ARTS & MEDIA CAMPS (AGES 7-15) - Appleby College · (week 8) (week 9) ARTS & MEDIA CAMPS (AGES 7-15) ... Morning bus drop-off will be between 8:15 ... Join in a fun game of UK toilet

Participant's Name:

Please check ✔ the appropriate boxes to identify which sessions you wish to attend.

HOLIDAY WEEKS Please see website for details and pricing.

*Camps are closed July 3rd for Canada Day and the Monday August 7th Civic Holiday, running at a 4-day pro-rated price.

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ARTS & MEDIA CAMPS (AGES 7-15)Art and Digital Photography Jr. 7-10 $370

Fashion Design Jr. 7-10 $390

Visual Arts Jr. 7-10 $390

Music & Beat Production Jr. 7-10 $370

Acro (Rhythm Gymnastics) 7-12 $370

Cake Decorating & Baking 7-12 $390

Cartoons and Comics 7-12 $370

Theatre Arts 7-14 $370

Dance 7-14 $370

Visual Arts Sr. 10-15 $390

Music & Beat Production Sr. 10-15 $370

Prop Making 10-15 $390

Adventures in Film Making 10-15 $370

Arts & Digital Photography Sr. 10-15 $370

Chefs in Training 10-15 $390

Creative Writing 10-15 $370

Fashion Design Sr. 10-15 $390

Made By Me 10-15 $390

Digital Interior Design 10-15 $370

Digital Cartooning 10-15 $370

Film Making (Special Effects) 10-15 $370

SCIENCE & SUCCESS CAMPS (AGES 7-15)Mad for Math Jr. 7-10 $370

Video Game Design Jr. 7-10 $370

LEGO® Robotics Jr. 7-10 $370

Space and Beyond 7-10 $370

World Explorers 7-10 $370

Wacky Science Jr. Extra Sessions 7-10 $370

Mad for Math Sr. 10-15 $370

Coding for Kids 10-15 $370

3D Digital Architecture Design 10-15 $370

Doctors In Training 10-15 $460

Entrepreneur Camp 10-15 $370

LEGO® Robotics Sr. 10-15 $370

Money Smarts 4 Kids 10-15 $370

Money Smarts 4 Kids Advanced 10-15 $370

VEX Robotics 10-15 $390

Video Game Design Sr. 10-15 $370

Video Game Design Advanced 10-15 $370

Forensics 10-15 $390

Wacky Science Sr. Extra Sessions 10-15 $390

Appleby College2017 SUMMER CAMPS APPLICATION

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SPORTS & ADVENTURE CAMPS (AGES 7-15)Golf Jr. 7-10 $390

Exploring the Sports Jr. 7-10 $370

Introduction to Martial Arts 7-10 $370

Basketball 7-15 $370

Soccer 7-15 $370

Tennis 7-15 $390

Cheerleading Camp 7-15 $370

Global Sports Challenge 7-15 $370

Try-Triathlon (p.m.) 7-15 $270

Adventure Pursuits (Canoeing & Rock Climbing) 10-15 $405

Adventure Pursuits Plus (Canoeing, Rock Climbing, S'Up, Rattlesnake Point) 10-15 $460

Advanced Soccer 10-15 $390

Exploring the Sports Sr. 10-15 $370

Extreme Adventure Challenge 10-15 $390

Flag Football 10-15 $370

Golf Sr. 10-15 $390

Performance Swim (a.m.) 10-15 $270

Trip Tastic 10-15 $490

Sailing 10-15 $575

Survival Skills 10-15 $390

Volleyball 10-15 $370

LEADERSHIP CAMP (AGES 12-17)Junior Leader 12-14 $450

Senior Leader (Standard First Aid + CPR-C) 14-17 $475




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EARLY DISCOVERY CAMPS (AGES 4-7) WEEKLY THEMES Arts Discovery 4-7 $370

Camp & Sports Discovery (Half Day a.m.) 4-7 $270

Camp & Sports Discovery Jr. 4-7 $370

Camp & Sports Discovery Sr. 4-7 $370

Nature & Science Discovery 4-7 $370

www.appleby.on.ca/camps






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BEFORE & AFTER CARE CAMP OPTIONS (AGES 4-17)Before & After Care is available daily for all age groups. You must pre-register for this service and participants will be entertained with a variety of activities organized by our fabulous instructors daily from as early as 7:30 a.m. until our extended 6:00 p.m. pick-up time. Snack is also provided daily in the morning and afternoon. Late fees will apply when participants are picked up after 6:00 p.m.

