LINKS @ Loyalist Youth Camp Application
Welcome to LINKS Youth Programs at Loyalist College (formerly known as Loyalist Summer Camps for Kids) where we teach BIG life skills and create accessible educational enthusiasm for youth.
Before you begin:
You are completing this APPLICATION to access subsidy from The Children's Foundation and Loyalist Financial Assistance for camp. If you do not require subsidy, please exit this form and complete the REGISTRATION option for your chosen camp. 50% of camp spaces are available to those in need of subsidy. Please review the LICO chart below. Our aim is to provide accessible and enriching youth program and camp opportunities for families, regardless of financial barriers. The total cost for each camp experience is $285. If your application is successful, The Children's Foundation will fund $200, Loyalist College Financial Assistance will fund $60, and registrants are responsible for paying $25 per camp (you will receive instructions on how to make this payment, if your application is successful). Your child is not fully registered for camp unless a payment is made. Please submit a separate application for each child. Subsidy is limited to TWO CAMP WEEKS, PER CHILD, PER FAMILY. Please do not apply for subsidy if you have already used The Children's Foundation subsidy for another program. Applications will be reviewed as of May 15th 2024. For important camp information, visit https://loyalisttraining.com/summer-camps-policies-procedures/. If you have any questions, please e-mail Alysha Kavanagh at akavanagh@loyalistcollege.com.
Documents to have on-hand for this application:
Supporting documents MUST include the following: Most recent Canada Revenue Agency (CRA) Notice of Assessment(s), and most recent Canadian Child Benefit (CCB) Notice of Assessment. You may also submit the following, if applicable: TWO current pay stubs; Ontario Works monthly statement; and/or Ontario Disability Support Program monthly statement.
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Privacy Statement
Loyalist College is committed to treating your personal information in accordance with FIPPA and the colleges’ privacy policy. The collection of personal information is in accordance with Section 26 of the Freedom of information and Protection of Privacy Act (FIPPA) and the Ministry of Training, Colleges and Universities Act. The College uses the personal information for the purposes of providing educational and related services. The details that are being collected are for fee assistance eligibility, child safety & wellbeing. Should you have any questions concerning your personal information please access our website for more details related to the colleges privacy policies.
Acknowledgement
*
I am over 18 years of age and acknowledge the above Privacy Statement (please check)
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Child's Information
Please fill this section fully on behalf of your child.
Child's Name
*
First Name
Last Name
Child's Pronouns
she/her/hers
he/him/his
they/them/theirs
other nonbinary pronouns
If you chose "other nonbinary pronouns" above, please list your child's preferred pronouns below:
Child's Gender Identity
Female
Male
Transgender
Nonbinary
Other gender identify not listed above
Prefer not to disclose
If you chose "other gender identity not listed above", please list your child's gender identity below:
Child's Full Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child's Date of Birth
*
-
Month
-
Day
Year
Date
Child's Age
*
What grade is your child currently in?
*
What is your child's t-shirt size?
*
Youth S (size 6-8)
Youth M (size 10-12)
Youth L (size 14-16)
Youth XL (a+Adult XS)
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Optional Questionnaire
The following questions, although not mandatory, are designed to get to know your child better and make their camp experience as enjoyable as possible:
What is your child's favorite song and/or music artist?
What 3 words would your child use to describe themselves?
What 3 words would YOU use to describe your child?
What makes your child feel most successful and/or proud?
Is there anything your child is particularly nervous about regarding camp?
Is there anything else you would like us to know about your child?
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Parent/Guardian Contact and Emergency Contact Information
Please fill this section fully as a parent/guardian of the child you are applying for.
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Primary E-mail
*
example@example.com
Confirm the above e-mail is correct
*
(Please check)
Consent to receive e-mails and updates regarding LINKS Youth Programs at Loyalist College:
Yes, I am over 18 years of age and consent to receiving e-mails regarding LINKS Youth Programs at Loyalist College
Parent/Guardian Primary Phone Number
*
Please enter a valid phone number.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Will someone other than the contacts above be picking up/dropping off the child at camp?
