EmailMe Form - Day Camp Registration Form

Camper's Name *
First Last
Does the camper have any known allergies? *
Yes
No
Age Group (the grade they are currently enrolled in 2022/2023): *
Please specify
Desired Club (first choice). They will choose their clubs later with more options. *
Soccer
Football
Volleyball
Basketball
Painting
Choir
Drama
Dance
Cooking Class
Crafts
Community Service
Other
Emergency Contact Information
Please enter the name of the parent or guardian who should be contacted in the case of an emergency.
Name *
First Last
Relationship *
Phone *
### - ### - ####
Email *
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Day Camp Registration Fee:
*May 1st - June 25: (20% OFF)
$60.00

*June 26 - July 24:
$75.00

Payment can be made by Interac E-transfer giving@fortsaskalliance.com (make a note it’s for DAY CAMP and your child’s name) or debit payment at the church -Scholarships are available; please e-mail Pastor Carlos at csantos@fortsaskalliance.com *
I UNDERSTAND
Participation Waiver
I, the above named parent/guardian, give my voluntary consent for the above named student to participate in activities in association with Fort Saskatchewan Alliance Church. I release Fort Saskatchewan Alliance Church, it's Elders Board, staff, volunteers and agents from any loss, personal injury, accident misfortune or damage to the above named student or his/her property, with the understanding that reasonable precautions shall be taken to ensure the health and safety of the above named. I understand that Fort Saskatchewan Alliance Church, its staff, volunteers or agents reserve the right to dismiss a participant who is in their opinion a hazard to the safety and wellbeing of others, who appears to have rejected the reasonable guidelines of the activity.
If you accept and agree with the terms and conditions stated above please click "I AGREE." *
I AGREE
Medical Waiver
Furthermore, I authorize Fort Saskatchewan Alliance Church staff or volunteers to approve and obtain any and all medical attention if deemed necessary; with the understanding that all reasonable attempts have been made to consult with myself beforehand except in the case of minor illness and/or first aid where deemed appropriate. Furthermore, I release Fort Saskatchewan Alliance Church, it's Elders Board, staff, volunteers and agents from any loss, personal injury, accident misfortune or damage to the above named student or his/her property, with the understanding that reasonable precautions shall be taken to ensure the health and safety of the above named. I understand that Fort Saskatchewan Alliance Church, its staff, volunteers or agents reserve the right to dismiss a participant who is in their opinion a hazard to the safety and wellbeing of others, who appears to have rejected the reasonable guidelines of the activity.
If you accept and agree with the terms and conditions stated above please click "I AGREE." *
I AGREE
Alberta Health Care Card #
Photography Release
I, the above named parent/guardian, give permission for the above named student to have his/her photograph taken or to be video recorded and understand that it may be used in the following ways: motion picture video, slide shows or still images shown at Fort Saskatchewan Alliance Church during public services or community events, posted to the church website, public church or Youth specific Facebook or Instagram page, or printed for bulletins, posters, invitations or other promotional material.
I understand that by clicking "I AGREE" that I am consenting to my child's photograph or video recording being used in the above stated ways and the risks associated with that. I hereby release Fort Saskatchewan Alliance, its Elders Board, staff, volunteers and agents from any consequences that may occur from the above stated activity. *
I AGREE
Signature *
Clear

Emergency Contact Information

Day Camp Registration Fee: