WHOLESOME PICKINS CAMP 2024 REGISTRATION

Our program is structured to offer an enjoyable and interactive journey for children, fostering both entertainment and educational growth. Each day is meticulously planned to ensure children not only enjoy themselves but also enhance vital skills like problem-solving, creativity, and teamwork. Every day features diverse activities while maintaining a consistent daily rhythm. You'll receive an email confirmation regarding your child's attendance for the requested dates, as admission operates on a first-come, first-served basis. All registrations up to March 22nd will be responded to by March 23rd. Registration after March 23rd will be responded to within 48 hours. 

EMAIL: demaere.sierra09@gmail.com if you have any questions ! 

             ***Age 4-10  years old. 8:30am DROP OFF-4pm PICK UP. $50 per child/per day***

** IF YOU ARE REGISTERING MORE THAN ONE CHILD PLEASE FILL OUT THE FORM FOR EACH CHILD**


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PARENT/GUARDIAN FIRST NAME  *
PARENT/GUARDIAN LAST NAME  *
PHONE NUMBER  *
EMAIL  *
DATES REGISTERING
Please note themes are subject to change (we will inform you ahead of time of any changes on dates your child is registered) 
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Required
Child's Name *
Child's Birthday  *
Please list an allergies or medications your child requires that we should be aware of  *
Emergency Contact Name  *
Emergency Contact Phone Number *
Check the box below if you would like to be added to the google folder to view photos of your child's camp experience  *
Required
Email for PHOTOS 
Check the box below if you give permission for your child's picture to be used on social media  *
Required
Anything else you'd like us to know about your child 

Informed Consent and Acknowledgement: I hereby give my approval for my child’s participation in any and all activities at Wholesome Pickins Market and Bakery. I assume all risk and hazards incidental to the conduct of the activities, and release absolve and hold harmless Wholesome Pickins Market and Bakery from any and all liability for injuries to said child arising out of travelling to participating in, or returning from the program 

I understand that fires and baking are potential activities at Wholesome Pickins Market and Bakery. I understand that there are risks involved in these activities and that the safety rules will be explained to the children and that children will not be permitted to participate in these activities unless the safety procedures are followed and the facilitators deem that the children are well prepared.

In case of an injury to my child while in the care, custody, and control of counsellors, I will hereby waive all claims against Wholesome Pickins Market and Bakery and its members for all responsibility for any injury, loss, or damage which my child might sustain while participating in any activity. 

Confirmation: BY ACKNOWLEDGING AND SUBMITTING THE FORM BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.  


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