2026 Summer Camp Enrollment Form

Briercrest Summer Fun Camp Registration

2026
Join us for a fun-filled week of crafts, games, outdoor activities, reading time, music, movement, and friendship!

Date: August 17-21, 2026

Location: Briercrest Community Centre

Cost: $30

Daily lunch and snacks are included.

Camp hours: 9:00 - 4:00pm
What To Bring:
- 🧴Sunscreen
- 💧Water Bottle
- 🧢Hat
- 👟Outdoor Running Shoes
- ☂️Weather-Appropriate Clothing
- 🚫Please leave electronics at home.
CHILD INFORMATION:

Briercrest Summer Fun Camp is open to children age 5 - 12. Younger children may attend with a parent. Session fee is $30 per child. Financial assistance is available. Please contact Sharon Duncan for more information. Payment can be made by cash or e-transfer to briercrest@palliserlibrary.ca
Child 1

First NameLast Name
Age During Camp:
Child 1 Shirt Size
Child 2

First NameLast Name
Age During Camp:
Child 2 Shirt Size
Child 3

First NameLast Name
Age During Camp:
Child 3 Shirt Size
Dietary Restrictions or Aversions
Allergies, Medical Concerns or Additional Support Needed
Include allergies, medications, behavioural considerations, mobility supports, or anything that would help us care for your child.
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
Alternate Contact:

First NameLast Name
Phone Number

Area CodePhone Number
Is this person authorized for emergency pickup?
Agreement to Participate Liability Waiver for Minors Participating in Youth Programs

All activities involve certain inherent risks. Regardless of the care taken, it is impossible to guarantee the safety of all participants. While Briercrest Library is using care in conducting the event, it cannot eliminate all risk from the activities.
I, and all named individuals above, agree to abide by the rules and regulations set by Briercrest Library. I understand that violations of the rules and regulations, or misrepresentation of information on this form, may result in restriction, revocation, reduction or loss of program privileges without refund.

Waiver and Release: I hereby waive and release Briercrest Library , its officers, agents and employees, from and against any claims, suits, losses, or related causes of action for damages, including attorney’s fees and court costs, that may result from injury or death, accidental or otherwise, during, or arising from my child’s participation in a recreation program, including transportation to and from activities associated with the program, and any resulting illness and/or injury, and I agree to indemnify and hold harmless the Briercrest Library from and against any and all such claims. I understand that if my child is injured, this waiver will be used against me and anyone else claiming damage in any legal action because of my child’s injury. I also understand that I am responsible for immediate pick-up of my child upon completion of the program the child was registered in. In case of emergency, I give my permission for emergency medical treatment of my child and for transportation to such treatment.

Photo/Video Consent: Photographs/videos may be taken during various programs. These photographs/videos may be used for future Briercrest Library promotional material. Please indicate whether you will or will not grant permission to use your child’s photo for these purposes
Liability Waiver
Photography Release
Should be Empty:

Briercrest Summer Fun Camp Registration

What To Bring:

CHILD INFORMATION:

PARENT/GUARDIAN INFORMATION:

Agreement to Participate Liability Waiver for Minors Participating in Youth Programs