Camp Triumph Registration 2021

Camp Triumph Registration 2021

Camper Application
Privacy Statement

All information given in this application will be held strictly confidential and will not be shared with any outside groups. All information collected in this application is essential for Camp Triumph to offer the best and safest experience to all campers. All application form submissions are served across protected 256 bit SSL (Secure Socket Layer) connection that uses a SHA256 Certificate. For more information on JotForm's security, visit: https://www.jotform.com/security/ and https://www.jotform.com/privacy/
Below, rank your preference 1-4 for the session your camper would like to attend.

If you are applying for Leadership Camp as well, fill out these preferences and check "yes" to applying for Leadership Camp.
First preference*
Second preference*
Third preference*
Fourth preference*
Are you applying to attend Leadership Camp (August 3-13)?*

YesNo
Rank your preference of Leadership Camp to attend
Camper Information
Camper Name*

First NameLast Name
Date of birth*

MonthDayYear
Date
Have you attended Camp Triumph before?*

YesNo
Grade Attended in 2020-2021 *
Age on July 1st, 2021*
Gender*

MaleFemaleOther
T-Shirt Size*
Contact Information - Primary Contact

Primary Contact Person for the Camper (Please note: all correspondence will take place with the primary contact person, unless they are unreachable)
Primary Contact Name*

First NameLast Name
Relationship to camper*
If other, please specify relationship
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Home Phone Number*
If no home phone, type (000) 000-0000
Work Phone Number*
If no work phone, type (000) 000-0000
Cell Phone Number*
If no cell phone, type (000) 000-0000
Email*
example@example.com
Occupation and place of employment
Contact Information - Secondary Contact

Secondary Contact Person for the Camper (Please note: all correspondence will take place with the primary contact person, unless they are unreachable)
Secondary Contact Name*

First NameLast Name
Relationship to camper*
If other, please specify relationship to camper
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Home Phone Number*
If no home phone, type (000) 000-0000
Work Phone Number*
If no work phone, type (000) 000-0000
Cell Phone Number*
If no cell phone, type (000) 000-0000
Email*
example@example.com
Occupation and place of employment
More About Your Camper
How did you hear about Camp Triumph*
Camper’s swimming ability (note: all swimming and boating activities are closely supervised)*
If any, describe your child's experience kayaking or boating*
Does your child have any training in swimming or life-guarding? If so, please note*
What camp(s) has your child attended in the past?*
Which family member(s) has a chronic illness or disability?*
What is the illness or disability?*
Why is it important your child attend Camp Triumph? (Your answer here does not affect acceptance. It helps us to demonstrate need to potential donors)*
How has the Pandemic impacted your child?*
Please share any information to better understand your child’s interests, disposition and needs to ensure an enjoyable camp experience (this is very important to our ability to meet your child’s needs):*

Leadership Camp Application Essay

All leadership candidates should fill out this leadership page themselves. You must be willing to participate in ALL activities throughout the camp.
Please tell us why you want to participate in the Leadership Program and what you hope to gain from the experience. Also, please tell us what you feel are your strengths and weaknesses. Why should you be chosen for the Leadership Camp?

HOMESICKNESS POLICY

Homesickness is a normal reaction for some when leaving home. If there are signs of homesickness, the Director will work closely with the camper, the counsellors, and the parents/guardians to adjust the camper successfully to being away from home. In the unlikely event that the Director decides that continuing the camping experience would not be a suitable choice for the camper, the parents/guardians will be contacted. Please refrain from calling to directly contact your child. But do feel free to contact the Director.

We will do everything appropriate to satisfy your child’s needs. If there is any difficulty with your child’s adjustment to camp you will be informed promptly. Experience has shown that once campers have been set up in their cabins and parents have met their counsellors, a quick departure works best.
Homesickness Policy Agreement*

I HAVE READ AND AGREE TO THE HOMESICKNESS POLICY

WAIVER

The safety and well being of your child will be monitored and supervised in all camp activities and at all times. I acknowledge my son/daughter will be participating in, but not limited to, the following activities: campfire, art's and crafts, soccer, kayaking, swimming, lacrosse, archery, basketball, ball hockey, camp-wide games, volleyball, tennis, gaga ball, and the challenge course. These activities will be supervised and provided in a safe environment.

Regardless of swimming ability, all campers are only permitted to swim during designated times, with qualified supervision. The challenge course is a well-controlled activity and is designed to be challenging, as well as educational and loads of fun. All Camp Triumph activities are run by trained staff, with the safety and enjoyment of your child paramount.

I recognize and acknowledge the risk of injury or disability cannot be totally eliminated. My child does not have any existing medical conditions that should exclude him/her from any activities, except as indicated. My child is participating with the knowledge of potential risk.
Waiver Agreement*

I agree to hold harmless and to release Camp Triumph, its staff members, and Board of Directors, from all liability.

MEDIA RELEASE

For photographs and video images taken of my child by or for Camp Triumph, I grant to Camp Triumph:

Copyright and/or use of photographic representations of my child in various forms of media used by photographers and computer artists to assist the Camp, including to use in publicity, promotion, camp advancement, marketing, and/or educational purposes including the use of any printed or multi-media materials for Camp Triumph. A child's name will not be used unless parential/guardian consent is given.

