Day Camp Subsidy Application

I have read and agree to all the Day Camp Registration policies listed above.*

Yes

Camper Information

Child's Name*

First Last

Date of Birth*

Current Age*

Current Grade*

Preferred Pronoun(s)*

Medical Number (6-Digit)*

Medical Number (9-Digit)*

T-Shirt Size*

Medical Information

Does this child have any known allergies?*

Yes
No

If yes to Allergies, please specify (including allergen and severity of reaction).*

Does this child have an Epi Pen?*

Yes
No

Please indicate where the Epi Pen will be kept.*

Does this child have any known medical issues (i.e., asthma)?*

Yes
No

If yes to Medical Issues, please specify.*

Does this child require any medical prescriptions? (i.e., Epi Pen, asthma inhaler, other medications)*

Yes
No

If yes to Prescriptions, please specify (including the administration time and dosage of each medication).*

Please indicate where the medication will be kept.*

As legal guardian, I give permission for the Children's Museum staff to administer the above indicated medication(s) to the child listed on this registration request form according to the dosage(s) stated here.*

Yes
No

Please note that day camp staff are not authorized to administer medication without guardian consent.

Does this child have any behavioural, emotional or other special needs that we should be aware of?*

Yes
No

If Yes, please use this space to tell us more about your child and any accommodations that would help them have a great experience at camp.*

Does this child have an aide at school?*

Yes
No

(*If your child requires the assistance of an aide at school, they would benefit from an aide at camp. Our empathetic Camp Counsellors will work to accommodate every child’s needs, but at times cannot provide the 1:1 attention that an aide can. The Children’s Museum welcomes families to make arrangements for an aide to accompany their child at camp. Aides will be required to provide a copy of a recent Child Abuse Registry check prior to attendance.)

Legal Guardian Information

Guardian Name*

First Last

Guardian's Address*

Street Address Address Line 2 City Province Postal Code

Guardian's Email*

Guardian's Phone Number (Primary)*

Guardian's Phone Number (Secondary)

Drop Off / Pick-Up Information

Please be aware that photo identification is required upon pick-up for all authorized parties.

Will your child will be dropped off or picked up by someone other than the Legal Guardian listed above?*

Yes
No

Alternate Party #1's Name*

First Last

Alternate Party #1's Relationship To Child*

Alternate Party #1's Phone Number (Primary)*

Alternate Party #1's Phone Number (Secondary)

Alternate Party #2's Name

First Last

Alternate Party #2's Relationship To Child

Alternate Party #2's Phone Number (Primary)

Alternate Party #2's Phone Number (Secondary)

Media Release

As legal guardian of the child listed on this registration request form, I hereby consent to the Children's Museum's usage of any photographs or video footage collected of my child - including his/her image, likeness, profile, and/or voice (when relevant) in print and/or broadcast materials by the Children's Museum and by third parties promoting the Children's Museum. Further, I acknowledge that any photograph and/or video footage collected may be edited and I hereby consent to such editing. I release the Children's Museum of any claim by reason of such editing, of any royalty for the use of such images, likenesses, profiles, and/or voices of my child in the Children's Museum's usage for the purposes of promoting the Children's Museum.*

Yes
No

If choosing "No" please be aware that certain day camp activities for your child may be altered/modified when media or cameras may be present.

Participation Waiver & Release

Program activities at the Children's Museum may involve a certain element of risk that is a normal part of children's play. Accidental injuries, although rare, may occur while participating in day camp activities. Please note that the Children's Museum does not provide insurance (accidental death, disability, dismemberment, or medical expense) on behalf of the children participating in these activities. As legal guardian of the child listed on this registration request form, I understand that the accidental injuries that may arise are a result of the very nature of day camp activities and are not the responsibility of the participants, the leader, or the Children's Museum. I hereby release and waive all rights to any claim or action against the Children's Museum arising from injury.*

I have read and agree to the Participation Waiver & Release as outlined above.

Miscellaneous Information

Day Camp Session*

Where did you hear about our Day Camp?*

Previous Museum Visit
Museum Website
Brochure or Poster
eNews
Other

If Other, please specify.*

Would you like to receive monthly eNews updates?*

Yes
No

Eligibility Information

Please refer to our Free2Play Access Program webpage here for eligibility information related to Day Camp Fee Subsidies.

What Proof of Eligibility documentation will you be supplying?*

How will you be supplying your Proof of Eligibility documentation?*

In Person
Attached to this online registration request

Please note: Your day camp spot and/or subsidy will only be verified upon confirmed receipt of your Proof of Eligibility documentation.

Proof of Eligibility Documentation (Online Request)*

Drop files here or

Max. file size: 5 MB, Max. files: 5.

Please upload any of the Proof of Eligibility documentation outlined above.

Are you a Children's Museum member?*

Yes
No

Membership Number*

Free2Play Access Program Day Camp Subsidy Application Form

Camper Information

Medical Information

Legal Guardian Information

Drop Off / Pick-Up Information

Media Release

Participation Waiver & Release

Miscellaneous Information

Eligibility Information