*
Yes
No
If you chose "Yes" above, please provide their name(s) and primary phone number(s). Photo ID will be required for pick-up, as per our Child Safeguarding Policy.
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LINKS Youth Summer Camp Options
Please select the camp(s) your child is applying to attend. You may choose up to (2) camp weeks, per child. Camps are filled on a first-come, first serve basis.
Which camp(s) is your child wishing to attend?
*
July 8-12: Game Design Camp for Kids: Leadership Through Creative Game Development (ages 9-12)
July 8-12: Idea Forge: Inventor’s Lab Camp (ages 9-12)
July 8-12: Architects of Imagination: Dynamic Discoveries & Awesome Inventions Camp (ages 6-8)
July 15-19: Minecraft Modding and Game Design Camp: Unleashing Creativity and Leadership (ages 9-12)
July 15-19: GirlTech BioArt Camp (ages 9-12; girls only)
July 15-19: Forces and Energy: The Power to Discover Camp (ages 6-8)
July 22-26: All Around the World: Global Adventure Camp (ages 6-8)
July 22-26: Roblox Modding and Game Design: Leading the Way in User-Created Gaming (ages 9-12)
July 29-Aug 2: Rock & Roll with Rocks and Minerals: Jr. Geologist Camp (ages 6-8)
August 12-16: SUNsational World Outside: Adventures Under the Sun Camp (ages 6-8)
August 12-16: GirlTech BioArt Camp (ages 9-12; girls only)
August 19-23: Cute, Creepy & Crawly: Nature's Tiny Wonders Camp (ages 6-8)
August 19-23: Racing into Science: The Mechanics of Speed Camp (ages 9-12)
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Financial Assistance Information
Please fill out this section fully to be considered for financial assistance.
Please read:
The information below is being gathered to assess your eligibly to receive Financial Assistance from both Loyalist College Financial Assistance ($60 per child) and The Children’s Foundation (Camps of Hope) ($200/child). You must submit your supporting documentation to complete the application. Applications will be reviewed as of May 15th 2024. After completing this application please check your email regularly to obtain confirmation of your child's eligibility for Financial Assistance. Note: Please DO NOT submit a separate application to The Children's Foundation for LINKS Youth Program Camps @ Loyalist College. The portion of the subsidy provided by The Children's Foundation for LINKS @ Loyalist College campers will be counted towards any further requests for funding through The Children's Foundation Camps of Hope.
Loyalist College is working in partnership with The Children's Foundation to determine eligibility for LINKS Youth Program Camps @ Loyalist College. By consenting to this application, you authorize Loyalist College to share your information with The Children's Foundation for the express purposes of eligibility.
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Yes, I am over 18 years of age and consent - I have read and agree to the above consent statement.
I am over 18 years of age and acknowledge the information above
*
Yes
Have you received funding from The Children's Foundation this year (2024)?
*
Yes
No
Are you currently on ODSP, OW or Social Assistance?
*
Yes
No
Is the family and/or the child currently involved with the Highland Shores Children's Aid Society (HSCA)?
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Yes
No
If you answered "yes" above, please provide your HSCA worker's name:
First Name
Last Name
Please Note:
If you answered "yes" above, you DO NOT need to submit the financial documentation in the "Supporting Documentation" section of this application.
Is your family/child involved with another Agency?
*
Yes
No
If you answered "yes" above, please provide the name of the Agency and the worker's name:
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Family Details and Supporting Documentation
Please fill out this section fully to be considered for financial assistance.
Family Details:
How many adults (18 years of age or older) contribute to your household income?
*
How many people live in your household? Include both children and adults.
