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Registration VBC 2024
Fill out one form for each camper. Contact Chedoke Presbyterian via e-mail at office@chedokechurch.ca or phone 905-383-6012 with questions. You will receive a confirmation along with instructions to make the $50 payment for the camp within a week. For more information see this
Letter to Parents/Guardians of 2024 VBC Campers
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* Indicates required question
Email
*
Your email
Camper first and last name (preferred nicknames can be included in parentheses)
*
Your answer
Camper grade completed at school in June 2024
*
JK
SK
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
My camper has been home schooled
Required
Describe any allergies (food, environmental, etc) or other medical or behavioural concerns/ accomodations (including any formal diagnoses or suspected diagnoses). If none list n/a as your answer.
*
Your answer
This camper would like to be placed in a group with the following camper of similar age if possible...
*
Your answer
Camper Photo Permission
*
VBC has permission to use my camper's photo.
Photos of this camper need to be redacted (i.e. blurred or a mark placed over their face)
VBC does not have permission to use my camper's photo.
Parent/Legal Guardian first and last name
*
Your answer
Parent/Legal Guardian Email
*
Your answer
Parent/Legal Guardian phone number
*
Your answer
Parent/Legal Guardian second phone number
Your answer
Emergency Contact Person #1 first and last name
*
Your answer
Emergency Contact Person #1 relationship to camper
*
Parent/Guardian
Other family
Friend
Other:
Emergency contact person #1 phone number
*
Your answer
Emergency Contact Person #2 first and last name
*
Your answer
Emergency Contact Person #2 relationship to camper
*
Parent/Guardian
Other family
Friend
Other:
Emergency contact person #2 phone number
*
Your answer
First and last names of responsible adults/caregivers/babysitters who will pick-up your camper (you may also include additional phone numbers as needed). Children will be released ONLY to those that are named and arrive with identification.
Your answer
Any additional information...
*
Your answer
Electronic signature
*
Your answer
Date of electronic signature
*
MM
/
DD
/
YYYY
Time of electronic signature
*
Time
:
AM
PM
A copy of your responses will be emailed to the address you provided.
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