Registration Form - Step 1 of 4 - Complete and Submit
Please Select the Camp(s) Your Camper/Child will be Attending:
Child / Youth Information
* = required field
* Name:
Nickname
*
Camper's Address:
* Camper’s City / Town:
* Camper's
Province:
* Camper's
Postal Code:
* Email:
* Gender
* Birthdate (mm/dd/yyyy) and age:
* School Grade:
Parent / Guardian Information
Camper lives with:
* 1 st Parent/Legal Guardian:
Work Phone:
* Primary Phone #:
Email:
2 nd Parent/Legal Guardian:
Work Phone:
Primary Phone #
Email:
* Who will drop off your child? Name:
* Phone:
* Who will pick up your child? Name:
* Phone:
* Emergency Contact:
Work Phone:
* Home Phone:
Other Information
Church affiliation:
Where did you hear about camp Owaissi?:
I give Owaissi Anglican Camp Association the right to use photographs and videos of me involved in activities for promotional purposes which may include but not be exclusive to website photos and newspaper articles.
Owaissi Anglican Camp requests the right to release names and addresses to local church organizations for future church activities and invitations. If you DO NOT wish to grant this request please select No.
Comments:
Medical Information
To Parent / Guardian. This medical record is issued by Camp Owaissi, and has been endorsed by the BC Camping Association. Camp Owaissi wishes to ensure that all campers are healthy, remain healthy throughout the camp and also safeguard all campers against communicable disease and accident. Please answer all the questions below, and add detail where necessary. After you submit this form, you will see a window with this form in it, ready for you to print, sign, and mail.
* Family Physician:
* Phone:
* Camper's Care Card Number
Is your child subject to any of the following?
Medical Problems:
Is your child on medication? (Name / type of medication)
Reason for medication:
Is your childs immunizations up to date?
Is there any reason why your child should not participate fully in the camp program?
* Swimming proficiency (Level attained):
Attended Camp Owaissi before? (when?):
Special diet requirements:
If possible, would like to bunk with?
** Bunk requests are limited to one per camper.
Fears? Yes / No - Explain
Is there anything that the camp leaders ought to be aware of that might interfere with your childs enjoyment of the camp? Please be specific (physical or emotional handicaps, etc...?)
It is expected that, unless there is just cause for exclusion, campers will participate in all scheduled activities. It is also understood that all campers will be healthy when they arrive at camp.
