Registration Camper Information Full Name Gender Boy Girl Name Camper Prefers to be Called (Nickname): Date of Birth Grade Completed in June Church Affiliation (optional) Health Card Number (9-digit) Allergies or Medical Concerns (please list medications and dosage/times) Does the camper receive any additional support, accommodations, or assistance at school beyond what is typically provided to students? (Please explain if yes) Does the camper have any social/emotional/spiritual/physical concerns that may need special consideration or attention during camp? (Please explain if yes) Are there any custody concerns we should be aware of? If so, please explain and provide designated adults who are authorized to pick up your camper. Do we have permission to take photos of your child while they are at camp? Yes No Parent/Guardian Information Name Address Mobile Phone Home Phone Email Address Emergency Contact Information Emergency Contact Information Name Relationship to Child Home Phone Mobile Phone Parent/Guardian Aggreement I understand that CRC Bible Camp does not qualify for MCA "Sunshine Fund" Funding, and will not apply for funding for this week of camp. Parent/Guardian Consent CRC Bible Camp appreciates the confidence that parents demonstrate by entrusting their children to our care. While we anticipate a safe & fun-filled week, we also acknowledge that certain challenges can occur, whether that is in the behaviour of campers and staff, or from unforeseen risks and accidents which may arise unexpectedly. It should be noted that the safety of all campers and staff remains our number one priority. Therefore, the following guidelines have been enacted to ensure that everyone attending camp can enjoy a safe and enjoyable experience: 1. The Parents/guardians submitting this form are only those having legal custody of the child. Conditions of custody, if applicable, must be fully communicated in writing to the camp. 2. The parents, recognizing that CRC Camp will do its part to provide qualified staff and a safe environment, agree to assume all risks and to release Covenant CRC and the councillors from any liability due to injury, loss or damage that may occur to the camper or personal property. In the event of serious illness, accident or other emergency, the parents will be notified as soon as possible. 3. Each camper must be covered by Provincial Health or equivalent medical insurance. 4. All prescription medication must be presented to the camp medical staff in the original prescription container. All medications will be administered by camp medical staff. Please do not send non-prescription medication unless camper is using them on a regular basis (ie. Tylenol). 5. All campers must pay the full fee whether they arrive late or depart early. Registration refunds will not normally be granted after August 4, 2026. 6. The Camp Committee reserves the right to dismiss any camper or staff member who, in their opinion, is a hazard to the safety and rights of others or who appears to have rejected the reasonable controls of the camp. Should this occur, the camp fee is non-refundable. Parent / Guardian Consent: a. I/We have read and agree to the Conditions of Enrolment as stated for the CRC Bible Camp. b. I/We give permission for our child to participate in all camp activities including boating, canoeing, kayaking, wall-climbing, archery, zip line, etc. (NOTE: All activities are fully supervised by trained and qualified personnel) c. I/We do hereby give consent for CRC Camp to secure medical treatment for the camper while in their care and to arrange appropriate professional medical treatment in an emergency situation. d. I/We give permission for the medical staff to administer required medication. e. I/We give permission for qualified staff to administer an Epipen if required. f. I/We give permission to Covenant CRC, Transcona CRC, and Camp Arnes to use photographs/videos of the camper for promotional materials. g. I/We will notify the camp in writing if any change occurs in the camper’s health within 6 weeks prior to attending camp. h. I/We certify that the information provided for enrolment is complete and accurate to the best of my knowledge. Parent/Guardian Signature Date Camper's Pledge I promise to respect myself, the other campers, the staff, and their property. I promise that I will try my very best when participating in camp activities. I promise to respect the camp property and the environment. I promise to obey all rules and regulations of CRC Camp. Camper's Signature Send