Weekly Before Camp Care (7:30 – 9:00 a.m.) 4-17 $25

Weekly After Camp Care (3:30 – 6:00 p.m.) 4-17 $55

Weekly Before & After Camp Care Combined 4-17 $65

ROUND TRIP BUSING (AGES 4-17)Burlington Mall 4-17 $65

Erin Mills Towncentre 4-17 $65

Glen Abbey Community Centre 4-17 $65

Iroquois Ridge Community Centre 4-17 $65

Maple Grove Arena 4-17 $65

Milton Sports Centre 4-17 $65

River Oaks Community Centre 4-17 $65

Appleby Camps is now offering round trip, point-to-point busing for campers in the Oakville area. Morning bus drop-off will be between 8:15 - 8:30 a.m. while afternoon pick-up will be between 4:15 - 4:30 p.m. You must register for busing at least one week prior to the start of the camp week, and choose the location best suited for your family. Every bus will arrive with a bus captain already on board to check-in your camper, and ensure a safe and fun journey to and from camp.

*NOTE: In order to maintain efficiency with our busing program, we cannot accept transportation requests.

2017 EARLY DISCOVERY CAMPS WEEKLY THEME DETAILS

Week 1: The Great Outdoors

From camp fire sing-a-longs to tent building competitions to going on hikes, campers will surely get a taste of the great outdoors this week and will have the camp badge to prove it!

Week 2: Cave Explorers

You will never know what is in a cave until you go in there. This week, campers will get into the nooks and crannies of the Appleby campus to find creatures that they may or may not be familiar with. Don’t worry, we will have flashlights for our fun adventure!

Week 3: Fairy Tales

Once upon a time at Appleby Camps, there was a week of fun with a fairy tales theme! Through timeless stories like Jack and the Beanstalk and Little Red Riding Hood, campers learn from tall tales. Be ready to run in a game of Giants, Wizards and Elves, make the crown or steal the treasure from a dragon!

Week 4: Secret Superpowers

Do you have secret superpowers? This week, campers can use their special abilities in fun activities and puzzles. There will be opportunities to test out strong, flexible muscles, superpower breath and more! Don’t miss out on your chance to discover your inner talents!

Week 5: Holiday Celebrations Join us for a week-long celebration of all your favourite holidays. Valentine’s Day, Christmas in July and even camp-wide trick-or-treating! Don't forget your costume!

Week 6: Fun with Maps

What’s your favourite place to go with friends and family? Make your own community at Appleby and discover new places you can go! This week, campers get to plan and map out stores, buildings, parks...or wherever your imagination takes you.

Week 7: Mystery Hunters

Things keep going missing at Appleby. This week, we need help from campers to find precious missing items and solve secret codes. If you are a brave camper who likes to dig deep and put clues together, this week is for you. Put your thinking hats on!

Week 8: Around the World

Create a Lego Eifel Tower, a Mexican Mask, and then head to Europe to play Spain, Spoon, Spaghetti! Join in a fun game of UK toilet paper football or get wrapped up like an Egyptian mummy!

Week 9: Time Travelers

From dinosaurs to robots, campers get to use their imagination to picture what happened in the past or what may happen in the future. Join us this week for adventures across time, and see you back in the past…or to the future!

