KSM Summer Programs Registration

KSM 2026 Summer Programs Registration
An important note to all parents and guardians
Our goal is to create a fun, inclusive, and positive experience for all campers. Our program runs in a lively, fast-paced environment with large group activities, and campers are expected to participate independently throughout the day.

While our staff, made up of dedicated university and high school students, are committed to supporting and engaging every child, they are not professionally trained to provide one-on-one support or specialized care. We kindly ask parents and guardians to consider whether their child is comfortable and able to function in a busy, high-energy setting without individualized assistance, and to reflect on how they manage in group environments with noise, transitions, and structured activities.

Children who require additional support for behavioral regulation or specific needs may find our camp setting challenging, and we want to ensure that every camper is placed in an environment where they can truly succeed and enjoy their experience.

For the safety and well-being of all campers, and to ensure our staff can effectively supervise and support their groups, this program may not be the best fit for children who require consistent one-on-one support or specialized care. In these cases, we kindly ask families to consider alternative programs that are better equipped to meet those needs before registering.
I acknowledge that I have read and understand the above.*

YESNO
Click here to exit registration.

Family Information
Are you a registered Kerr Street Family, Kids' Club Member or Youth Connected Member?*

YesNo
Client Number*
Please enter your valid KSM client number
If you are a registered family, please ensure your information has been updated within the last six months. If you need to make an update, please call us at 905-845-7485.
If you are not a registered KSM family, please click here.
Home Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Home Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
PLEASE NOTE: All participants MUST be 5 years old by July 1, 2026 in order to register.
Parent/Guardian Information
Parent/Guardian 1 Name*

First NameLast Name
Daytime Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Parent/Guardian 2 Name

First NameLast Name
Daytime Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Alternate Emergency Contact
Emergency Contact Name*

First NameLast Name
Relationship to Participant*
Daytime Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.

Participant Information
Child's Name*

First NameLast Name
School*
Grade entering September 2026*
Program you wish to register for*

Summer Camp and/or Sports Camp - SK-Grade 9Leaders in Training (LIT)/Volunteering - Grades 9-12
Does your child use an epi-pen, medication or have any allergies, dietary restrictions, sensitivities or other special needs? Is there any important information for staff and volunteers to be aware of?*

YesNo
If “Yes” please explain and provide a specific treatment plan if necessary.*
Can the participant walk home alone (10 years old or older)?*

YesNo
I AUTHORIZE the use of any photos taken over the duration of the program for non-profit promotional purposes.*

YesNo
Sign Out Information
List the names of any adults who have your permission to sign your child out. (Any names NOT on this list will be unable to sign the participant out without a handwritten note)*

Permission and Waiver
The PARENT: {parentguardian1}

THE PARTICIPANT(S): {childsName1}
I, (THE PARENT), am the parent/legal guardian of (THE PARTICIPANT), who has my permission to attend and participate in summer programs run by Kerr Street Community Services, operating as Kerr Street Mission located at 485 Kerr Street, Oakville. I have read and completed the application and confirm all information is correct.

THE PARTICIPANT hereby agrees to abide by the behavioral guidelines for the camp and THE PARENT agrees that in the event that THE PARTICIPANT fails to comply with the guidelines or behaves in such a way as is likely to cause damage or injury to persons or property while at camp, THE PARTICIPANT may be sent home at THE PARENT'S expense and the parent shall be responsible for any costs incurred in rectifying any damage.

THE PARENT hereby authorizes the administration of any first aid treatment that may be deemed necessary by any of the Kerr Street Mission staff. In the event of a more serious medical emergency affecting THE PARTICIPANT, the staff shall make all reasonable efforts to contact the parent/guardian. Where attempts to contact THE PARENT are not successful or are not feasible due to the urgency of the situation, the staff are hereby authorized to obtain the services of a duly licensed physician and to secure appropriate treatment for THE PARTICIPANT. THE PARENT hereby confirms that THE PARTICIPANT is covered by OHIP or equivalent medical insurance.

I GIVE THE PARTICIPANT PERMISSION to travel by foot within the community without prior notice to participate in day camp programming (ie to swim at a local community pool) over the course of the summer. In addition I give permission to travel by bus on any field trips during camp, provided I am given notice of the destination and time of the trip which will be included in the newsletter on the first day of each week of camp. In the event that the parent does not receive the weekly newsletter, it is THE PARENT'S responsibility to contact Kerr Street Mission the following day to obtain a copy thereof. If the camper requires any accommodations or modifications to program, it is THE PARENT'S responsibility to notify Kerr Street Mission prior to camp.

THE PARENT AND THE PARTICIPANT hereby acknowledge that there are inherent risks involved in the travel and group activities which comprise the camp, and voluntarily elect to assume said risks as their sole responsibility. THE PARENT AND THE PARTICIPANT hereby release Kerr Street Community Services employees, agents, board of directors, volunteers from any and all liability, claims, damages and costs for loss, personal injury, accident, misfortune or damage to THE PARTICIPANT or his/her property while participating in events sponsored by Kerr Street Mission. It is understood that Kerr Street Mission shall take reasonable precautions to provide for the health and safety of the PARTICIPANT.
BY SIGNING BELOW I ACKNOWLEDGE having read and understood each of the foregoing provisions and KSM Summer Programs policies and agree to abide by the terms of this agreement, authorization and waiver.
Type First and Last Name as your Digital Signature*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

KSM 2026 Summer Programs Registration

An important note to all parents and guardians

Family Information

Parent/Guardian Information

Alternate Emergency Contact

Participant Information

Sign Out Information

Leaders in Training (LIT)/Volunteering

Program Selection

Permission and Waiver