Guysborough Camp Form
CAMP DATES: July 8-11th 2019 CAMP TIME: 9 am to 1:30 pm Drop off begins at 8:45 am / Camp Starts at 9 am
Camp ends at 1:30 pm / Late pick up ends 1:45 pm
Ages: U6 to U17 Camp Cost $100.00
Payments can be made at the Chedabucto Lifestyle Complex, 60 Green Street, Guysborough. Debit, cash or cheque only; if it’s a cheque make it out to MODG or Municipality of the District of Guysborough. For any questions or concerns regarding payment - contact Jeffrey Myers at 902-533-2088 or email at
For any questions regarding the camp, please contact camp director Oliver Hewish at
All campers will receive a StFX Soccer T-Shirt and free access to Chedabucto Pool each day of the camp.
Here is the link to register or stop into the CLC and we will help you with the online registration.
Camper's LAST Name: *
Your answer
Camper's FIRST Name: *
Your answer
Camper's Year of Birth: *
Camper's Soccer Experience: *
We group players for part of camp to create appropriate challenge levels for each player. We also ensure that players get lots of time with their own peer group and friends.
T-Shirt Size: *
Youth M fits an average 10-year-old and Adult S fits an average 14-year-old. Please note that registrations received after May 20th cannot be guaranteed correct sizing. We will do our best, but we do not carry a large T-shirt inventory.
Swimming (will your child take part in swimming from 12:30-1:15 - a swim test will be required on the first day of camp) *
Parent/Guardian of Camper: *
Please provide FIRST and LAST name of a parent/guardian whom we can contact.
Your answer
Parent/Guardian Telephone Number: *
Please provide a contact telephone number where you can be reached during the day. Your telephone number will not be shared.
Your answer
Second Emergency Contact Number: *
Please provide another daytime contact number in case we have trouble reaching you at the above number. We will not share your telephone number.
Your answer
Email for Camp Correspondence: *
Enter an email address that you check regularly so we can provide you with updated information about the camp. Your email address will not be shared.
Your answer
Email Verification: *
Please enter your email address a second time to ensure accuracy. Sorry, but we get a lot of incorrect email addresses.
Your answer
Camper Mailing Address: *
Do not include postal code in this entry. You will enter it later.
Your answer
Postal Code: *
Your answer
Informed Consent by Parent or Guardian:
INFORMED CONSENT BY PARENT OR GUARDIAN: I acknowledge that participation in athletic and recreational activities involves the risk of personal injury. In consideration of the use of the facilities and equipment provided by, or used by StFX Soccer Camps by my child for athletic and/or recreational activities, I accept that risk, on behalf of my child, regardless of the nature of the injury. I agree and understand that StFX University, their officers, StFX Athletics & Recreation employees, agents and representatives shall not be liable for any personal injury or death, loss of property as a result of my child’s participation in athletic and/or recreational activities at StFX Soccer Camps. Each camp participant should have had a medical in the last 12 months and should have adequate medical and dental coverage. I hereby consent that, in the case of a health emergency, I give permission for my child to be taken and seen by the on duty physician at the closest available hospital emergency room. Any charges resulting from health care provided will be the responsibility of the guardian/parent. I authorize the director or head coach of the StFX Soccer Camp in which my child is participating, to act for me, according to their best judgment, in any emergency requiring medical attention. I hereby give permission for my child to participate in StFX Soccer Camps. I have read and agree to the above terms. I hereby give my child permission to be photographed by StFX Athletics & Recreation staff and hereby understand that such photographs become the property of StFX University and may be used for the purpose of any other promotional materials deemed necessary and/or relevant to our camp program.
Refund Policy and Complaints: *
All refund requests MUST be received in writing via email to Refunds are granted for injury or illness only. NO EXCEPTIONS. In the event of an injury or illness that prevents a camper from further participation in the camp, a prorated refund to the nearest full day will be calculated. Please allow up to 30 days for processing of a refund. To file a complaint please email with CAMP COMPLAINT in the subject heading.
Pickup and Drop-off Policy: *
Camp starts each day at 9:00 AM sharp and dismisses at 1:30PM. Please drop off your child between 8:45AM - 9:00AM each day and pick-up your child by 1:40 PM. There will be no supervision provided before 8:45 AM or after 1:40 Parents who abuse our supervision policy risk having their child dismissed from the camp with a pro-rated refund. Any campers who will depart camp on their own must provide written notice from parents in advance.
Camp Behaviour Policy: *
Our camp coaches and counsellors are trained in coaching soccer and they strive to create a positive experience for all campers. If there are campers who negatively impact the camp through inappropriate behaviour or language, IN THE OPINION OF THE COACHES, then those campers may receive a warning (a camp yellow card) or a camp dismissal (camp red card) from the camp director or head coach. Parents will be informed of any yellow or red card offences and in the case of a red card, a parent will be required to collect their child from the camp.
Other information you would like us to know:
Please include any additional information that might be relevant to this registration or that may impact your child's experience at camp.
Your answer
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