Vasa Camp Registration

Vasa Camp 2025
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone Number*

Area CodePhone Number
Will this person be the same for emergency contact?

YesNo
Emergency Contact Name*
Emergency Contact Phone Number*

Area CodePhone Number
Are you are Vasa Member?*

YesNo
If you are NOT a VASA member, please provide the name of the member sponsoring this camper.*
Any additional questions or comments?

Release and Waiver of Liability

By signing this document, you are waiving certain legal rights including the right to sue.
PLEASE READ CAREFULLY.

This Release and Waiver of Liability is executed on the date below by the undersigned (“Guardian”) in favour of theVasa Order of America, Skandia Lodge No. 549 and the Releasees as defined herein;

On my behalf, and on behalf of any minor children participating in the July 2025 Vasa Camp at Vasa Park, 1 Avenue Mulhurst, Alberta (“Vasa Camp”) for whom I am legally responsible, namely:
Minor's name(s) ("My Child") First Name* Last Name*
Signature

Clear
Please press 'submit' to register your camper. If you have multiple campers, please start the form again for each camper. You can start again at www.vasacamp.com.

A registration confirmation email will be sent to you right away. Campers will be confirmed in June once we have confirmation on volunteer numbers.
Should be Empty:

Vasa Camp 2025