PARENT/GUARDIAN #1: PARENT/GUARDIAN #2:Salutation: Mr. Mrs. Ms. Dr. Other: Salutation: Mr. Mrs. Ms. Dr. Other:

Relationship: Parent Legal Guardian Other: Relationship: Parent Legal Guardian Other:

Last Name: Last Name:

First Name: First Name:

Home Phone: ( ) Home Phone: ( )

Business Phone: ( ) Business Phone: ( )

Cell Phone: ( ) Cell Phone: ( )

Email: Email:

PARTICIPANT MAILING ADDRESS: EMERGENCY CONTACT: Family Parent/Guardian #1 Parent/Guardian #2 Name:

Street: Relationship to Participant:

City: Home Phone: ( )

Province: Cell Phone: ( )

Postal Code: Business Phone: ( )

FAMILY INFORMATIONNationality: Canadian American Other:

Parents are: Married/Common Law Separated Single Divorced

Participant lives with: Both Parents Mother Only Father Only Guardian Grandparents

Are there any restrictions on either parents' or legal guardians' access/custody? Yes No

If YES, please detail:

AUTHORIZED PICK UP LISTIn addition to parents/guardians, and the mentioned Emergency Contact, please list the names of any other local emergency contacts who can pick up your participant (nanny, grandparents, neighbours, step parents, etc.) from Camp:

NAME RELATIONSHIP TO PARTICIPANT CONTACT PHONE NUMBER

SELF SIGN OUTWith parent/guardian permission, campers ages 10-17 are able to sign themselves out of camp. Would you like to authorize this permission? Yes No




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PARTICIPANT INFORMATIONLast Name: First Name: T-Shirt Size (circle): Child S M L Adult S M L XL

Sex: M F Age (as of June 2017): Birthdate (MM/DD/YYYY):

Nationality: Canadian American Other:* English Level: Fluent Advanced Intermediate Beginner

Appleby College welcomes campers from all nationalities and language groups. To allow for the safest and most positive experience for all campers, we offer specific weekly programs to non-native English speakers, who are required to meet a certain level of proficiency in their English-speaking ability. To ensure that we are able to offer a genuine camp experience to all participants, the number of students admitted to each program is limited. All applications will be reviewed prior to confirmation. Agents representing international campers are asked to please contact [email protected] prior to application.** An administrative fee of $125/week will be charged for participating campers who do not hold Canadian citizenship.

HEALTH CERTIFICATIONAll participants must have health insurance. Ontario residents are covered through OHIP, and should indicate their number below. If the participant is not a resident of Ontario, please indicate the insurance company and policy number below. By signing the bottom of the form, the parent/guardian indicates the applicant is in good health.

Canadian Health Card Number: Is participant a Canadian Resident? Y N

Insurance Company (non-residents): Policy Number:

Please indicate any health concerns (allergies, medical conditions, medication):

Does this participant have any food allergies or dietary restrictions? If so, please indicate and to what severity:

Appleby College cannot guarantee an allergy-free environment. All campers must be able to identify their own allergies and carry the needed medication for treatment.

PROGRAM SUPPORT(Please indicate any concerns to aid our staff in providing the best care for participants (behavioural, emotional, etc.)

PARTICIPANT REQUESTSWe will do our best to accommodate friend/family requests to be in the same group. Please list names below:

1) 2)

3) 4)

CAMP PROGRAM FEE INFORMATIONCamp Program Fees include supervision by Appleby Camps staff, all of who are certified in Standard First Aid and CPR-C, have a police check and are extensively trained in Appleby’s camp training program. All programs are led by experienced teachers and/or specially accredited head instructors. Instructor to camper ratios are 1:5 for the Discovery Camps (ages 4-7) and for all other camps the maximum instructor to camper ratio is 1:9. Fees include a nutritious lunch with hot selections for all full-day programs which run from 9:00 a.m. to 3:30 p.m. and recreational swim time in the indoor pool. Appleby’s scenic 60-acre lakeside campus offers outstanding academic, art and athletics facilities, both indoor and outdoor, for all its camp programs.

CHILDREN'S FITNESS & ARTS TAX CREDITThe children’s fitness tax credit and children’s art credit is available for all child and youth recreational programs that meet the criteria established by the CRA. For more information, please visit www.cra-arc.gc.ca.

www.appleby.on.ca/camps

WAIVER AND CONSENT Appleby College Privacy Policy: Personal information collected for the Summer Camp will be used and held solely by Appleby College. Information is collected for the operation of the camp which includes safety and emergency purposes, and for future correspondence with camp participants, which may include information about relevant upcoming events.

