Required fields are marked with asterisks (*)

North Perth Recreation Day Camp - Fri. June 7, 2024 $39/person

*Registration open for Children in Gr. 1 - 12 years of age.
*Camp Program Hours: 8:30am-4:30pm
*Extended care requests between the hours of 6:30am-5:30pm can be submitted below and will be based on availability.

*Camp Location: Westfield Elementary School

The North Perth Recreation Day Camp holds high value in their programs for camp and participation. It is required by campers to follow the Public Health Guidelines, North Perth policies and procedures, Behaviour Management and Expectations Policy as well as participate fully in our programs and activities. This includes bringing recommended camp items as listed in the Parent Information Camp Package and adhering to the camp rules, policies and procedures as printed and communicated. It is required by parents/guardians to communicate with the camp, in addition to being reachable during camp hours in case of emergency.

Parent/Guardian Information Camp Package: must be reviewed prior to signing this document. Information in this package includes;

Camp Policies & Procedures
Age Requirements
Payment Policies/Payment Options
What to bring to camp
Arrival and dismissal
Medical information
Behaviour management and expectations
Offsite trips/excursions

Parent/Guardian Information:

Parent/Guardian Name

Home Address: Street Number/Name

Town/City

Postal Code

Primary Phone Number

Parent/Guardian E-mail Address

Emergency Contact Name & Phone Number (please provide alternate contact)

Camper Information:

Please provide pick-up and drop-off request times. Drop-off/Pick-up times are subject to change based on availability/staff to camper ratios. Times will be confirmed by staff at time of registration confirmation.

Please contact programs@northperth.ca following registration for children with exceptionalities and follow-up.

Drop-off Request Time:

Pick-up Request Time:

Participant (Last Name/First Name)

Participants Preferred Pronoun

He/Him/His

She/Her/Hers

They/Them/Theirs

Participant Date of Birth

Medical Information, Allergies and/or behaviours *Failure to provide information on the participants needs that could affect the well-being of the participant or that of other participants, may result in the right for termination of this program.

Do you have Subsidy/Payment from another provider for this registration?

Yes

Photo/Video Consent - Click to Review

Acknowledgement of Review

I have reviewed the North Perth program Information, and I understand and agree that the signed participant will fully participate during the North Perth Program and follow all North Perth policies and behaviour management. *Failure to provide information on the participants needs that could affect the well-being of the participant or that of other participants, may result in the right for termination of this program.

Acknowledgement of Registration

Following registration North Perth will not provide refunds or credits for cancellations, alternate days and/or absent days due to illness, vacation, or other events.

Acknowledgement of Program Fees & Payment

Program Fees - Registered programs are considered paid programs at time of registration. Staff will register applicants on receipt of registration and send confirmation of their registration. Invoicing will be sent and due on account.

Signature of Parent/Guardian:

Clear