Please note: registering online will require online payment (through Paypal). If you wish to pay by cheque, please print off a registration form and send the cheque and form through the mail. Cheques should be made payable to "Camp Shagabec." Do not send cash in the mail.

Name of camper

Mailing Address

Phone #

Postal Code

First time camper?

Age of camper (As of Jan 01, 2011)

Gender

Male
Female

Birth date

I'm registering this child for

Sr. Co-ed (July 1 - 6) $180
Jr. Co-ed (July 15 - 20) $180
Sr. Scampers (July 22 - 27) $175
Jr. Scampers (July 8 - 13) $175
Sr. Squirts (Aug 1 - 4) $110
Jr. Squirts (July 29 - 31) $80
Creative Camp (Aug 5 - 10) $175
Leadership (for counsellors) (June 8 - 10) Free

Name of Guardian

Relationship to camper

Main phone #

Secondary phone #

Alternate names and numbers (In case of an emergancy)

I would like to be included on the Camp Shagabec mailing list

Where did you hear about Camp Shagabec?

Interests

In order for us to offer a better experience for our campers, we'd like to get to know them in advance. Please include some of their current interests.

Medical Form

Note: We will have on-site a First-aider, who holds a current First-aid certificate, during all camps. Please send any medications (perscribed or over the counter) that your child is likely to need during camp. Any medications brought to camp must be clearly labeled and given to the First-aider when you register at Camp.

Basic first aid supplies are kept at the camp, you will have to provide all medicines for chronic conditions. Basic first aid for minor injuries will be provided as necessary. We will contact the parent/guardian if it is felt necessary. Parents/guardians will be notified if the camper is transported to hospital.

Provincial health care number

Province of registration

Doctor's Name & Phone #

Immunizations up to date?

Allergies (food, drugs, insects, other)

Other concerns

Special concerns

Does your child have special needs to the extent where we will need extra staffing to assist them? If so please explain:

Junk food

I agree to not send any junk food to camp with my child.

Special diet

Please let us know any special diet concerns so that we can make other arrangements (vegetarian, celiac, diabetic). Please explain:

Consent

Please choose one of the following consent options:

I grant permission for the designated medic at camp to administer over the counter medication (i.e., Tylenol, Tums etc.), and first aid to my child when it is required during the camp.
If you wish to be phoned, prior to us administering any over the counter medication (i.e., Tylenol, Tums etc.) to your child, any time for the day or night.

Submit

Camp Shagabec registration form

Medical Form