Conduct: Campers are expected to demonstrate basic respect for the dignity and rights of others. The Director reserves the right to implement an established process and/or suspend and/or terminate the stay of any camper, who violates the camper Code of Conduct based on the following guidelines: zero tolerance of physical or psychological abuse/bullying; lack of respect for camp property and the property of others; behaviour that requires supervision beyond a reasonable level or behaviour deemed inappropriate by Appleby College Camp staff.

Refund Policy: Full refunds will be issued for any cancellation received 30 days prior to the first day of attendance of camp. For cancellations received 14 days prior to the first day of attendance of camp refunds will be subject to a $100 administration fee. Requests for cancellation received within 14 days of camp start date are non-refundable (full registration fee) unless a medical certificate accompanies the request. Refunds will not be granted for inclement weather or for days of camp not attended. Appleby College Camps will do everything possible to avoid program cancellations; however we reserve the right to cancel a session of camp if the minimum enrollment is not met. In this circumstance, we will accommodate your child in an alternate program/alternate week or we will provide you a full refund at your discretion.

Media Waiver: I hereby authorize the inclusion of my child in camp photographs and video and understand that this media will be used on Appleby’s web-site, social media, hosted photo galleries and other sites related to school and camp program activities. Photos and videos may also be taken at any time for print or online promotional purposes but participants will not be identified. Concerns over this policy should be reported directly to Jenny Wyatt, Appleby College's Director of Camps at [email protected].

Medical Waiver: I, the undersigned, hereby authorize Appleby College or anyone acting on its behalf, to acquire necessary medical aid that may be required as a result of any accident or injury sustained by my child. I hereby indemnify and save harmless Appleby College from any and all actions, claims and demands for damages, loss or injury, however arising, which hereafter may have been sustained by my child while participating in the Appleby College Summer Camps.

If information submitted on this form is false, Appleby Camps has the right to remove the participant from the program.

I have read and agree to the above Parent/Guardian #1 or Parent/Guardian #2 Signature Date

STAY CONNECTED - STAY INFORMEDAs per the Government of Canada’s anti-spam legislation (CASL) Appleby Camps requires your consent in order to continue sending you information electronically about your child’s camp program. By checking ‘yes’, you will continue to receive information regarding: urgent updates, direct access to photo galleries, special invitations, letters from the Camp Director and early registration notifications. Should you select ‘no’ your name will be removed from our mailing list.

Yes, keep me connected No, I do not wish to stay connected

PAYMENT INFORMATION (Payment is due in full upon registration)

Participant's Name:

Total Payable: $ (Cheques payable to Appleby College)

MasterCard Visa AMEX Card Number: Expiry Date (MM/YYYY):

Name on Card: Security Code on Back of Card:

Signature:

If paying by credit card, you may register by fax at 905-845-0617 or online at www.appleby.on.ca/campbrain. Financial information collected will only be used by Appleby College and shared with the appropriate credit card company.

Please fill out and return this form to: Appleby Summer Camps 540 Lakeshore Road West, Oakville, Ontario L6K 3P1 Phone: 905-845-4681 ext. 113 Fax: 905-845-0617 Email: [email protected]

Web: www.appleby.on.ca/camps (to register online). Contact us about team or large group discounts.



Please print clearly on the form below, scan and email it to [email protected].

APPLICANT INFORMATIONParticipant Last Name: Participant First Name:

Date of Birth (mm/dd/yyyy): Sex: M F

MEDICAL INFORMATIONDoes your participant have Provincial Health Coverage in Canada? Yes No

If yes, in which Province? Provincial Health Card Number:

Version Code (if any): Health Card Expiry (if any):

Medical History: Please fill in the information required as completely as possible. Appleby College does not undertake to monitor the health of its participants. This is the responsibility of the parents/guardians. However, the following information will be of assistance to Appleby College in providing emergency medical care, should such care be necessary.

Is participant anaphylactic? Yes No

Please note that all participants with a diagnosis of being anaphylactic must carry a labelled EpiPen. Labelling must be in English.

