Winchester SU Sports Camp Registration Form 
Location: Joel Steele Community Centre
Time: Camp starts at 9am - 3pm
Ages: Children 6 – 12
Cost: $100/camper for the 4 days or a family rate of $80 for families of 3 or more.

Please complete the registration form below. If you are registering multiple children you can add additional children's names at the end of this form. 

IMPORTANT: The payment is to be completed by cheque made payable to St. Paul’s Presbyterian Church or e-transfer to treasurer@presbyterian-winchester.ca. For e-transfer, please indicate the last name of the camper to be able to match your payment with your camper(s).
Sign in to Google to save your progress. Learn more
Email *
How many campers are you registering today?
 *
If you are registering multiple children you can add additional children's names at the end of this form. 
Camper Name
 *
Date of Birth
 *
MM
/
DD
/
YYYY
T-Shirt Size
 *
Health Card Number
 *
Medical Concerns or Special Needs?
We offer Every Kid Can Play - Inclusion options - learn more here 
Parent/Guardian Name
 *
Parent/Guardian Home Address
 *
Parent/Guardian Home City + Postal Code
 *
Parent/Guardian Cell Phone
 *
Do you attend church regularly? 
Clear selection
If yes, which church?
Emergency Contact Name, Phone and Relationship to Camper
 *
By checking this box, I confirm I am the legal guardian of the camper with full authority to make decisions with respect to the care, upbringing, and education of the applicant. I agree that all the medical information provided on this form is true and accurate. I hereby release my child to the care and medical discretion of the staff at Scripture Union,  St. Paul's Presbyterian Church, and volunteers. In the event of an emergency and that no one can be immediately contacted, my child will be taken to the hospital or a physician to be treated if deemed necessary by one of the camp staff, church staff, or volunteers. I hereby authorize the physician and nursing staff to undertake examination, investigation, and necessary treatment of my child.
By checking this box, I acknowledge and understand there are risks involved with my child’s participation in the camp activities, including the risk of physical injury or damage to personal property and I release Scripture Union Canada, St. Paul's Presbyterian Church, and all sports camp staff and volunteers from liability. I understand that photographs and video recordings may be taken by SU which may be used in publications or promotions and I consent to SU using the images for all stated purposes. If you have a concern please speak with the Camp coordinator before the event to make arrangements.
Additional Camper Registration 
If you are only registering one camper please scroll to the end to submit your registration.
Camper #2 Name
Camper #2 Birthdate
MM
/
DD
/
YYYY
Camper #2 Health Card #
Camper #2 Medical Concerns?
Camper #2 T-Shirt Size
Clear selection
Camper #3 Name
Camper #3 Birthdate
MM
/
DD
/
YYYY
Camper #3 Health Card #
Camper #3 Medical Concerns?
Camper #3 T-Shirt Size
Clear selection
Camper #4 Name
Camper #4 Birthdate
MM
/
DD
/
YYYY
Camper #4 Health Card #
Camper #4 Medical Concerns?
Camper #4 T-Shirt Size
Clear selection
For all campers registered above, is the parent/guardian contact information, emergency contact, home address, etc all the same? If "NO", please update that information here.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms