Day Camp

July 19-23, 2010

 

July 19-23, 2010, Journey Kids Day Camp is heading out
on High Seas Adventure.

Elementary Full Day Program

Completed Kindergarten to entering Grade 6

9 am to 4:30 pm

 

Program takes place at the tent in Cranston in the morning with a new, fun-filled field trip adventure for each afternoon.

 

Before care begins at 8:30 am / After care provided until 5pm

$140 per child * Please bring bagged lunch * Snacks are provided

Preschool Full Day Program

3-5 Years old (not yet in Kindergarten)

9 am to noon

 

Program takes place at the High Seas tent in Cranston.

 

Before care begins at 8:30 am

$50 per child * Snacks are provided

Hope You Can Join Us!

What to Bring Each Day

• your day camp t-shirt (received at registration on the first day)
• Bagged lunch (elementary only)
• water bottle
• shoes appropriate for walking
• weather appropriate clothing
• bug spray
• back pack clearly labeled with campers' name
• sunscreen
• hat

Contact Stacey Sparshu, Children's Minister,
for more information:

403-464-8300

Stacey@journeychurch.ca

Registration Form

* denotes required field

Child #1

Child's First Name *
Last Name *
Birth Date *	-- Select One -- January February March April May June July August September October November December   -- Select One -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   -- Select One -- 2007 2006 2005 2004 2003 2002 2001 2000 1999
Grade Completed *	-- Select One -- Pre-School Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5
Gender *	Male    Female
Program *	Preschool (3-5 years old)  Elementary (Kindergarten to entering Grade 6)
Alberta Health Care # *	Example: 43343-4343
Medical conditions, behavioral needs, special needs or allergies:
Is your child required to wear a life jacket when swimming (please send your child's lifejacket with them on that day)? *   Yes    No

 Add another child

Parent or Legal Guardian

First Name *
Last Name *
Address 1 *
Address 2
Postal Code *
Home Phone *	Example: 342-434-2323
Cell Phone	Example: 342-434-2323
Work Phone *	Example: 342-434-2323
Email *
Emergency Contact Information
1. Name *
Relationship *
Phone *	Example: 342-434-2323
2. Name *
Relationship *
Phone *	Example: 342-434-2323

Dismissal Information
Please list any individuals, including yourself, who have permission to pick up your child. Only those with their names listed here will be able to pick up your child from day camp unless otherwise communicated by you to the registration desk at the time of drop off. *


Your child may be photographed during Journey day camp.
May we have permissions to use your child's photograph in church publications for the purpose of promotion and follow up? *   Yes    No

Will your child require before and after care? *   Yes    No

Comments, special instructions, grouping requests: *

By signing this form, I give permission for my child(ren) to attend Journey Kids Day Camp 2010 and release the organizers from any liability. I recognize the risk involved in activities and will not hold Journey Church, its staff or volunteers responsible for any personal injury that might occur to my child(ren) while participating in this program. I authorize a Journey Church staff member or volunteer to seek and obtain such emergency or medical services for my child(ren) as deemed necessary at the time.

Online signature consists of entering your initials in the space provided.

We are committed to safeguarding the information provided on this form. It will not be shared beyond or used for purposes unrelated to the ministry of Journey Church. We never sell, rent, lease or exchange your personal information with other organizations.