What is your participant anaphylactic to? (please check all that apply)

Eggs Soy Wheat Latex Peanuts Fish Dairy

Insect Bites and Stings. Specify: ______________________________________________________________________________________

Treenuts. Specify: __________________________________________________________________________________________________

Shellfish. Specify: __________________________________________________________________________________________________

Medications. Specify: _______________________________________________________________________________________________

Other. Specify: _____________________________________________________________________________________________________

Does your participant have an EpiPen? Yes No

Does your participant have any allergies? Yes No

What is your participant allergic to and what is the severity? (please check all that apply)

Environmental. Specify: ______________________________________________________________________________________________

Dust Mites

Insect Bites. Specify: ________________________________________________________________________________________________

Pets. Specify: ______________________________________________________________________________________________________

Food. Specify: _____________________________________________________________________________________________________

Other. Specify: _____________________________________________________________________________________________________

What treatment, if any, does your participant need if exposed to the allergen?

Does your participant have asthma? Yes No

Please note if your participant has asthma, you will be contacted and asked to complete an asthma action plan.

Appleby College2017 SUMMER CAMPS MEDICAL INFORMATION

Does your participant have any dietary restrictions? Yes No

Please note that due to kitchen limitations we are unable to accommodate Kosher. While we are a 'nut aware' campus, we cannot guarantee that we are a 'nut free' campus.

What are your participant's dietary restrictions? (please check all that apply)

Vegetarian Vegan Halal Gluten-Free Lactose Intolerant

Other: _____________________________________________________________________________________________________________

Has your participant had any of the following: Kidney Disease Bleeding Disorder Heart Condition Diabetes Epilepsy/Seizures Depression Other

If you have checked any of the above, please explain:


Appleby College2017 SUMMER CAMPS MEDICAL INFORMATION

Please list ALL medications (including prescription and over the counter medication) your participant will be taking while attending Appleby College Camps and explain why they are prescribed for your participant.

Are there any other major health concerns (medical conditions, medications, past hospitalization, mental health, head injuries, concussions, etc.) your participant has or has had that we should be aware of to best support them while here at Appleby College:

Acknowledgement (must be answered by all parents/legal guardians): The medical information I have provided is correct and complete, in every respect, to the best of my knowledge. I agree to notify Appleby College Camps if any of the above information should change, to my knowledge, after the date hereof, or if I should discover that any information is incorrect. I agree to notify Appleby College as soon as reasonably possible, of any medical development in the health of the participant, knowledge of which woud be useful to Appleby College in the running of its programs, and interest of the participant.

Signature: Date:

Relationship to Participant:

MEDICAL WAIVER

I hereby authorize Appleby College and/or an Appleby College nurse, teacher, administrator or other employee (collectively, the "College") to provide this participant with routine first aid and authorized medication.

I further understand and agree that, in the event of an emergency, the College may provide, administer, obtain and/or authorize medical care for the participant. I understand that in the event of a serious medical problem or emergency, the College will make best efforts to contact me as soon as possible. I understand and agree that this authorization shall remain in effect for the time of the program at Appleby College. I hereby release and indemnify the College from any and all claims for damages arising from any injury to the participant as a result of any accident, illness, injury or for any other reason arising from participation in school activities.

I hereby acknowledge that any medical treatment will be performed in the Province of Ontario, and that the courts of the Province of Ontario shall have exclusive and preferential jurisdiction to entertain any complaint, demand, claim, proceeding or cause of action arising out of the medical treatment. I hereby agree that if I commence any such legal proceedings, I will do so only in the Province of Ontario, and hereby irrevocably submit to the exclusive and preferential jurisdiction of the courts of the Province of Ontario.

I hereby agree that the resolution of any and all disputes relating to or arising from this agreement and/or the interpretation thereof shall be governed by and construed in accordance with the laws of Ontario and the laws of Canada applicable therein.

Parent/Guardian Signature Witness Signature Date

Parent/Guardian Signature Witness Signature Date

Please fill out and return this form to: Appleby Summer Camps 540 Lakeshore Road West, Oakville, Ontario L6K 3P1 Phone: 905-845-4681 ext. 113 Fax: 905-845-0617 Email: [email protected]

Web: www.appleby.on.ca/camps (to register online). Contact us about team or large group discounts.


Documents

ARTS & MEDIA CAMPS (AGES 7-15) - Appleby College · (week 8) (week 9) ARTS & MEDIA CAMPS (AGES 7-15) ... Morning bus drop-off will be between 8:15 ... Join in a fun game of UK toilet