TMCCC 2018 VBS Camper Registration Form
If you do not come to TMCCC regularly, or if it is much more convenient for you to fill in the registration form electronically, please do so and hand in the waiver and payments by/on May 13th.
Email address *
Early Bird: $200 (Ends April 22 - Form, money and waiver must be completed BEFORE this date in order to get early bird)

Regular price: $225 (DEADLINE: May 13)

Discounts: $10 off per sibling


IF YOU CANNOT HAND IN THE PAYMENT FOR THE CAMP IN PERSON (though it is highly recommended), you can mail your payment (Payable to "Toronto Mandarin Community Chinese Church" ) to: 2230 Birchmount Rd, Scarborough, ON M1T 2M2
Other Information:
This PDF file: (pages 1-4), has all the information on what your child should bring to camp everyday, the daily schedule, pick-up/drop-off policies etc...
Camper Registration Form:
Name of child (full name) *
Your answer
Gender *
Birth Date *
Grade (in September 2018) *
Your answer
Home Phone # *
Your answer
Home Address *
Your answer
T-shirt size *
Do you attend a church? *
If you answered yes to the question above, please specify: (If answered no, enter "N/A") *
Your answer
Name of Parent/Guardian #1 *
Your answer
Home Phone Number of Parent/Guardian #1 *
Your answer
Cell Phone Number of Parent/Guardian #1 *
Your answer
Name of Parent/Guardian #2
Your answer
Home Phone Number of Parent/Guardian #2
Your answer
Cell Phone Number of Parent/Guardian #2
Your answer
Parent/ E-mail (please specify which parent/guardian in round brackets) *
Your answer
Emergency Contact name *
Your answer
Emergency Contact's Work/Cell Phone # *
Your answer
Emergency Contact's Relationship to Child *
Your answer
Family Doctor's Name *
Your answer
Family Doctor's Phone # *
Your answer
Health Card # *
Your answer
Allergies & Other Medical Information (Type "none", if it does not apply) *
Your answer
Where did you hear about us? *
TMCCC Children Ministry Waiver Form
Name of child *
Your answer
I/We hereby consent to the participation of my/our child in supervised
curriculum-related and extracurricular activities during or beyond regular
meeting time, at church or beyond church grounds.

It is understood that there shall be no liability to the Toronto Mandarin
Chinese Community Church, Toronto Mandarin Chinese Community Church Children
Ministry Staff or any of its employees or agents for any injury or accident that
should arise to my/our child while attending Children Ministry programs.

To the best of my/our knowledge, my/our child is in good health. I/We
hereby agree to inform the Children Ministry immediately where he/she has been
exposed to an infectious disease, and also where there is a known change in his/her
physical condition.

In case of surgical emergency, and I/we are not immediately available for
consultation, I/we give permission to the physician selected by the Toronto
Mandarin Chinese Community Church Children Ministry Staff to hospitalize, secure
proper treatment for and to order injections, anesthesia or surgery for my/our
child as named above.

I/We acknowledge that lunch and transportation to and from church is
the responsibility of the parents.

By typing your name below, you are acknowledging your agreement and understanding of the terms listed above: *
Your answer
Media Consent and Release Form
I am the parent/guardian of: *
Your answer
I hereby grant Toronto Mandarin Chinese Community Church (“TMCCC”) the
absolute right and permission to use photographic portraits, pictures, digital images or
videotapes of My Child, or in which My Child may be included in whole or part, or reproductions
thereof in color or otherwise for any lawful purpose whatsoever, including but not limited to
use in any TMCCC publication or on the church websites, without payment or any other

I hereby waive any right that I may have to inspect and/or approve the finished product or the
copy that may be used in connection therewith, wherein My Child’s likeness appears, or the use
to which it may be applied.

I hereby release, discharge, and agree to indemnify and hold harmless the TMCCC from all
claims, demands, and causes of action that I or My Child have or may have by reason of this
authorization or use of My Child’s photographic portraits, pictures, digital images or videotapes,
including any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in
composite form, whether intentional or otherwise, that may occur or be produced in the taking
of said images or videotapes, or in processing tending towards the completion of the finished
product, including publication on the internet, in brochures, or any other advertisements or
promotional materials.

I represent that I am at least eighteen (18) years of age and am fully competent to sign this


Please check one of the boxes below: *
By typing your name below, you agree with the choice that you have made concerning whether or not consent is given: *
Your answer
DEADLINE FOR REGISTRATION IS SUNDAY MAY 13, 2018 (All forms, waivers, and payment must be submitted ON or BEFORE this date)
*Please send this google forms link to your other friends so that they can also bring their children to this super-memorable experience!!!

Google forms link:

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