Registration Form 2023
Please fill in the form below. Registration closes Saturday, 15th JULY 2023
CAMPER INFORMATION
Name of Camper
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
Parish
State / Province
Postal / Zip Code
Gender
Please Select
Male
Female
Age
Date of Birth
-
Month
-
Day
Year
Date
Name of School
Class/Form/Level
Size T-Shirt (Children Sizes)
Extra Small (Size - 6)
Small (Size 8)
Medium (Size 10)
Large (Size 12)
Extra Large (Size 14)
Extra Extra Large (Size 16)
PHOTO IDENTIFICATION CARD
Kindly upload a passport sized or cropped facial photo of child. Edufun campers will be issued with ID cards for security purposes. Campers must wear ID cards daily.
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MEDICAL INFORMATION
Answer the following questions accurately.
Kindly indicate any health issues your child currently experiences.
Asthma
Heart Problems
Diabetes
Seizures
Frequent Ear Infections
Frequent Headaches
Chest Pain
NONE OF THE ABOVE
Other
Allergies
Yes
No
If yes, list allergy, describe reaction and treatment options here
Is camper on medication?
Yes
No
If yes, state the name of the medication here
Camper can participate in sporting activities
Yes
No
Provide any specific instructions here
Name & Telephone number of medical doctor
MEDICAL RELEASE - Terms and Conditions
I authorize the EDUFUN SUMMER CAMP as agent for the undersigned to consent concerning said minor to medical treatment (after contact is made with parent/guardian and is deemed advisable by a medical physician) at a recognized health facility. I understand that the EDUFUN SUMMER CAMP is not responsible for costs incurred for medical care. File Upload
PARENT/GUARDIAN INFORMATION
Parent/Guardian Name #1 (Person registering camper)
First Name
Last Name
Address
Street Address
Parish
City
State / Province
Postal / Zip Code
Phone Numbers
Please enter a valid phone number.
Format: 000-0000.
Email
example@example.com
Parent/Guardian Name #2
First Name
Last Name
Address
Street Address
Parish
City
State / Province
Postal / Zip Code
Phone Numbers
Please enter a valid phone number.
Format: 000-0000.
IN CASE OF EMERGENCY
Two persons (NOT ALREADY LISTED) to contact in case of an emergency
Names and Telephone Numbers
PICK UP INFORMATION
Provide the names and contact information of persons who are authorized to collect your child/ward. Please note that persons not on this list will not be allowed to remove a camper from the site unless permission is received from the parent/guardian. If necessary persons may be asked to present a photo ID
Name - Relationship - Telephone Number
POLICIES
Backpack Search - I agree that any camp participant’s belongings may be searched outside the participant’s presence for drugs, alcohol, weapons, or other forbidden objects. Lost or Stolen Items - Campers are asked to leave any valuables and electronics at home (unless permission is granted). EDUFUN SUMMER CAMP and its employees are not responsible for lost or stolen items. Photographs - I give my permission for my child’s photograph or video to be taken for use by EDUFUN SUMMER CAMP in programme brochures, annual report, websites, social media sites, and other promotional materials and for release to local newspapers.
AGREEMENT
My child/ward has permission to engage in all prescribed camp activities except as noted. The information provided on this form is accurate to the best of my knowledge. I have indicated any special health conditions, including required medication and activity limitations which should be known to the camp staff and medical personnel. I am aware of and accept the risk inherent in the program activity. After contact is made with me I give consent for medical treatment at an appropriate facility in case of illness or injury. I agree to make payment at the beginning of every camp week (unless payment made in full) for the duration of my child/ward's attendance.
Signature
If unable to use the signature box above, type name here.
Registration Fee is $50 (non-refundable).
Campers will receive Edufun Package which includes: Edufun Camp Shirt, an Edufun Exercise book, sponsor branded drawstring bag, pencil case, and stationery.
Please select you payment option for registration fee
Online Banking Transfer
Cash
NOTE
Cash payments and collection of camp packages will be on SATURDAY, 15TH JULY 2023 between 9:00 a.m. and 12 noon at the Parkinson Memorial School, Pine East-West Bolevard, St. Michael.
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