Summer Camp 2019 - Registration Form

Please note that you must fill out a separate form for each child you are registering!
Camper Information
First Name *
Last Name *
Gender *

Male Female
Allergies/other medical information: *
If none please type N/A
Child's Care Card Number *
If your child has travel insurance please send a copy to programs@fraserriverdiscovery.org.
Child's Birth Date *

Month Day Year
Grade completed as of June 2019 *
FRY CAMPS (Grades K-2) *
SMOLT CAMPS (Grades 3-5) *
Does your child require post-camp care? (From 3:30pm-4:30pm, $25.00/week) *

Yes No
Please select the weeks your child will need post-care?
Would you like to be added to the wait list if your desired camp is full? *

Yes No
FRY - Add me to the wait list for:

July 8-12: Wonders of the Watershed July 8-12: Post-Camp Care July 15-19: Voyageur Adventure Jr. July 15-19: Post-Camp Care July 22-26: Spectacular Salmon July 22-26: Post-Camp Care August 12-16: Wonders of the Watershed August 12-16: Post-Camp Care August 19-23: Voyageur Adventure Jr. August 19-23: Post-Camp Care
Parent/Guardian Information
Parent/Guardian First and Last Name *
Relation *
Address *
City *
Province *
Postal Code *
Phone Number *
Parent's Email (camper confirmation will be sent by email) *
All campers must be signed out by a parent/guardian or other authorized person. Please list all individuals who can sign out your child. *
Do you have a membership with the Fraser River Discovery Centre? *

Yes No
Emergency Contact Info
Emergency Contact Name (Must be different than Parent/Legal Guardian!) *
Emergency Contact Phone Number *
Waivers
I, hereby authorize the Fraser River Discovery Centre to photograph, audio record, video record, podcast and/or webcast my child (digitally or otherwise) without charge; and to allow the Fraser River Discovery Centre to copy, modify and distribute in print and online, those images that include my child in whatever appropriate way the Fraser River Discovery Centre sees fit without having to seek further approval. No names will be used in association with any images or recordings. *

Yes No
I agree to HOLD HARMLESS AND INDEMNIFY the Fraser River Discovery Centre for any and all liability to which they have no legal obligation, including but not limited to, any damage to the property of, or personal injury to my child or for injury and/or property damage suffered by any third party resulting from my child’s actions whilst participating in the program. By signing this consent, I agree to allow Fraser River Discovery Centre staff to provide or cause to be provided such medical services as they or medical personnel consider appropriate. The Fraser River Discovery Centre reserves the right to refuse further participation to any participant for rule infractions. Children that require additional supports will be integrated into programs at the Fraser River Discovery Centre provided the required supports can be met without compromising the safety and security of staff, volunteers and campers. Integration of children that require additional supports will be assessed on a case‐by‐case basis by Fraser River Discovery Centre staff in partnership with the parent(s)/guardian(s). *

I have read and accept the liability waiver.
Refund Policy
If you need to cancel your child’s summer camp registration you must do so 7 days before the start of your camp to receive a full refund. Cancellations received less than 7 days before the start of camp will not receive a refund. Cancellations must be made in writing to programs@fraserriverdiscovery.org. We are unable to offer refunds to campers who are unable to finish the entire week of camp, whether the absence is due to an illness, a vacation/other family event, or if the child is asked to leave camp due to rule infractions. Camps will be confirmed two weeks prior to their start date. Should the Fraser River Discovery Centre have to cancel a camp all participants will be provided with a full refund. *

I have read and agree with the refund policy.
How did you hear about Summer Camp at the Fraser River Discovery Centre? *
After submitting this form you will receive an email from programs@fraserriverdiscovery.org. This email will contain your invoice, which must be paid within ten business days in order to confirm your child's spot at summer camp. Payment options will be listed on the invoice.

Please note that if you are on the wait list for camp you will not have to pay until a spot opens up for you.
The Fraser River Discovery Centre is committed to protecting the privacy of all personal information you share with us. We do not rent, sell or share our lists. The information we collect is used to process applications and to keep you informed about Summer Camps at the Fraser River Discovery Centre.
Should be Empty:

Camper Information

Parent/Guardian Information

Emergency Contact Info

Waivers

Refund Policy