Summer Fun 2024 Registration

Summer Fun 2024 Registration Form
Child's Name*

First NameLast Name
Child's Birthday*

MonthDayYear
Date
Child's Age*
Child's Status Number*
Age Group *
*Please select your child's age group according to their actual age. We will not be making exceptions, children must be in their own age group*.
Which month(s) will your child be attending Summer Fun?*

July onlyAugust onlyBoth July and August
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does your child live On-Reserve or Off-Reserve?*

On-ReserveOff-Reserve
Does your child require bus service, please choose from the following:*

Seymour Mail BoxesEslha7an CentreMission 4-WayNo Bus Service Needed
Does your child have any allergies?*
If your child has any allergies please list them below. (If none just put "None" or "N/A"):*
Does your child have any medical or behavioral issues we should know about? *
If your child has any medical or behavioral issues please list them here. (If none just put "None" or "N/A"):*
Does your child have a 1-1 support worker in school? Does your child require extra 1-1 support at Camp?*

Yes, my child has a support worker at school.No, my child does not have a support worker at school.Yes, I'd like my child to have a support worker during Summer Fun.
PARENTS/GUARDIANS/SAFE ADULTS AND EMERGENCY CONTACT INFORMATION
Adult #1 Name*

First NameLast Name
Adult #1 Phone Number*
Adult #1 Email*
example@example.com
Adult #2 Name*

First NameLast Name
Adult #2 Phone Number*
Adult #2 Email*
example@example.com
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
SUMMER FUN 2024 RULES AND EXPECTATIONS

PLEASE TAKE THE TIME TO THOROUGHLY READ THE FOLLOWING AND PLEASE GO OVER THE FOLLOWING WITH YOUR CHILD EACH MORNING BEFORE CAMP.
1. Follow all Summer Fun rules and instructions given by leaders/staff/bus drivers/facilitators.

2. Attendance is required all 8 days. Your child gets 4 days at Camp in July and 4 days in August. If your child is unable to attend, please inform us no later than the day of by 8:30AM via email, text or over the phone. Or the day before if possible. Please let Shannon Baker (604-499-2384) or Salina Williams (778-378-8825) know if your child is unable to attend Camp.

3. Stay within leaders sight and with the group at all times. While at CJMC and while out on field trips.

4. Respect others. Including other peoples: personal space, belongings, feelings and bodies (no hitting, kicking, throwing things or anything that causes physical harm to other kids or leaders/staff).

5. Verbal abuse or inappropriate language will not be tolerated at Summer Fun (such as calling someone mean names, sticking up the middle finger at someone, making the L symbol to call someone a "Loser", taunting other children, swearing, etc.).

Verbal or physical abuse, and verbal or physical threats towards our Summer Fun Leaders/staff/bus drivers/outside facilitators will not be tolerated at Summer Fun either. We experienced this at our last Spring Break Camp. A child will be asked to miss the following days activity if this happens at Summer Fun.

6. No inappropriate behaviour such as: inappropriate touching, noises, language, or discussions will be tolerated while at Summer Fun.

(For example: no sharing bathroom stalls, no kissing, no touching or showing of other childrens or their own genitals, no swearing, no sexual moaning or language, no sexualized dancing (twerking), no hiding in secluded areas away from leaders, etc. These are all things we have personally witnessed at previous CJMC camps and programs).

7. No bullying of any form will be tolerated, whatsoever. By the children, by our leaders and staff; to other children or to our CJMC Summer Fun staff/leaders.

8. No exclusion of other children or leaders will be tolerated.

9. Respect all CJMC/Summer Fun staff, property and equipment; as well as our facilitators and property at the locations we will be visiting.

10. Follow all bus rules and listen to bus drivers and leaders while on the bus. Bus rules are: No eating or drinking on the bus, no standing on the bus, must be seated at all times, must stay buckled on the bus until told to unbuckle, no switching seats on the bus while bus is in motion, no yelling/swearing/inappropriate language or spitting on the bus, no writing inappropriate pictures or words on the bus windows, no littering on the bus.

RULE BREAKING:

We want to keep every child safe and we want them all to have fun while at Summer Fun. We also want to take care of our staff, and make sure they are being respected. Please talk to your child about the above rules each morning before Camp. Please emphasize we are the ones taking care of them and keeping them safe, so it's important they listen to us and stay with us throughout the entire Camp. Please tell your child that they are safe to come and talk to any of our Summer Fun staff about anything while at Camp.

If a child is consistently not listening, or being disrespectful or physically harmful to our Summer Fun staff, leaders, bus drivers, outside facilitators, or other children...our Summer Fun staff reserves the right to ask that child to not participate in the next day's activity. There needs to be consequences to these type of actions listed above. Summer Fun is a privilege not a right. Please consent by checking below that you've read all of the above, and that you have gone over all of the above with your child. Huy chexw a for taking the time to read this.
I have discussed these rules with my child*

Yes I have
Parent/Guardian/Trusted Adult Consent
Please read:

I hereby give my approval for my child’s participation in any and all activities prepared by Squamish Nation. In exchange for the acceptance of said child’s candidacy by Squamish Nation, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Squamish Nation and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected program sessions.

In case of injury to said child, I hereby waive all claims against Squamish Nation including all leaders, staff, affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Parental Consent Agreement*

For photos/videos of my child to be taken, and to be shared or used on social media, including but not limited to Facebook, Facebook Live, Instagram, Instagram Reels, CJMC Promo, etc.For my child to go on field trips off of CJMC property.For my child to be given children's medication if needed (Tylenol, Advil, Allergy meds, Gravol).
Parent Confirmation
BY ACKNOWLEDGING AND SIGNING BELOW, I AM AGREEING TO ALL OF THE ABOVE, AND I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THIS ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Type Full Name*
Signature*

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Date

MonthDayYear
Date
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Summer Fun 2024 Registration Form

PARENTS/GUARDIANS/SAFE ADULTS AND EMERGENCY CONTACT INFORMATION

SUMMER FUN 2024 RULES AND EXPECTATIONS

Parent/Guardian/Trusted Adult Consent

Parent Confirmation