2024-25 Camp of the Woods Day Camp Application

Camp of the Woods Day Camp Application

Day camps are single day events typically held during March and Winter breaks
CHILD INFORMATION:
Child Name*

First NameLast Name
Birth Date*

DayMonthYear
Gender*

MaleFemale
Age at Camp*
Former Camper?*

YesNoNot Sure
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Emergency Phone*

Area CodePhone Number
E-mail*
Re type E-mail*
Would you like to receive the COTW newsletter via email?

YesNoAlready on the list!
Are there any court orders or custody restrictions which would prevent us from communicating with either parent/guardian?

NoYes (If yes, we will contact you for additional information)
MEDICAL INFORMATION
Doctor

First NameLast Name
Phone Number

Area CodePhone Number
Does the camper have any allergies? (food, bees, etc.) Please list.
Does the camper have an Epi-pen?

YesNo
Does the camper have a puffer?

YesNo
Medications the camper takes throughout the year
Please bring Epi-Pens, puffers, and all prescribed medications to turn into the camp nurse at registration.
Date of Tetanus shot

DayMonthYear
Can over the counter medications be administered to the camper as needed, with direction from the camp nurse? Over the counter medications include, but are not limited to, Acetaminophen/Tylenol, Advil/Ibuprofen, Benadryl/diphenhydramine, antibiotic ointment, hydrocortisone cream, and aloe vera

YesNoOther
Is the camper under any form of treatment for illness, condition, or injury?

NoYes (if yes, please explain below.)
Does the camper have any medical or behavioural conditions that we should be aware of?

NoYes (if yes, please explain below.)
Does the camper have an Educational Assistant, an IEP, or any special accommodations at school?

NoYes (if yes, please explain below.)
Other known conditions

Drug reactionsAsthmaFaintingBedwettingEpilepsySleepwalkingOther
Camp Program
Choose Camp Program

Winter Junior Day Camp, December 30, 2024 from 10am-7pm, $75.00March Junior Day Camp, March 15, 2025, from 10am-7pm, $75.00
Date

DayMonthYear
DateHourMinutesAM/PM Option
Amount owed for Winter Day Camp
Amount owed for March Day Camp
Please select at least one camp program from the list of available camps above.
Total camp fees
Total camp fees is ${totalCamp}.00.

The easiest way to pay for camp is by Interac eTransfer. Just send your payment to campfees@cotwcanada.com for immediate deposit. Please include a note of your camper's name(s) to help us connect your payment with your camper.
Conditions of Enrollment
1. I understand Camp of the Woods is a non-denominational Bible Camp where Christian values and lessons from the Bible are taught.
2. While every precaution is taken for the safety and good health of our campers, Camp of the Woods, its directors, staff members, and volunteers are hereby released, forever discharged from any and all claims, costs, actions of any nature causing death, injury or harm to the camper regardless of whether same may have contributed to or occasioned by the negligence of the directors, officers, servants, employees, representatives, agents or volunteers of Camp of the Woods Ministries, Inc.
3. In case of emergency every effort will be made to contact parents or guardians. In the event they cannot be reached permission is hereby given to Camp of the Woods to hospitalize or secure proper treatment. The Camp is licensed and inspected by the Ontario Ministry of Health. There is a camp nurse available to help campers with health-related problems. Medical treatment beyond the camp nurse and first aid is the responsibility of the parent.
4. The Camp Director reserves the right to dismiss a camper who rejects or contravenes the reasonable guidelines of the Camp. If a camper is dismissed his parent or guardian is required to immediately retrieve the camper.
5. All campers and, in the case of a minor, the parents or guardian must assume liability for any damages to Camp of the Woods property.
6. The personal information that you provide to Camp of the Woods will only be used internally and never shared.
7. Any photos or video taken of the camper during camp events are the property of Camp of the Woods and may be used internally as well as in future promotional materials.
8. I agree to be contacted by Camp of the Woods at the email address provided on the registration sheet regarding upcoming events and promotions.
9. All cancellations are subject to a $25.00 administration fee.
10. I have read and accept the conditions of enrollment.
I have read and accept the conditions of enrollment.*

I agree.
Signature*

Clear
Use the mouse or your finger to sign in the box
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Camp of the Woods Day Camp Application

CHILD INFORMATION:

PARENT/GUARDIAN INFORMATION:

MEDICAL INFORMATION

Camp Program