SUMMER CAMPS

Adventure Summer Day Camps

**In order for your child to be registered and prepared for camp, you must reserve a spot, complete the registration form below, and fill out the waiver.

Summer Day Camp Registration Form

Male
Female

Out-of-Canada campers: indicate any medical plan, numbers & billing address, (attach separate piece of paper if necessary)


PARENTS / GUARDIANS:

Mr.
Mrs.
Ms.
Miss
Dr.

PARENTS / GUARDIANS:

Mr.
Mrs.
Ms.
Miss
Dr.

Alternate Pick Up Authorization:  In the event that I/We are not able to pick up my/our child, he/she has my/our permission to leave with the following individual(s):


EMERGENCY CONTACTS:  List in order who should be contacted in case of emergency if parents/guardians are not able to be reached first

Mr.
Mrs.
Ms.
Miss
Dr.

Mr.
Mrs.
Ms.
Miss
Dr.

ALLERGIES:  Be specific. If camper uses an Epipen, they must bring it to camp. Indicate Type: Drug, Food, Environmental, Insect, Other Allergen.

Type & Severity of Reaction (Indicate if life-threatening) Management / Treatment / Medication

No
Yes
Mild
Moderate
Severe

  ***Parents will be responsible for any charges/expenses incurred to Marked Adventure Park if their child   needs to be evacuated from an off-site trip, due to a medical or health condition that was not disclosed prior to their child’s attendance.


I understand that failure to disclose pertinent information that could impact the safety of my child, or the safety of other campers and staff, will result in the camper being sent home at the parent/guardian’s expense.

▪ To the best of my knowledge, my child is in good health. I will notify Marked Adventure Park if there is any change in my child’s health, or he/she is exposed to any communicable disease within 3 weeks prior to arrival at camp.

▪ In the case of medical emergency, I understand every effort will be made to contact parents or guardians. In the event I cannot

be reached, I hereby give permission to Marked Adventure Park to hospitalize, secure proper treatment, order injection, anesthesia or surgery for my child as named above.

▪ I will submit any changes to this health form in writing to the camp prior to arrival.


Campers can bring their own bag lunch & snacks. Please no foods containing peanut/nuts.

Lunches and snacks can be purchased at Marked Adventure Park.

Bug Spray and Sun Screen are HIGHLY recommended.