Event # 5815

2023 Rouge Camp - 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
*Gender	Male Female Other
Place your Initials in this box if you DO NOT give your permission for you child's picture to be used by PRCC for promotional activities
*Campers will be met by parents daily	Yes No
*Date of Birth
*T-Shirt Size Youth S-M-L-XL or Adult S-M-L-XL (Note: Size chosen may not be available.)
*How do you rate your childs swimming ability
I would like to be added to PRCC Email list	Yes No

Parent/Guardian (Under 18 only)

*First Name
*Last Name
*Phone
Other Phone

Medical Information: REQUIRED FOR ALL PARTICIPANTS

*MEDICAL/ALLERGY/NUTRITIONAL CONDITION REQUIRING ATTENTION	Yes No
Describe Medical/Allergy/Nutritional

Emergency Contact (other than listed above)

*Name
*Relation to Participant
*Phone Numbers(s)

Camp Week 1 July 4 - July 7 (Tuesday Start) (2023 Jul 04-07)

Fee

Camp Week 2 July 10 - July 14 (2023 Jul 10-14)

Fee

Camp Week 3 July 17 - July 21 (2023 Jul 17-21)

Fee

Camp Week 5 July 31 - August 4 (2023 Jul 31-Aug 04)

Fee

Camp Week 6 August 8 - August 11 (Tuesday Start) (2023 Aug 08-11)

Fee

Camp Week 8 August 21 - August 25 (2023 Aug 21-25)

Fee

Camp Week 9 August 28 - September 1 (2023 Aug 28-Sep 01)

Fee

*Payment method
Promo Code
Comments
Registration Policy	Thank you for choosing the PRCC’s Canoe & Kayak Camp! We hope to make this summer a memorable one. You will receive an email one week prior to your child(ren)’s camp start date. This email will include thorough camp details to ensure that you and your child are well prepared for a safe and fun camp experience. Our regular camp hours are from 9:00am-4:00pm. If an emergency occurs and you will be late for pick-up, please notify the Camp Director. The number will be provided to you on the first day of Camp. REGISTRATION POLICY Pickering Rouge Canoe Club Member/Parental Acknowledgement and release (please read and acknowledge your agreement below) For registrations that are paid by Credit card your/ your child(ren)'s spots are instantly guaranteed, and the initial automated confirmation slip is all that you require. On the first day of the program please bring your email confirmation, signed waiver document and any forms that may be emailed to you. Failure to bring these forms may result in you child being REFUSED admission to camp. REGISTRATION POLICY Pickering Rouge Canoe Club Member/Parental Acknowledgement and release (please read and acknowledge your agreement below) Refunds will not be given for inclement weather! All Camp memberships are non-transferable. Any refund will take approximately 2-4 weeks to complete. 75% refund if notified at least 1 month before start date 50% refund with 2 weeks’ notice of start date 25% refund with 1 week of start date SAFE PROGRAM CLAUSE PRCC has the option to remove you(r)/child/children from the program with no monetary reimbursement if there is a concern for their safety/well-being or the safety/well-being of others, including other participants, staff, or members of the public. This can include, but is not limited to; instances of bullying, physical, emotional, or sexual abuse, stealing or damaging property, disruption of the program, leaving the program without permission, use of non-camp related equipment or technology, lack of respect for the program or staff, and/or various other instances of disturbing or inappropriate behaviour. Pickering Rouge Canoe Club reserves the right to change schedules, coaches, Counselors as needed without compensation or notice.
*Confirmation	I have read and agree to the Registration Policy above