*
What is your combined household income before tax? Include all income from members of the household that are 18 years of age or older:
*
Supporting Documentation:
Supporting documents MUST include the following: Most recent Canada Revenue Agency (CRA) Notice of Assessment(s), and most recent Canadian Child Benefit (CCB) Notice of Assessment. You may also submit the following, if applicable: TWO current pay stubs; Ontario Works monthly statement; and/or Ontario Disability Support Program monthly statement.
Consent to Share Information
Please upload for each of the household member (includes anyone earning income 18+ years): Most recent Canada Revenue Agency (CRA) Notice of Assessment(s) AND TWO current pay stubs
*
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Please upload your most recent Canadian Child Benefit (CCB) Notice of Assessment here:
*
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If applicable, please submit: Ontario Works monthly statement; and/or Ontario Disability Support Program monthly statement.
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Self-Identify for Needs-Based Lunch
In 2024, all families who apply and/or register for LINKS Youth Program Camps @ Loyalist College have the option to self-identify for lunch to be provided for their child/ren, no questions asked. If you are unable to send your child with a lunch each day of camp and would like to "opt-in" for your child to receive lunch provided by Loyalist College, you can do so below.
I would like to "opt-in" for the Lunch Program @ Loyalist College to provide my child with lunch each day of camp:
*
Yes
No
Does your child have any dietary restrictions we should be aware of?
*
Yes
No
If you answered "yes" above, please list restrictions:
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Additional Support and Supporting Positive Behaviour at LINKS Youth Program Summer Camps
Our Summer Staff are not able to provide the same support as educational assistants or behaviour therapists for children and youth who require additional support because of: physical, visual, hearing, developmental or cognitive disability, and/or attention or behaviour challenges. If your child requires additional assistance and has a support worker who will be assisting them at Camp, we fully welcome this opportunity and will work to ensure your child and their support worker have a meaningful experience at camp. Advance notice of this is required. Please contact us in advance to discuss details including how we can best work to support your child and their support worker by e-mailing akavanagh@loyalistcollege.com.
Does your child live with any physical/cognitive/behavioural disability/ies we should be aware of? (for example, does your child use a wheelchair/have a reading-writing disorder/ADHD/autism/does your child have accommodations in a school setting?).
*
Yes
No
If you answered "yes" above, please elaborate below:
Does your child receive support or special education services at school or from a community agency?
*
Yes
No
If you answered "yes" above, please elaborate below:
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Medical Information
PRIVACY: Medical information will be shared on an as needed basis, in order to provide knowledge of your child's needs and/or to provide information to medical services in the event of an emergency. By summiting this application you are agreeing to sharing medical information in event of an emergency.
Does your child have any Medical / Health Concerns we should be aware of? (ie. asthmatic allergies, taking medication, asthmatic)
*
Yes
No
If you answered "yes" above, elaborate on the Medical / Health Concern:
Is your child using any medication that must be administered while at camp?
*
Yes
No
If you answered "yes" above, please list the medications here, including dosage, times of administration, and any emergency/observed reaction(s) information:
Is refrigeration necessary?
Yes
No
Request for Self-Administration of Prescription or Non-Prescription Medication
Summer Camp staff are not permitted to administer medications to your child therefore you hereby give permission for the Summer Camp staff to supervise your child/youth when self-administering the medication(s) listed above in accordance with their Doctor’s instructions.
*
Yes, I am over 18 and consent - I have read and agree to the above consent statement.
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Allergies
Does your child have any allergies?
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Yes
No
If you answered "yes" above, please elaborate:
Are any of these allergies anaphylactic?
*
Yes
No
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Anaphylaxis Action Form
Below are questions that are required to complete your child's "Anaphylaxis Action form".
What anaphylactic allergies does your child have?
*
Does your child carry an Epi-Pen or Allerject?
*
Yes
No
What are the symptoms? Check all that apply.
