2025 Born to Shine Summer Camp Registation Form

Born to Shine Summer Camp 2025 Registration Form

Camp is hosted by "Project Shine CRRS Canada" and "Vancouver Urban Ministries"
Camp Info

Date: July 28 - Aug 1st, 2025

Time: 10:00am - 3:00pm

Place: Chinatown Peace Church (375 E. Pender St.)

Contact: Esther@crrs.org , David@myvum.ca
Parent/Guardian Name (First and Last Name)*
Parent/ Guardian Cell Phone Number*
Please enter a valid phone number.
Parent / Guardian Email*
example@example.com
1st Child Name (First and Last Name)*
1st Child's Age*
1st Child's Sex / Preferred Pronoun*
2nd Child Name (First and Last Name)
2nd Child's Age
2nd Child's Sex / Preferred Pronoun
Emergency/Secondary Contact's Name*
Emergency Contact's relationship with child/children*
Emergency Contact Phone Number*
Please enter a valid phone number.
Kid's Allergies / Food Allergies*
If yes please explain. Will you be packing an epipen?
Does your child have any medical conditions, behaviours, accebility limitation that we should be aware of? *
If yes please explain (such as physical, mental health conditions)
Anything else we need to know
How did you hear about this camp?*

My child came to the camp beforeFrom VUM Programs (Tutoring/Music)Word of mouthSearch on webOther
Medical Release

I/we, the parents or guardians named above, authorize Project Shine, Culture Regeneration Research Society (CRRS Canada) and Vancouver Urban Ministries (VUM) staff or volunteers to sign consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant/s named above.

Use of your child’s pictures

I/we give permission for my children/family photo to be taken and used for CRRS Canada and VUM promotion material.

Field Trip & Outside Venue Permission/Consent

During the Born to Shin Summer Camp (July 28 - Aug 1st, 2025), I, the parent/guardian of the child/children named above, hereby give permission for my child to take part in field trips during this camp.

I understand that my child shall be accompanied by camp counselors during the trip, including while travelling from the departure site to the destination site, and from the destination site to the return site.

I understand that my child is expected to behave responsibly and follow the camp’s discipline code and policies.

I understand that illegal & recreational drugs, alcohol, and weapons are prohibited, and I have discussed this prohibition with my child. I understand that if my child is found in possession of these, the child will be expelled from the trip and sent home.

I/we, named above undertake and agree to indemnify and hold blameless CRRS Canada, VUM and staff and volunteers from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of this camp, as well as of any medical treatment authorized by the supervising individuals representing CRRS Canada and VUM. This consent and authorization is effective only when participating in or travelling to and from events of CRRS Canada and VUM. This includes off-site events, field trips and events requiring physical activity.

Signature

I have read, understood and agree with all of the above, and sign it to cover all of CRRS Canada and Vancouver Urban Ministries’ activities. Activities for the program are effective from the date signed through September 30th, 2025.
I've read and understood the above*

Yes
Signature*

Clear
Purposes and Extent

CRRS Canada and VUM are collecting and retaining this personal information for the purpose of enrolling your child in our programs, to develop and nurture ongoing relationships with you and your child, and informing you of program updates and upcoming opportunities in our ministries. This information will be maintained indefinitely, as it is a requirement from our board and legal counsel. If you wish to limit the information collected or to view your child’s information, please contact us at David@myvum.ca.

Camp Info: https://crrsprojectshine.com/btscamp/

Contact

Esther Leung 778-846-6464 (esther@crrs.org) - 懂中文 (梁爾欣小姐)
David Innes 778-319-2214 (david@myvum.ca)
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Born to Shine Summer Camp 2025 Registration Form