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Primary Emergency Contact Details
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Email
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Enter Email
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Street Address
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Senegal
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Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Relationship to the child
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Secondary Emergency Contact Details
Name
(Required)
First
Last
Email
(Required)
Enter Email
Confirm Email
Phone
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Relationship to the child
(Required)
Child's Insurance Info
Child's Name
(Required)
First
Last
Provincial Hospitalization #
(Required)
Province
(Required)
Expiry
Is your child covered by more than provincial health care?
(Required)
Yes
No
Name of Insurer
(Required)
Policy Number
(Required)
Current Medications
Name of Medication:
Dosage:
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Remove
Please list any medications and dosage your child requires. If none, please skip.
Allergies
Allergic to:
Reaction/Effect/Symptoms:
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Please list any allergies and symptoms your child has. If none, please skip.
General Questions
Has a doctor ever denied or restricted your childs participation in sports for ANY reason?
(Required)
Yes
No
If Yes, please explain/specify:
(Required)
Does your child have any ongoing medical conditions? (ie: asthma, anemia, diabetes, infections, other)
(Required)
Yes
No
If Yes, please explain/specify:
(Required)
Did your child ever sustain a neck injury? (ie: strain, sprain, fracture, etc)
(Required)
Yes
No
If Yes, please explain/specify:
(Required)
Does your child use any special assistive equipment? (pads, braces, orthotics, etc)
(Required)
Yes
No
If Yes, please explain/specify:
(Required)
Has your child ever been diagnosed with a seizure disorder?
(Required)
Yes
No
If Yes, please explain/specify:
(Required)
Does your child have a learning disability, dyslexia, ADD/ADHD?
(Required)
Yes
No
If Yes, please explain/specify:
(Required)
Has your child ever been diagnosed with depression, anxiety, or other psychiatric disorder?
(Required)
Yes
No
If Yes, please explain/specify:
(Required)
Has your child ever been diagnosed with diabetes?
(Required)
Yes
No
If so, how do you manage their diabetes? (diet, lifestyle, oral medications, injections, medications, pump, etc)
(Required)
Does your child wear glasses or contact lenses while playing?
(Required)
Yes
No
If Yes, please explain/specify:
(Required)
Camp Details
What you need to know!
Parental Form Consent
(Required)
I agree to the policy.
What Should I Pack Each Day?:
If you decide to opt out of the snack/lunch option you will need to provide your child with a morning and afternoon snack, and a healthy bagged lunch. Please also note we are a peanut free camp. A water bottle. It's important to stay hydrated throughout the day. Weather appropriate clothing. We go outside in all weather conditions — rain or shine! Sunscreen.
Cancellation Policy:
Notification must be received in writing (via email at tizsak@ywcasaskatoon.com) no later than 72 hours prior to the start of your camp session in order to receive a refund. Session transfers must be completed at least one week prior to the session start date.
Absence from camp:
No discounts or refunds are issued for missed days.
Authorized pick-up list:
You are required to notify YWCA staff if someone other than the primary parent/caregiver given at registration will be picking up your child. If this person is unknown to the staff, they will be required to show photo identification.
Late pick up:
We expect that all children are picked up on time, respecting our staff’s work schedules and personal commitments. Late pick-ups may result in additional charges of $1/minute per child and/or withdrawal of services.
Failure to pick up:
If a child is not picked up by closing time, staff will contact parents/guardians and/or emergency contacts. If after 30 minutes staff are unable to contact parents/guardians or emergency contacts, staff will call the Ministry of Children and Family Development, who will take your child into care until you can be located.
Medication:
Staff may administer medication if your child is on a strict medication schedule. Prescription medication must be in the original container stating the child’s name, dosage and time to be given, and a consent form must be completed. Nonprescription medications require a consent form signed by a doctor.
Illness:
It is important to prevent the spread of infectious diseases to other children and staff. As such, when your child is vomiting, has diarrhea or a fever of 38 degrees Celsius or higher (100 degrees Fahrenheit), we require your child to stay home. If your child develops symptoms or a temperature of 38 degrees Celsius (100 degrees Fahrenheit) while at camp, staff will contact you to request your child be picked up. Your child must be symptom-free for a period of 24 hours prior to returning to camp.
Personal effects:
The YWCA is not responsible for any personal items/articles that are brought, used or left at our programs or facilities. Any items left at camp will be donated after Sept. 3.
Duty to report:
We are required by law under the Child, Family and Community Services Act to report any disclosures, suspected child abuse and neglect to the appropriate authorities for investigation. Our responsibility is to report suspicions or disclosures, not to determine if abuse has occurred. Investigations are the responsibility of the Ministry of Social Services, Child and Family Programs and/or the police, and they are responsible for contacting the parent/guardian.
Withdrawal of Service:
In some situations, it may be necessary for the YWCA to withdraw services. However, we will make every attempt to work with the family to resolve the issue to the mutual satisfaction of all parties, provided that the arrangement does not compromise the mission and values of the YWCA, put staff, the child or other participants at risk. Situations are dealt with on an individual basis, taking into account the specific needs and circumstances of the family and camp. The following situations may be considered cause for terminating care:
· Inappropriate conduct including harassment, threatening behaviour, or violent acts toward staff, children, or other families involved in the camp.
· Behavioural concerns (the YWCA does not have the resources to deal effectively with a child whose behaviour requires ongoing significant intervention, such as persistent unprovoked physical violence, persistent bullying, verbal harassment, or unauthorized departure from the group).
· Unresolved custody issues (if a family’s custody issues result in ongoing conflicts at camp or with staff).
· Ongoing late pick-ups.
· Non-payment of fees.
· When a family’s requests cannot be accommodated, as they conflict with the principles, policies, and procedures of the YWCA.
Camp Meal Plan Registration
Did you register your child for the camp meal plan?
Yes
No
Please indicate any known food allergies or intolerance of your child:
Please list your child's dietary requirements (vegetarian, dairy-free, nut-free, etc):
Please indicate any specific foods or needs to avoid certain ingredients for your child:
Consent and Agreement
(Required)
I agree to the privacy policy.
At the YWCA we want to provide your child with safe food options that ensure your child is getting the correct nutritional needs. By enrolling in the paid meal plan, my child will receive meals/snacks in the food option area. Meals will be prepared in accordance with general food safety guidelines and any dietary restrictions provided
The camp staff will make reasonable efforts to accommodate dietary restrictions and food allergies. However, I understand that cross-contamination or unintended exposure to allergens may still occur. I acknowledge that it is my responsibility to provide accurate allergy and dietary information and that the camp cannot guarantee a completely allergen-free environment. While the camp takes precautions, it cannot be held responsible for allergic reactions or dietary-related issues.
I have read and understand the terms of the camp’s food service. I consent to my child receiving the selected meals/snacks and acknowledge the camp’s policies regarding allergies and dietary needs.
Consent and Agreement
Summer Camp Information Consent and Agreement
(Required)
I agree to the privacy policy.
By submitting this form, I confirm that all the information provided is accurate and complete to the best of my knowledge. I understand that any false or misleading information may affect participation in the Summer Camp.
I acknowledge that I am responsible for updating the camp organizers if any details change.