Childs Name*

First NameLast Name

Childs Age*

Name of second child

First NameLast Name

Second child's age

Does your child have any allergies/medication/dietary restrictions/behaviors/needs?

Does your child require any accommodations?

Parent/Guardian Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Emergency Contact/Authorized Pick Up Name*

First NameLast Name

Emergency Contact Phone Number*

Please enter a valid phone number.

Have you completed our waiver?*

(All persons entering Win City Ninjas must complete a valid waiver. Please visit Wincityninjas.ca to complete your waiver)

Program Information

Camp Hours:

Drop off is between 9:00am - 9:30am

Pick up is between 4:00pm - 4:30pm

*Children must be able to use the washroom on their own*

Clean dry indoor running shoes only

Must bring lunch, snacks, water bottle

Children should be in comfortable clothing (shirts and shorts are recommended)

Schedule (activities will change for each day)

9:00am - 10:15am - Open gym

10:15am - 10:45am - Snack break

10:45am - 12:00pm - Free flow arts n crafts

12:00pm - 12:40pm - Lunch break

12:40pm - 1:50pm - Ninja games (floor is lava, warped wall tic tac toe, bean bag toss, balance challenge, etc)

1:50pm - 2:20pm - Snack break

2:20pm - 3:30 - Obstacle course race

3:30pm - 4:00pm - Open gym

Options*

Full day Friday October 17th (9:00am - 4:00pm) $65Sibling add on Friday October 17th (9:00am - 4:00pm) $55Early Drop off October 17th (Between 8:00am - 9:00am) $10Late Pick Up October 17th (Between 4:30pm - 5:30pm) $10Full day Friday November 14th (9:00am - 4:00pm) $65Sibling add on Friday November 14th (9:00am - 4:00pm) $55Early Drop off November 14th (Between 8:00am - 9:00am) $10Late Pick Up November 14th (Between 4:30pm - 5:30pm) $10

Important Notice*

Win City Ninjas is an all inclusive space committed to meeting each child where their at and providing a fun and safe environment for all. There is zero tolerance for destructive behavior or bullying of any kind. To maintain a positive environment any participants engaging in destructive, abusive, unsafe, or threatening behavior (physical or verbal) towards staff, participants or equipment will be given a warning and/or temporary sit-out. If the behavior persists parents will be contacted for immediate pick up without refund.You will be contacted via email after submitting this form. If you have not received an email from us after 48hrs please check your junkmail. Please note camp will only run with 5 or more participants. You will be contacted via email if cancelled.

Informed Consent and Acknowledgement: I hereby give my approval for my child’s participation in any and all activities prepared by during the selected recreational ninja program. In exchange for the acceptance of said child’s candidacy, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Win City Ninjas, and all its respective representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected recreational ninja program. In case of injury to said child, I hereby waive all claims against Win City Ninjas, including all coaches 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 ninja warrior. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.*

I AGREE TO THE ABOVE

Parents name

First NameLast Name

Date*

Date

PA Day Camp (Ages 5-13)

Program Information