SWC Project Spirit 2019 Gr. 9 Campers
Dear Parent/Guardian:

The following activity has been approved by the Administration of Sir Winston Churchill to be a valuable component in the delivery of the curriculum and/or the extra-curricular program of the school. Sufficient supervision will be provided by SWC teachers and Camp staff to ensure student safety during the trip. Parents/guardians are asked to complete the form below.

TO COMPLETE YOUR REGISTRATION, PLEASE MAKE PAYMENT THROUGH SCHOOL CASH ONLINE! (dsbn.org/schoolcash).
DATE OF ACTIVITY: September 17 - 20, 2019 DESTINATION: Camp Medeba
DEPARTURE TIME: 1:30 p.m. RETURN TIME: 5:00 p.m. (approx.)
PERSON IN CHARGE: Tammy Short COST TO STUDENT: $350.00
TRANSPORTATION: Coach Bus

If there is any further information you require please email Ms. Short at tammy.short@dsbn.org.

Email address *
Student's Last Name *
Student's First Name *
Student's Date of Birth (mm/dd/yyyy) *
Student Gender *
What elementary school are you coming to SWC from? *
Parent/Guardian Name: *
Parent/Guardian Email Address: *
Home Phone Number *
Parent/Guardian Cell Phone Number: *
Alternate contact person to notify if parent/guardian unavailable and Phone Number: *
T-Shirt Size (Adult men's sizes) *
Is your son/daughter allergic to any medications/drugs ? *
If you answered yes to the above question , please provide details.
Must your son/daughter continually receive any medication? *
If you answered yes to the above question , please provide details. (i.e. name of medication, detailed instructions on dosage, etc.)
Does your son/daughter have any allergies? *
If you answered yes to the above question , please provide details.
Must your son/daughter maintain a special diet? *
Please identify any dietary restrictions.
Please list Student's Ontario Health Card Number: (Optional - if not provided, student bring their Health Card Number with them to camp)
Family Doctor's Name and Phone Number: *
Please provide any additional information which you feel we should know about your child. *
Required
If you've indicated a concern, please provide details.
Please join the Camper Remind group so that you can receive reminders, info and updates. Click on this link. https://www.remind.com/join/pscamp2019 (If you are a Rogers subscriber, you will need to download the app to get text messages.) *
I give permission for my son/daughter to attend the above activity. *
FINALIZE THE REGISTRATION!!! *
Required
Note:
Personal information on this form is collected under the authority of the "Education Act, R.S.O., 1980, Chapter 129" and will be used to determine student attendance on extended field trips. Questions about this collection of personal information should be directed to the Principal of the school.
A copy of your responses will be emailed to the address you provided.
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