Camp Cosmos Registration 2024
Welcome to the Camp Cosmos Registration for the Summer of 2024!!!
This form should take between 10-15 minutes to complete.

We welcome campers ages 5-12. Campers can be registered for all six weeks of camp or for a selection of weeks. Spaces at camp are limited, particularly for campers who require the accompaniment of a shadow, and are allotted on a first comes first served basis.

Please note that your space will not be held until we have received your deposit (payment for the first and last weeks of camp). Please note that due to high demand spaces fill up quickly. Campers who are registered will not have their spaces reserved until a deposit is received, and will be put on a wait list if our groups are full. Remaining payments can be made at the time of registration or in person on the Monday of each week of camp. Camp fees are no longer on a sliding scale; the fee is $60 per camper per week. Campers will not be denied a place at camp due to lack of funds, so please send us an email if you are unable to make the $60 payment per week and we will see if we can find a solution for you.

As per our cancellation policy, we require two weeks of notice for cancellation of any particular week of camp in order to refund the deposit (review all camp policies here). If a week is missed without notice, the deposit will be applied as payment for that week and parents will be required to pay for the final week of camp.

Once you have registered, a Paypal request will be sent to you for the payment. Thank you for your patience as we review your registration and send you the request. 

Email *
Email Address *
Please indicate which week(s) your child will be attending camp
 *
Required
Camper first name
 *
Camper last name
 *
Age during camp
 *
Birth date
 *
MM
/
DD
/
YYYY
Gender and Pronouns
Please select your method of payment for the registration deposit and weekly fees
 *
Is your child verbal (able to speak)?
Languages spoken or understood at home
Other languages spoken or understood
Who can pick up the child from camp?

- Person 1 (full name & relationship to child)
- Person 2 (full name & relationship to child)
 *
Primary phone number (Person 1) - where can we most easily reach you during the day?
 *
Secondary phone number (Person 2)
Address
 *
Please provide the name and phone number of anyone else authorized to pick up your child from camp
Who can be contacted in the event of an emergency? (full name,  phone number and relationship to child)
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Emergency contact information for other (full name,  phone number and relationship to child)
Will this be your child's first time attending camp?
 *
How does your child relate with other children?
Is your child confident in water?
 *
Has your child taken swimming lessons?
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If yes, what level have they reached?
Are there any events that have taken place recently that may affect your child's behaviour at camp?
Does your child have a disability?
Clear selection
If your child does have a disability, please provide some additional information
Is your child currently under the care social worker, psychologist or psychiatrist?
Clear selection
If yes, please provide some additional information
Does your child require one-to-one support from a Shadow during the summer? 
Clear selection
Medicare card number 
Physician's name
Physician's phone number
Does your child have any medical conditions that may affect them while at camp?
Clear selection
If yes, please provide more information about any conditions
Does your child have any allergies or dietary restrictions?
 *
What are your child's dietary restrictions/allergies?
If you listed allergies, please indicate their severity
Has your child been prescribed an epi-pen?
Clear selection
Is your child taking any medication?
Clear selection
What medication is your child taking?
What condition is this medication treating?
Is your child allowed to administer their own medication?
Clear selection
What size t-shirt does your child wear?
 *
Required
How many t-shirts would you like to purchase?
 *
Would you like to purchase a Camp Cosmos hat? ($10)
Clear selection
In which language would you like to receive the Camp Cosmos newsletter?
Clear selection
Which weeks would you like to register for after camp care (3:30-4:30)? (Extra $25/week per child)
 *
Required
For our research and statistic purposes, are you newly arrived to Canada within the last 2 years?
Clear selection
Please provide the full name of the parent or legal guardian who will sign the authorizations below.
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By entering your initials in the box below, you are effectively providing your signature, indicating you agree with the statements under "Authorization to use publicity materials".
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By entering your initials in the box below, you are effectively providing your signature, indicating you agree with the statements under "Authorization of medical release".
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By entering your initials in the box below, you are effectively providing your signature, indicating you agree with the statements under "Authorization to participate in camp".
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By entering your initials in the box below, you are effectively providing your signature, indicating you understand and agree to comply with the "Cancellation Policy".
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By entering your initials in the box below, you are effectively providing your signature, indicating you understand and agree to comply with the "Late Pick-Up Policy".
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By entering your initials in the box below, you are effectively providing your signature, indicating you understand and agree to comply with the "COVID-19 Mandate".
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By entering your initials in the box below, you are effectively providing your signature, indicating you agree to uphold Camp Cosmos' "Anti-Oppression Mandate."
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By entering your initials in the box below, you are effectively providing your signature, indicating you agree to comply with the "Community Standards Policy".
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Comments/Concerns
A copy of your responses will be emailed to .
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