ICAC Summer Camp 2026 Registration Form

  • ICAC Summer Camp 2026 Registration Form

  • All camps have met full registration.  Please note, registraton forms received for ART-venture Camp (July 20 & 21) or Pottery & Sculpture Camp (Aug. 4 - 7) will be added to our waitlist. Thank you!

  • If registering siblings, please put both names in the above field.

  • If registering siblings, please put both children's ages in the above field.

  • Birthdate*
     / /
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Emergency Contact: In the event the parent/caregiver(s) cannot be reached, please list additional contacts.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Sign-In/Out: Please list ALL people authorized to sign your child in and out of day camp. Please note that individuals listed will be required to show photo ID at time of pick up.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Camps for Grades 1 - 6:

    FULL Artist’s Time Machine Camp: July 6 - 10 (full week) ($225)

    FULL Painting/Drawing Camp: July 13 - 17 (full week) ($225)

    FULL Pottery Camp: July 27 - 31 (full week) ($225)

    FULL Craft Camp: August 10 - 14 (full week) ($225)

  • Camps for Ages 11 -14: Please select which week(s) you are registering your child for
  • Photo Permission: I give ICAC permission to take photos/videos of my child for social media and promotional purposes. Please be advised that children will not be named or tagged in photos/videos.*
  • Sunscreen Permission: It is recommended that children arrive at camp with sunscreen on and have extra sunscreen labelled with their name in their backpack for additional application. If your child does not come to camp with their own sunscreen, do you give authorization for your child to use the sunscreen available at the Centre?*

  • Medical Information

  • Will your child require medication during camp?*
  • If yes, please choose the preferred option of administration:

  • Medication #1:
    Expiry (Medication #1):
    Dose Administered (Medication #1):
    Time Administered (Medication #1):

    Medication #2:
    Expiry (Medication #2):
    Dose Administered (Medication #2):
    Time Administered (Medication #2):

    Medication #3:
    Expiry (Medication #3):
    Dose Administered (Medication #3):
    Time Administered (Medication #3):

  • Medication (including Epi-pens) must be submitted to our office in its original prescribed bottle with your child's name on it. The medication administration chart above must match the prescription label.

  • Waiver (Please read carefully): I permit my child to participate in all activities offered in the program. In the event of an accident or illness affecting my child, I consent to have the Ingersoll Creative Arts Centre staff authorize any necessary procedures, including admission to the hospital, as may be deemed essential for the care and well-being of the participant. Such action is to be taken only when immediate contact with the parent/guardian or emergency contact(s) cannot be made. I understand that, to be eligible for a refund (minus a $10 administration fee), 2 weeks notice will be required to cancel care. I have read, understand, and accept the Ingersoll Creative Arts Camp Program’s policies as described in this waiver, and I have read and understand all information in the provided information packet.

  • Date*
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  • Should be Empty: