SuperKids Summer Day Camps Registration Form 2021

For important information on what to bring, please click here. After you submit this registration form, one of the Extreme team members will be in touch with you within a few days to confirm that space is available, to discuss general details, and to answer any additional questions you may have!

Please note the following day camp days for the different age groups:
Ages 6-9 on July 14-16
Ages 10-12 on July 21-23
Ages 13+ on July 28-30

    CHILD'S INFORMATION

    Gender (required)

    Has the child attended SuperKids before?

    Can the child swim in water over their head?

    Does this child have any siblings registering for camp? (required)

    MEDICAL INFORMATION

    Does the child have any allergies? (required)

    Does the child have any dietary needs or restrictions? (required)

    Does the child have any other medical conditions, behavioural or emotional concerns? (required)

    I grant the designated LEADER permission to give my child over-the-counter medications if necessary (required)

    CONTACT INFORMATION

    PLEASE READ CAREFULLY AND SIGN BELOW TO INDICATE YOUR ACCEPTANCE

    MEDICAL RELEASE:
    I authorize the administration of any first aid treatment necessary at SuperKids Summer Day Camps for my child. In the case of a medical emergency I authorize my child to be transported by designated leaders or arrange for transportation to the nearest medical or hospital facility. In such an emergency I hereby give permission to the physician involved to secure proper treatment for my child. In the event extraordinary transportation or medical treatment is required, I agree that Extreme Outreach cannot accept the financial responsibility. I expect to be contacted as soon as possible.

    LIABILITY WAIVER:
    I understand that Extreme Outreach is a Christian organization and that my child may receive Bible teaching at SuperKids Summer Day Camps. Extreme Outreach reserves the right to dismiss a child who in their opinion is a hazard to the safety and the rights of others, or who appears to have rejected the camp rules as directed by the designated camp leaders. A child who must be sent home due to disciplinary action or home sickness must be picked up by a parent(s) or designated emergency contact. I am confident that Extreme Outreach staff will do their best to give my child the necessary support and supervision needed and I understand that the safety and health rules will be observed. To the best of my knowledge, my child is in good health and physically, emotional, and socially able to participate in all activities. I give my child permission to participate in all activities. If my child is not physically, emotionally, or socially able to participate in all activities, I understand that Extreme Outreach does not have the people for one on one with my child and they may be unable to attend. I hereby release Extreme Outreach Society and its personnel from all claims and damages arising from any accidents or injury caused by my child’s participation in the program or by any transportation to and from all locations. Extreme Outreach is not responsible for lost, stolen, or damaged items during my child’s participation. I agree that photos or video of my child taken at SuperKids may be used in future Extreme Outreach and/or SuperKids promotional material. If I am not in agreement with this, I will give a written notice to Extreme Outreach that the photos and videos are not be used for this purpose. The parent/guardian submitting this application are those having legal custody over the child. Conditions of custody, if applicable, will be fully communicated in writing to Extreme Outreach including a photocopy of the section of any court order referring to the visitation rights.

    APPLICANT'S STATEMENT

    Please remember that these are the days for the different age groups:
    Ages 6-9 on July 14-16
    Ages 10-12 on July 21-23
    Ages 13+ on July 28-30