Welcome to the Summer of 2018!
Registration and Waiver Form
Preferred Camp (s)
Day Camp (ages 4 - 12)
Voyageur Camp (ages 6 - 12)
Canoe Trippers Camp (ages 6 - 12)
LIT - Leaders in Training (ages 13 & 14)
CIT - Counselor in Training (age 15)
Junior Guide and Counselors (ages 16 & 17)
Preferred Day Camp Session(s)- Including CIT, LIT & Junior Guides
Session 1 (July 3 - 7)
Session 2 (July 10 - 14)
Session 3 (July 17 - 21)
Session 4 (July 24 - 28)
Session 5 (July 31 - Aug 4)
Session 6 (Aug 8 - 11) * Short Week - Day Camp only
Session 7 (Aug 14 - 18)
Session 8 (Aug 21 - 25)
Session 9 (Aug 28 - Sept 1)
If you are attending Day Camp - would you like to try an overnight camp out
Yes - Wednesday Night
Yes - Thursday night
Yes - Wednesday & Thursday
I am not sure yet and I'll let you know
Preferred Voyageur Camp(s) or Science Camp- Including CIT, LIT & Junior Guides
Session 1(July 3 - 7) for Senior Campers only (ages 9 - 12)
Session 2 (July 10 - 14) for Junior Campers only (ages 6 - 9)
Session 3 (July 17 - 21) for Senior Campers only (ages 9 - 12)
Session 4 (July 24 - 28) for Senior Campers only (ages 9 - 12)
Session 5 (July 31 - Aug 4) Voyageur and/or Science Camp (ages 6 - 9)
Session 7(Aug 14 - 18) Voyageur and/or Science Camp (ages 6 - 9)
Session 8 (Aug 21 - 25) Voyageur and/or Science Camp (ages 9 - 12)
Preferred Canoe Trippers Camp(s) - Including CIT, LIT & Junior Guides
Session 1 - 5 day trip (July 2 - 7) for Senior Campers only (ages 9-12)
Session 2 - 5 day trip (July 9 - 14) for Senior Campers only (ages 9 - 12)
Session 3 - 5 day trip (July 16 - 21) for Junior Campers only (ages 6 - 9)
Session 4 - 5 day trip (July 23 - 28) for Junior Campers only (ages 6 - 9)
Session 5 - 7 day trip (July 30 - Aug 6) for Senior Campers only (ages 9 - 12)
Session 6 & 7 - 9 day trip (Aug 9 - 18) for Senior Campers only (ages 9 - 12)
Session 8 - 5 day trip (Aug 20 - 27) for Senior Campers only (ages 9 - 12)
Session 9 - 5 day trip (Aug 28 - Sept 1)
Leaders-in-Training Program Options
Package Program - Option 1 (1 day camp with 2 overnights, 1 Voyageur and a 5-day canoe trip)
Package Program - Option 2 (3 Voyageur Camps)
Package Program - Option 3 (2 Voyageur Camps and a 5-day canoe trip)
Package Program - Option 4 (1 Voyageur Camp and a 10-day canoe trip)
Package Program - Option 5 ( a 10-day canoe trip and a 5-day canoe trip)
Parent's Name (s)
Primary Phone Number
Special Diet - please contact the camp
I eat everything!
I am a picky eater but my parents want me to try new food and eat my fruits and veggies
Does your child carry an epi-pen or have a serious medical allergy?
Please describe any relevant information in regards to your child's physical health - or answer n/a for non-applicable.
Emotional, Social and Mental Health History
Please describe any information that might be helpful regarding anxiety, depression, ADHD, OCD, ASD, Aspergers, OCD and any other relevant information - or answer n/a for non-applicable.
Any Other Important Information?
Is there any additional information about your child that you wish to share. For example: difficult home/school situations, bullying, care of braces/contacts, shyness, home sickness, special procedures that are to be used at the camp. Please be as thorough as you can. It is the parents’/guardians’ responsibility to inform the camp of any emotional, physical, physiological, social or medical challenges faced by the camper that may have an impact upon their camp experience. If you feel that any of these items require further discussion with the camp, please contact the Directors at any time.
Emergency Contact & Phone Number
Family Doctors Name & Phone Number
Do you give us permission to contact the Doctor if necessary?
Do you give us permission to administer age appropriate over-the-counter medication?
Health Card #
Is your child's immunization record up to date
Can your child independently swim without the aid of a flotation device?
No - please ensure that they wear a pfd
Do you agree to the Booking Conditions as listed below
Payments: For individuals full payment is due upon booking. If booking multiple dates, programs or participants - payment plans may be set up on an individual basis. For Payments over $300 - partial payments are acceptable with 50% at time of booking & 50% prior to program. Cancellations & Refunds: Full refunds are available when cancelling more than 30 days prior to the first day of a program minus a $50 administration fee. 50% refunds are available when cancelling between 14 and 30 days prior to the first day of a program minus a $50 administration fee. No refunds are available when cancelling less than 14 days prior to the first day of a program. Registrations are non-transferable. Thanks for your support and understanding.
Bus Service - Bracebridge Pick & Drop (8:00am & 4:00pm)
Bus Service - Gravenhurst Pick & Drop (8:30am & 3:30pm)
Own Transportation - Regular Times (9:00am - 3:30pm)
Own Transportation - Early/Late (7:30am - 4:30pm)
Own Transportation - Early/Late (7:30am - 5:30pm)
Please provide information regarding who is allowed to pick-up your child from camp or from the camp transportation shuttle.
Would you like to subscribe to our e-newsletter for up-coming events and information?
I am already subscribed
Do you agree to the Participation Waiver and Medical Consent information listed below?
Great Moose Adventures reserves the right to suspend clients from activities, programs or performances where their behaviour is deemed unacceptable.Great Moose Adventures cannot be held responsible for the loss, theft or damage of belongings.Great Moose Adventures reserves the right to use photographs/video material of the clients and material created for promotional purposes such as web site, brochures and displays. All films, projects, music, songs, artwork etc. created at Great Moose Adventures may be used by Great Moose Adventures for promotional or educational purposes.By agreeing to these Terms & Conditions the parent or guardian of a child attending a Great Moose Adventures day program fully understands that such a program involves outdoor and indoor physical activities during variable weather conditions and that there are health and safety risks associated with these types of activities.By agreeing to these Terms & Conditions the parent or guardian, their heirs and assigns waive, release and absolve and agree to indemnify and save harmless Great Moose Adventures and their respective directors, officers, employees and agents from all liability arising from attendance and participation in a Great Moose Adventures day program.By agreeing to these Terms & Conditions the parent or guardian affirms that they fully understand the preceding paragraphs and volunteer their child to participate at their own risk.
Yes (please confirm with your name and date below)
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