Week 1 OSELIA 2023

WEEK 1: July 2-7, 2023

Camp Oselia Registration
Start and End times:

Sunday, July 2:
- 2:00 - 3:30 Registration
- 3:45 - 5:00 Family Divine Liturgy
- 5:00 - 5:15 Parent farewell and camper supper
Friday, July 7:
- 4:00 - 6:00 Pick up time
Camper's Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade (going into)*
Camp Oselia is open to campers going into grades 3 through 9
Gender*

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name(s)*

First Name(s): (example: Stella & Ozzie)Last Name
Home Number
Cell Number*
Another Cell Number
Email*
example@example.com

What is the T-Shirt size of the Camper?*
Each camper will receive 1 T-shirt. Additional Camp T-shirts or Camp Hoodies can be purchased at Camp as supplies last.
What School do your child attend?
What is your family's faith background?

Ukrainian CatholicRoman CatholicOther CatholicOrthodoxOther ChristianNon ChristianNo particular faith
Which Church do you attend?

Health & Emergency Information:

If there is an emergency we will attempt to contact the parent / guardian first. If the parent or guardian is not reachable, then we will contact the "Emergency Contact" that you provide below. The emergency contact must be different than the parent and/or guardian.
Emergency Contact's Name (Must be different than parent(s))*

First NameLast Name
Relationship*
Phone Number*
Alt. Phone Number
Family Doctor:*
Family Doctor's Phone Number:*
Provincial Health Care Number:*
If you don't have one or are waiting for one please type in "don't have one."
Province of Health Care:

AlbertaOther
Please describe all allergies, chronic illness, behavioural and/or medical conditions the camper may have:*
If none, please type "none".
Does the camper have any prescribed medications that we may need to administer during the program? (ie: inhaler, EpiPen) If yes, please explain any instructions.*
If not, please type "none".

Permissions and Releases:

Media Release

Camp Oselia does take photos and videos of children participating in our camps for our records and for possible promotional purposes. We however will not publicly publish them without your permission.
May we publish photographs or videos of your child as they participate at Camp Oselia for positive promotional and fundraising purposes, such as in our camp website, parish websites, brochures, and other promotional and fundraising materials?*

YesNo
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Camp Oselia during the selected camp. In exchange for the acceptance of said child’s candidacy by Camp Oselia, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Camp Oselia 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 camp sessions.

In case of injury to said child, I hereby waive all claims against Camp Oselia including all staff members, volunteers and 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 sports activities, including those participated within at camp.
Confirmation

BY SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Signature*

Clear
Medical Release and Authorization

As Parent and/or Guardian of the named camper, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named child. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to Camp Oselia and its affiliates including Directors, Counsellors, and others to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered camp.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
Confirmation

BY SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Signature*

Clear

Space Limits, Parental Volunteers, and Fees:

Please Note:

There are a limited number of spaces for campers. Registrations will be taken on a first come - first served basis.
Parent Volunteers:

A limited number of parents can volunteer to help reduce the cost of their child's registration. If you are interested in volunteering please contact Deacon Cyril at youth@eeparchy.com at the earliest convinience. All accepted volunteers and staff will need to provide a Police Information Check with Vulnerable Sector Check as well as comply with the Eparchy of Edmonton's Safe Environment Policy (which can be viewed at this link).

In particular we are looking for:
- Cook(s)
- Nurse(s)
- Life Guard
- Catechist
- Councellors (18+)
- Jr. Councellors (16-17)
Let us know if you know someone who might be able to help us out in these areas.
Cost of the Camp = $400 for the first camper in one family

Additional siblings = $350 each. (but you must register each of them separately)
Should be Empty:

WEEK 1: July 2-7, 2023