)
Aug 30 - Sept 3: Food and nutrition week (1 spot for 7-12)
Location:
The Pavillion at Sunset Point
35 St. Lawrence St. Collingwood, ON L9Y 4Y3

* Indicates required field

Parent Name *

First

Last

Address *

City *

Best Phone Number to Reach You *

Email *

Can we add you to our email list? *

Child 1 First and Last Name *

Child 2 first and last name *

Child 3 first and last name *

Child 1 Age at time of Camp *

Child 2 age at time of Camp *

Child 3 age at time of camp *

I have more children that I wish to register *

Yes No

Choose your weeks *

Aug 30 - Sept 3 (1 spot for 7-12)

Emergency Contact Information:

Emergency Contact #1 *

Relationship *

Emergency Contact #2 *

Relationship *

Cell Phone number *

Home/Work Phone Number *

Cell Phone number *

Home/Work phone number *

Child's information:

Child 1 - Date of Birth *

Child 2 - Date of Birth *

Child 3 - Date of Birth *

Health Card number *

Family Physician *

Physician phone number *

Do any of your children have any food/drug/insect/other allergies? Please explain. *

Are any of your children undergoing treatment or on any medication for any illness/condition/injury? Please explain. *

Are there any special health concerns that our staff should be aware of? *

Are there any special behavioral concerns that our staff should be aware of? *

Anything else you would like us to know? *

Waiver of Liability:

How did you hear about our camp? *

1. In the event of an accident or medical emergency, I hereby authorize the leaders of the Explorations Green Summer Day Camp, or a person designated by them, to consent to any medical treatment by a qualified practitioner that may be necessary. I hereby release the staff and employees of the Environment Network and the Town of Collingwood from injury, loss or damage to any person or belongings incurred while at camp. I also understand that the use of the facilities of the Canteen at Sunset Point is made strictly at the risk of the applicant and agree to abide by the regulations governing the camp.

2. Pick up time is 4:30 pm. After 4:45 pm a fee of $1.00 per minute will be charged. In the event that a parent fails to arrive by 5:00 pm without prior notification Children’s Aid Society will be contacted.

3. Explorations Green Summer Day Camp has permission to use photographs/slides of my child for publicity purposes.

4. I understand that even under supervision, children can lose or damage their clothes and/or personal possessions. I release Explorations Green from liability for the loss or damage of my child’s clothes or personal possessions.

5. I state that my child is able in all respects to participate in all activities, including field trips throughout the Town of Collingwood. I give permission for my child to be transported by car driven by the Explorations Green coordinator under such circumstances that this may prove necessary. I hereby certify that I have read and understand the Explorations Green policies and terms of enrollment.

6. Cancellations made 14 business days or greater from the start of camp, July 3rd, will be subject to 100% refund. Cancellations made 13 business days or less from the start of camp, July 3rd, will be subject to a 50% refund. No refunds will be given once the camp has started. (anything after July 3rd) For all cancellations and or refunds a $25 administration fee will be charged per child per week.

7. The Environment Network reserves the right to terminate the registration of participant(s) if, in the opinion of the Camp Coordinator and management it is in the best interest of the participant(s) or the camp. In such event verbal and written notice will be given.

I agree to this waiver of liability *

Yes No

Pick Up instructions:

Please indicate below two authorized individuals who, in addition to parent/guardian(s) noted above, will be allowed to pick up your child from camp. I authorize either of the following two individuals to pick-up my child in the event that I cannot make pick-up time. I understand that it is still my responsibility to notify camp staff in advance in this event.

The following emergency contacts are authorized to pick up my children: *

Emergency Contact 1 Emergency Contact 2

Other name: *

Phone Number *

Please note - if you are not taken to our confirmation page after clicking "submit", please scroll up and look for boxes outlined in red- these are required fields and need to be completed before the form will submit.

Submit Registration