Earth Arts Registration
By completing this form you are registering to attend Power of Hope's Earth Arts camp on October 5th-7th, 2018
Name of Participant *
Your answer
Name of Parent or Guardian *
Your answer
Parent/Guardian Permission *
Youth Email *
Your answer
Any other relevant email
Will there be anyone else who might need to know the details about camp packing lists, travel information or otherwise be in contact? Please provide any relevant email addresses.
Your answer
Home phone or cell phone *
Your answer
Address (including City, Province/State and Country) *
Your answer
Gender and preferred pronoun *
Date of birth *
Please note that youth must be aged 14-18 at the time of attendance.
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Ethnicity
Your answer
School and Year
Your answer
Getting to camp
Earth Arts will be held at the Camp Thunderbird site in Sooke. We are in the process of working out the best way to get everyone to and from camp depending on where people are coming from and how many carpools we are able to set up.
Please feel free to email emily@powerofhope.ca with bright ideas!
Way to and from camp *
Please let us know whether you will be driving, seeking a carpool, able to take extra passengers (and how many) for the way to and from camp.
Your answer
Emergency Contact and Medical Information
We have first-aid trained staff as well as a lifeguard on site at camp, and emergency services available to us. Should anything happen during camp we will be in contact with the Emergency contact person right away.
Emergency contact name, relationship and telephone number *
Your answer
BC Care Card Number (if applicable)
Your answer
Medical Information, Allergies or Dietary Restrictions (if none write "none") *
Your answer
The spaces in our camps are limited. We require a deposit of $200 CDN to ensure availability.
Camp fees for our weekend camps are $400. We do not turn away any youth for lack of funds, and will always work hard to make sure we can find scholarships for those in need.

Payments can be made via credit card, cheque or e-transfer. We are more than willing to work with anyone who might not be in a position to attend. Please fill out our scholarship form and we will find a way to make it work.

We have 15 full scholarships available to Indigenous youth
If you would like to claim one of these scholarships, please select the Indigenous scholarship option below.
Payment *
Please make cheques payable to Power of Hope
Please put participant's name on the memo line. Cheques can be mailed to:

Power of Hope Society
1318 Thurlow Road
Victoria, BC V8S 1L6
CANADA

Refund Policy
In the event of your cancellation before two weeks prior to the event, we will refund the entire amount paid.
* If you cancel with less than 2 weeks’ notice, your deposit is non-refundable, but we will refund the balance of your payment.
* If you do not show up, and have given no cancellation notice, we will make no refund.
* If you leave the program once it has started, we will not be able to refund any of the cost.
Please check the boxes below to give permission and show your understanding *
Required
Participant's consent to basic guidelines
Please make sure that the youth participant has read and understand the following agreements. The following non-negotiable guidelines have been established for participants of the Power of Hope’s gatherings in order to create a safe and respectful environment for everyone.

1. No leaving the program grounds without authorization

2. Check-in all valuables including money, electronic equipment, passports, etc. with the camp manager for safe keeping at registration

3. Refrain from using drugs or alcohol

4. No coupling/no sex

I agree *
Required
I understand that my typed electronic signature is valid in place of a written signature *
Parent/Guardian signature (or youth if 18) *
Your answer
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