Winnipeg Church of the Deaf 100th Anniversary at Camp Kakepitay
Friday, August 3rd, 2018 (after 3:00 PM) until Monday, August 6th (before 12:30 PM)
Adult(s) - Full name(s) *
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Child(ren) - Full name(s)
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Email and/or Phone *
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PART 1: REGISTRATION FEES
Before June 30
-Adult = $70 per
-Child (17 & under) = $35 per
-Family* = $180 per
-Day Drop-in = $50 per

After June 30 until July 27
-Adult = $90 per
-Child (17 & under) =$ 45 per
-Family* = $230 per
-Day Drop-in = $50 per

*Family includes one or two adults and one or more children 17 & under.

If you would like a MAP of how to get to Camp Kakepitay, please let us know.

Total Fees *
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PART 2: ACCOMMODATION FEES
Accommodations are subject to availability and are allocation by the Winnipeg Church of the Deaf on a first come first serve basis. WCD will contact you to confirm your accommodations after you register. Prices listed are for Friday – Monday.

Before June 30

-Hall/Lodge (shared) = $10 per person
-Tent (own) = $35 per tent
-Small Trailer (own)* = $50 per trailer
-RV Trailer (own)** = $ 150 per RV

After June 30 until July 27

-Hall/Lodge (shared) = $15 per person
-Tent (own) = $45 per tent
-Small Trailer (own)* = $70 trailer
-RV Trailer (own)** = $200 per RV
Other:
Accommodations arranged yourself
Join with other tent or trailer

*There are only 6 spaces available for small trailers. **There are only 2 spaces available for RV trailers.

Total Fees *
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PART 3: PAYMENT
All registration and accommodation fees are NON-REFUNDABLE.
Payment can be made by cheque, cash or money order. NSF cheques are subject to a $25 fee.
Please make cheques/money orders payable to Winnipeg Church of the Deaf.
E-transfer to wcdeaf@shaw.ca
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PART 4: OTHER
Transportation: *
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Arrival: *
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Departure: *
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Food Allergies – Please note if you have any food allergies:
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PART 5: WAIVER
IN CONSIDERATION OF my being permitted to engage and take part in the events or attractions offered, carried on, sanctioned or sponsored by Winnipeg Church of the Deaf.
I, the undersigned Participant, or the undersigned Parent or Guardian of the Participant, if under 18 years of age, hereby release and undertake and agree to save harmless and keep indemnified Winnipeg Church of the Deaf, its principals, officers, organizers and representative from and against all claims, actions, costs and expenses and demands whatsoever in respect of death, injury, loss or damage to my person or property, howsoever caused, arising out of or in connection with my participation in such event or attraction and regardless of whether same may have been contributed to or occasioned by the negligence of Winnipeg Church of the Deaf, its principals, officers, organizers and representatives, or any of them, and the last mentioned persons shall be deemed to be parties to hereto as Winnipeg Church of the Deaf were acting as their agent or trustee. IT IS HEREBY ACKNOWLEDGED that the contents hereof are fully understood by the Participant (and Parent/Guardian) who agree(s) that same shall be binding upon (his/her/their) heirs, successors, executors, administrators and assigns.
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PARTICIPANT SIGNATURES (One signature per line) *
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