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About
Who We Are
Meet our Team
Meet Our Educators
Board of Directors
Standards of Excellence
Our Partners
Our Impact
Testimonials
Recovery
Programs
Summer Camps
Tiny Toes Daycare
ZAP Out of School Care
Limitless Youth
Project Backpack
News & Events
Race For Kids
Junior BOO in April
$140K for 40 Years Campaign
News
How You Can Help
Take Action
Volunteer with Us
Fundraise with Us
Work with Us
Donate
Summer Camps 2022 Registration Form
Please complete the following information to submit your Summer Camp registration.
Summer Camp Registration 2022
Please indicate which camp week(s) you are registering for:
*
Please note that camp hours are from 7:00am-5:30pm, Monday - Friday.
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July 4-8: STEM Science & Discovery
July 11-15: Splash Bash!
July 18-22: Carnival Craze
July 25-29: Marvels, Myths, and Magic
August 2-5: Ninja Warrior Challenge
August 8-12: Eccentric Arts & Crafts
August 15-19: Nature Adventures
August 22-26: Kids Got Talent
Please indicate the camp weeks you require extended care.
After hours care is from 6:00am-7:00am and 5:30pm-6:30pm. Please note that extended care is an additional cost.
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July 4-8
July 11-15
July 18-22
July 25-29
August 2-5
August 8-12
August 15-19
August 22-26
Child's Information
Child's Name
*
First
Last
Child's Address
*
Street Address
City
Postal Code
Child's Birthdate
*
Child's Birthdate
Date Format: MM slash DD slash YYYY
*
Gender
Mother / Guardian Contact Information
Mother / Guardian
*
Name
Cell#
Work#
Child's Address
*
Street Address
City
Postal Code
Mother / Guardian Email
Email
Father / Guardian Contact Information
Father / Guardian
*
Name
Cell#
Work#
Child's Address
*
Street Address
City
Postal Code
Father / Guardian Email
*
Email
Parent/Guardian with legal custody
*
*If there is a custody order please include a copy with your registration
Emergency Contact Information
Emergency Contact (Cannot be Mother or Father, must have a local address)
Emergency Contact Name
*
Name
Cell#
Work#
Emergency Contact Address
*
Emergency Contact Address
List of People allowed to Pick up your child
Are there any immediate family members that should be denied phone calls with your child?
Additional people who may pick up your child:
Who will pick up child within 30 minutes if they are ill. (Mother, Father, or Emergency Contact)
*
Medication Required (epi pen, puffer, etc.)?
*
Yes
No
Medication Required Type
Medication Required Type
Relevant Health information (Medical Condition (s))?
*
Yes
No
List Medical Condition(s):
List Medical Condition(s):
Does your child have any pre-existing conditions that may present as influenza like symptoms? Ex: Allergies, chronic cough, etc
*
Yes
No
List pre-existing Condition(s):
List pre-existing Condition(s):
Is Your Child Immunized?
*
Yes
No
Allergies?
*
Yes
No
Allergies please list
Any pre-existing conditions that may present as COVID like symptoms?
*
Yes
No
Inclusive care needed? (If Yes, interview required)
*
Yes
No
Please describe child's inclusive care condition/needs
Does your child have any dietary restrictions? Please list.
Cultural Background:
*
Cultural Background:
Please list any other relevant information:
I agree:
*
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1. I have been advised of the program activities, and I am aware that certain risks are inherent in my child's participation in the program activities.
2. I understand that every care and attention will be given to the health and comfort of the participant and that BGC Fort McMurray Board and Staff cannot be held liable for any injuries sustained.
3. I hereby give permission that my child listed above may be given emergency first aid treatment by a staff member from this program deemed necessary. I also give consent for my child to be transported by car or ambulance to an emergency center for treatment and agree to hold this program and its employees harmless. Any costs associated with medical care and treatment (including ambulance fees) will be the responsibility of the parent/guardian.
4. If I cannot be contacted immediately, medical or surgical treatment can be administered to my child in the case of an accident or emergency, as prescribed by a treating physician, and hold this program and its employees harmless.
5. *Any costs associated with medical care and treatment (including ambulance fees) will be the responsibility of the parent/guardian.
6. It shall be the discretion of the leader of the activity as to what steps must be taken for the welfare and safety of the participant. Each program is a group living experience; members of each group are expected to participate fully in the program and to behave in the appropriate manner. Each child is given as much care and attention as possible, but the parents and the children must note that continuous disruptive behaviour, which affects the enjoyment and safety of others, may result in the child being sent home.
7. I, the Parent/Guardian of the child, do hereby agree to give BGC Fort McMurray permission to take pictures of my child while participating in the various programs and activities at the BGC Fort McMurray for the purpose of advertisement, promotion and publicity campaigns. This might include posting to the internet.
8. I hereby permit that my child listed above can participate in spontaneous field trips to the local park or walks in the neighbourhood that would involve taking the child outside of the child care program premises for their benefit in attendance at this program. If major field trips (involving transportation in a vehicle) are planned, a separate permission form will be provided in advance for parents/guardians to sign. This form will include the date, transportation and supervision arrangements of the activity.
9. I give permission to release my child's information to the Alberta Child and Family Services Licensing Officer for quality and licensing purposes.
10. I understand that if my child displays ANY symptoms of illness, they will be isolated from the other children, and I must arrange pickup within 30 minutes of being contacted
11. I have read the "Reopening Agreement" and am familiar with the current COVID-19 regulations and guidelines. I understand that failure to comply with these regulations may result in my family's dismissal from the childcare centre.
12. I fully understand all of the information in this form, and I have discussed this carefully with my child. NOTE: NO REFUNDS WILL BE GIVEN.
13. I understand that my child is to be picked up by 6:30 pm at the latest each day. (Your child must be signed out every day). If I do not adhere to this, I understand that it will result in a $1.00 per minute charge for each minute that I am late. I fully understand all the information in this form, and I have discussed this carefully with my child. NOTE: NO REFUNDS WILL BE GIVEN.
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