Polaris 2025 March Break Camp Registration Form

March Break Camp Registration 2025

Use this form to sign up for 2025 March Break Camp at Polaris. Camp will run from March 10th to 14th. Please complete one form per camper. You will receive an email confirmation with an invoice and payment instructions after registration forms are submitted. Please direct any questions to camps@polarisschool.ca
Campers Name*

First NameLast Name
Campers Age*
Date of Birth*

MonthDayYear
Date
Select Camp.Please note that camp runs from 9 am to 3 pm and before and after care are not available at this time.*

$300: March 10th to 14th, 2025 - Nature Connect Camp (ages 8 to 12)
Tell us More About Your Child

The more we know about your child, the easier it is it to ensure a successful and enjoyable camp experience.
Describe your child in a few words.*
What are your child's interests and hobbies?*
How would you describe you child's educational experience to date?*
How would you describe your child's social/emotional development?*
What language(s) does your child speak?*
Please describe your child's fine and gross motor skills. Have there been any challenges?*
Has your child participated in counselling or professional evaluations?*
Does your child require any special accommodations at camp?*
Is there anything else that you would like us to know about your child?
Parent /Guardian Information
Parent/Guardian I*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Parent/Guardian II

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Same as above.Different please see below.
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pick Up Authorization

Please not that children will only be released to Parents/Guardians, or individuals noted on this list, unless special arrangements have been made with camp leader in advance.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Emergency Contact

Please list individuals who we should contact in the event of an emergency if Parents/Guardians are not reachable.
Emergency Contact 1*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Emergency Contact 2 (optional)

First NameLast Name
Phone Number
Please enter a valid phone number.
Medical Information
Health Card #
Family Doctor
Doctor Phone Number
Medical conditions/Allergies and/or food sensitivities (please list or write "none")*
Expectations and Understandings

These rules are in place to ensure that all campers are safe and have the best possible camp experience.
1. Children are expected to be respectful of each other, care providers, and others they may interact with on school property. Children who are unwilling to co-operate with care providers may be asked to leave the program after consultation with the parent(s).

2. No electronic or digital devices of any kind are to be used during the Camp Programs.

3. No activity is permitted out of sight, without supervision of the caregiver(s).

4. STORM DAYS: In the event that due to inclement weather, the group is unable to continue outdoors, the program may be brought indoors. If this is not possible, a refund will be issued for the day in question.
I/we agree to the terms above
Terms and Conditions
By signing below, I/we understand as a parent/guardian of a child participating in the camp program that my child will participate in activities which may include but are not limited to, physical activities, group games, neighbourhood walks, etc. and I am/We are aware that the decision to participate brings with it the assumption of possible risks associated with these activities.

I/We hereby give permission for emergency treatment to be administered in the event that my child requires it. I understand that every effort is made to ensure the safety and well-being of my child, and I release the Polaris School and Centre, its employees, volunteers, and Board of Directors from liability. In consideration of acceptance into the Camp Program, I wave, release, and forever discharge the Polaris School and Centre, its Board of Directors, staff, and their successors, all rights and claim from losses or damages due to any injury suffered by my child while participating in the program.
I/we hereby agree to be responsible to reimburse Polaris School and Centre in the event that my child should cause voluntary damage to school property or equipment.
Privacy: We sometimes use photographs or videos taken during camps in promotional materials for the school, including the website.

I permit photos/videos of my child for promotional purposes.I DO NOT permit photos/videos of my child for promotional purposes.
Signature*

Powered by Jotform SignClear
Should be Empty:

March Break Camp Registration 2025

Tell us More About Your Child

Parent /Guardian Information

Pick Up Authorization

Emergency Contact

Medical Information

Expectations and Understandings

Terms and Conditions