I hereby realize and accept that my child is participating on a voluntary basis and will not receive financial remuneration from the photographer, Camp Triumph or any firm publishing and/or distributing the finished product.
Media Release Agreement*

I understand and agree to this release

CONDITIONS OF REGISTRATION
CAMPER CODE OF CONDUCT

Camp Triumph has a commitment to providing a valuable, meaningful, and enriching camping experience for all our campers. To assist us in offering the best camp experience we possibly can, please abide by the following camper code of conduct. In order to offer our camps, we must maintain a safe and nurturing environment for everyone.

Respect yourself. Campers are expected, in accordance with their age, to take appropriate care of themselves by maintaining personal hygiene, getting sufficient sleep, dressing appropriately, eating properly, wearing sunscreen, and not taking unnecessary risks.
Respect the environment. Camp Triumph has worked very hard to build and maintain its facility and equipment. It exists for campers to help make the camping experience wonderful. Please respect and take care of the facility and equipment.
Respect others. Camp Triumph expect campers to treat one another, our staff, and visitors with courtesy and respect at all times.

Rules of Conduct
Any camper that breaks any of the following rules, will be sent home immediately:

Smoking, alcohol, and illicit drugs are strictly prohibited at Camp Triumph.

Weapons or any implement that our staff deem dangerous or potentially dangerous are strictly prohibited.

Any camper that breaks any of the following rules MAY be sent home based on the seriousness of the offence and the discretion of the Directors:

Inappropriate behaviour, such as bullying, teasing, swearing, verbal harassment, physical harassment, acts of aggression, pranks, practical jokes or disrespect for other people or the environment are not tolerated. A conversation will be had with the camper to determine what action is to be taken and if the behaviour will happen again.
Possession and use of cell phones by campers at camp is prohibited.
Stealing or borrowing other people's possessions without their consent will not be tolerated.
Vandalizing, defacing, or damage to camp property and equipment is a serious offence and will not be tolerated. You will be held responsible for the cost of repair or replacement, including labour costs.
Male and female campers may not visit each other's cabins at any time. Campers should only be in his/her cabin when instructed to be (i.e. to change between activities/meals and to sleep).
For allergy, equality, health, and food budgeting reasons, campers are NOT permitted to bring snacks and/or candy with them to camp.

The more specific rules of camp will be explained to all campers. These are all necessary for a safe, happy, and fun time for all.
Camper Agreement*

I agree to abide by the code of conduct and participate fully in all camp activities with a positive spirit.
Signature of Camper: *

Clear
PARENT/GUARDIAN AGREEMENT*

I understand that this application cannot be processed until all information is complete and signed. Application forms must be accompanied by a refundable holding fee. I have read and agree with the Camper Code of Conduct. I understand that all communication with my child while at camp will be facilitated through the camp directors. If any of these conditions are not agreeable to you, please contact the directors.
Signature of Parent/Guardian*

Clear
Camp Triumph is committed to preserving the spirit of camp.
Please ensure your child does NOT bring a cellphone to camp.

Holding Fee
A Camp Triumph experience costs more than $600 per camper ($750 for Leadership Campers). With just two full-time employees and one full-time volunteer, our small staff works throughout the off-season applying for grants, hosting fundraisers, and organizing campaigns to ensure all qualifying campers can attend for free; a cornerstone of Camp Triumph that we are very proud of. With no government funding or major sponsors, our capacity is determined by donations and fundraising dollars that we work hard to secure for our often un-recognized population of campers. As a registered charity, we welcome and encourage donations of any denomination to accompany a child's holding deposit. Together we can ensure more children are able to benefit from everything Camp Triumph has to offer. Thank you!
Please read carefully then choose one of the following options:*

I will pay $100 now online as both a donation and the fee to hold my child's spotI will mail a cheque for $100 as both a donation and the fee to hold my child's spotI will mail a cheque for $100 to hold my child's spot which I want to be returned to me when my child arrives at campI will set up an e-transfer to pay $600 as the full, unsubsidized price for my child to attend camp ($750 if attending Leadership)I will mail a cheque to pay $600 for as the full, unsubsidized price for my child to attend camp ($750 if attending Leadership)
If you selected any of the "mail a cheque" options, please send it to this address:

Mailing Address for Cheques

Before May 1
Camp Triumph
192 Bradford Pl.
Bedford, NS
B4B0R6

After May 1
Camp Triumph
Kensington Post Office
Kensington, PEI
C0B 1M0

Note: If you choose to mail a cheque, we cannot complete processing your application until the cheque is received in the mail.
E-Transfer Details

To e-transfer your full, unsubsidized registation fee, send $600 ($750 if applying for Leadership) via e-transfer, to info@camptriumph.ca.

Make your security question: "camp", and the answer: "triumph"

Please include in the note section the name of the camper for whom you are paying.

Hit "Submit" below to submit your entire application when ready ->
(after including details payment, if applicable)
Should be Empty:

Camp Triumph Registration 2021

Privacy Statement

Below, rank your preference 1-4 for the session your camper would like to attend.

Rank your preference of Leadership Camp to attend

Camper Information

Contact Information - Primary Contact

Contact Information - Secondary Contact

More About Your Camper

Leadership Camp Application Essay

Medical Form

Camper's Health History

Health Conditions

CONDITIONS OF REGISTRATION

Holding Fee

Credit Card

	Medication	What is the medication for?	Dosage, frequency, time of day
1
2
3
4
5