*
Swelling
Difficulty breathing and/or swallowing
Cold, clammy, sweating skin
Flushed face and/or body
Fainting or loss of consciousness
Dizziness or confusion
Stomach cramps
Coughing
Wheezing
Voice changes
Vomiting
Diarrhea
Other
Anaphylaxis Action Plan
Your child must carry their Epi-Pen on them during camp. We will use a Standard Emergency Plan. Upon obvious signed of anaphylactic reaction: 1) Administer epinephrine auto-injector (eg Epi-Pen or Allerject) 2) Call 911 3) Notify Parents 4) Ambulance will transport child to hospital
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Yes, I have read and agree with the Anaphylaxis Action Plan above
No, I have read and do not agree with the Anaphylaxis Action Plan above. We will contact you to discuss.
Are there any additional details related to your child's allergies we should be aware of?
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Consent Forms
Please read and consent to all the following consent forms for LINKS Youth Programs.
Safe Space Expectations
Please read this form in it's entirety.
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Yes, I am over the age of 18 and consent - I have read and agree to the above consent statement
Photo Release
Please read this form in it's entirety.
*
Yes, I am over the age of 18 and consent - I have read and agree to the above consent statement
No, I do not consent - please do not take photos of this participant
Consent to Participate
Please read this form in it's entirety.
*
Yes, I am over the age of 18 and consent - I have read and agree to the above consent statement
I/We certify that the information in this application is true and completed to the best of my/our knowledge. I/We understand that any falsified information on this application can result in the termination of any/all financial assistance or removal from the program.
*
Yes
No
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Additional Information:
The following questions, although not mandatory, will be crucial in helping to shape our year-round youth programming at Loyalist College aiming to support families in our community through LINKS Youth Programs (formerly Loyalist College Summer Camps for Kids).
Are you Loyalist College employee?
Yes
No
Has your child attended camps with us before?
Yes
No
Does your child have previous camp experience with another organization?
Yes
No
If you answered "yes" above, what camp and when?
How did you hear about us? Check all that apply.
E-mail list
Word of mouth
Loyalist College webpage
Loyalist Training webpage
Loyalist College Social Media
Local Radio Camp Listings
Facebook
Other
If you clicked "other" above, please elaborate:
We have rebranded as LINKS (Leadership Initiation for New Knowledge and Skills) Youth Programs at Loyalist College (formerly Loyalist Summer Camps for Kids). Our aim is to teach BIG life skills and create educational enthusiasm for youth in a year-round capacity. In your opinion, what programs are NEEDED in our community? Check all that apply.
Entry-level STEAM (Science, Tech, Engineering, Arts and Math) programs for under 6 years of age
STEAM (Science, Tech, Engineering, Arts and Math) programs for 6-8 years of age
Skills-based programs for 9-12 years of age
Sport x STEM programs for 9-12 years of age
Leadership x STEM programs for 9-12 years of age
Leadership x STEM programs for 13-15 years of age
Specialized inclusive programs with a STEAM (Science, Tech, Engineering, Arts and Math) focus
Summer Camps (all ages)
After-school programs (all ages)
In-school STEAM enrichment programs for 6-8 years
In-school STEM enrichment programs for 9-12 years
In school Leadership x STEM programs for 9-12 years
In-school Leadership x STEM programs for 13-15 years
March Break Camps (all ages)
PA/PD Day Programs (all ages)
Virtual STEM Enrichment Programs for 9-12 years
Fully Funded (free) programs
STEM-focused Family "Try-it" days
Specialized Programs for 9-12 years (CULINARY)
Specialized Programs for 9-12 Years (AUTOMOTIVE)
Specialized Programs for 9-12 Years (CARPENTRY)
Specialized Programs for 9-12 Years (AutoCAD)
Specialized Programs for 9-12 Years (GAME DESIGN)
Specialized Programs for 9-12 Years (ENTREPRENEURSHIP)
Specialized Programs for 9-12 Years (BIOSCIENCE)
Specialized Programs for 9-12 Years (GirlTech - girls only, and those who identify as such, STEM programs)
Specialized Programs for 9-12 Years (LAB-FOCUSED)
Other
If you checked "other" above, please elaborate:
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