PAHS Jr. Historical Society Explorer Camp 2025

Name*

First NameLast Name

Birth Date*

MonthDayYear

Age (at time of camp) *

Youth's Cell Phone Number if applicable

Area CodePhone Number

T-shirt Size:

Allergies, dietary restrictions, existing illnesses or medical conditions.

Is there anything else we should know?

Select all camps that your youth will be attending.*

A Day in the Life of a Voyageur July 14-18th 9:00-12:00A Day in the Life a Settler August 5-8 9:00 - 12:00Both Camps

Select any camps that you would like to volunteer for.

A Day in the Life of a Voyageur July 14-18th 9:00-12:00A Day in the Life a Settler August 5-8 9:00 - 12:00Both Camps

A Day in the Life of a Settler only. Thursday, August 7th we will be touring the Vintage Power Machines Museum 12 Km south west of Prince Albert. We will meet at the Evolution of Education Museum and travel out to the Vintage Power Museum together.*

Myself or someone in my family will be driving my child.I give permission for my child to travel with another parent.I give permission for my child to travel in a 15 passenger van driven by the camp leader.I do not give permission for my child to attend this excursion.

Name*

First NameLast Name

Email*

example@example.com

Cell Phone*

Area CodePhone Number

Work Phone

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityProvince

Postal Code

Relationship with the Camper*

Emergency Contacts and Authorized Pick Up Persons*

Camp Fees

PAHS Jr. Historical Society 2024/2025 Members Full Camp = $40 each

Non-members Full Camp = $50 each

2025/2026 Membership Fee = $20/member

T-shirts (Can be worn after camp as well for our Jr. Society meetings) = $10

Payment Type*

E-Transfer - finance@historypa.com Please include a message indicating what the e-transfer is for.Credit Card over the phone (306)764-2992) Subject to an additional charge of $1.00 per transaction.Cash, credit or debit in person at the Historical Museum upon registration.

Liability Release and Parental Consent Form

In consideration of the acceptance of my application for the Prince Albert Historical Society summer program, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages or which may hereafter occur to my child as a result of their participation in said summer program. This release is intended to discharge in advance the Prince Albert Historical Society, its officials, officers, employees, volunteers, and agents from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. It is understood that some recreational activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release, and assumption of risk is to be binding on my heirs and assignees.

I have read and understand the Liability Release and Parental Consent Form and accept the terms.

Parent /Guardian Signature*

First NameLast Name

Date*

Photo Release Form

I hereby authorize the Prince Albert Historical Society to publish the photographs or videos taken of me and/or the minor children registered for this camp, for use on the Prince Albert Historical Society website and/or Prince Albert Historical Society social media and for display in the museum facility. I release the Prince Albert Historical Society and the summer program from any expectation of confidentiality for the minor children and myself and attest that I am the parent or legal guardian of the child or children listed below and that I have the authority to authorize the Prince Albert Historical Society and the summer program to use their photographs. I acknowledge that since participation in publications and websites produced by the Prince Albert Historical Society or the summer program is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced by the Prince Albert Historical Society or the summer program confers no rights of ownership whatsoever. I release, the Prince Albert Historical Society, its officials, agents, volunteers, contractors and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the minor child or children listed below.

Please select all that apply to you.*

I have read and understand the Photo Release Form.I accept the terms and will allow our pictures to be taken and used.I decline to have my child's or my photo to be taken and / or used.Photo's may be taken, but please do not show faces.

Parent /Guardian Signature*

First NameLast Name

Date*

PAHS A Day in the Life of a Voyageur Camp July 2025 PAHS A Day in the Life of a Settler Camp August 2025 Registration Form

Camper's Information

Parent / Guardian Information

Program Information

Payment Information

Terms & Conditions