Programs and Services
Camp Wonder 2024
Summer Programs
Get Involved
Contact
Summer Program Registration
Counsellor in Training Registration
Camp Wonder Registration
Auction
Donate
Back
Counsellor in Training
Part Time Work
Volunteer
Programs and Services
Camp Wonder 2024
Summer Programs
Get Involved
Counsellor in Training
Part Time Work
Volunteer
Contact
Summer Program Registration
Counsellor in Training Registration
Camp Wonder Registration
Auction
Donate
CAMP WONDER
REGISTRATION
Complete form to register:
Camper's Name
*
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
Pronouns
*
Please select all that apply
She/Her
He/Him
They/Them
Other: enter below
Grade Completed
*
Medicare Card Number
Please provide the contact information for their Social Worker (Family Supports for Children with Disabilities or Child Protection) or Jordan's Principle Worker:
Name
Phone
(###)
###
####
Email
Photo consent given to Camp Wonder to take/ post photos and/or videos of child?
*
Yes
No
Please choose the top 2 preferred weeks: Weeks 1, 2, 3, 5, 6, 7, and 8 are now full!
*
Week 4: July 22-26 (18+)
Contact Information
Parent/Guardian #1
*
First Name
Last Name
Relationship to Camper
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone #1
*
(###)
###
####
Phone #2
*
(###)
###
####
Parent/Guardian #2
Name
First Name
Last Name
Relationship to Camper
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone #1
(###)
###
####
Phone #2
(###)
###
####
Email
Emergency Contact Info - Please provide TWO additional contacts who can be contacted if we are unable to reach you. This can be a friend or family member, etc
Emergency Contact #1
*
First Name
Last Name
Relationship to Camper
*
Phone #1
(###)
###
####
Phone #2
(###)
###
####
Emergency Contact #2
Name
*
First Name
Last Name
Relationship to Camper
*
Phone #1
*
(###)
###
####
Phone #2
*
(###)
###
####
Camper Wellness Info - *All camp staff members have signed confidentiality agreements and will use this information only to ensure safe and individualized support to your child at camp.
Please describe the special needs of your child that camp staff should be aware of:
*
Current Medical Information
Type 1 Diabetes
Type 2 Diabetes
Bleeding/Clotting
Cerebral Palsy
Heart Disease/Defect
Epilepsy
None
Other
Are there any other Health/Wellness needs we should be made aware of?
*
If you checked a box above, please provide more information about your camper below. (Ie. Epilepsy: Specific causes)
Please list all medications your child is currently taking. Include name, condition it treats, dosage, administration time, and any further instructions you feel necessary
*
Allergies - Please note: Snacks are provided but campers are expected to bring their own lunch. * No nuts will be permitted at camp.
Please describe all allergies your child has. Including allergin name, type of reaction, and treatment (epipen/benadryl)
*
* If Epi-Pen treatment has been indicated above, please ensure that your child brings it with them to camp and that staff are aware of its location.
Please check all applicable areas
Asthma
Wheezing with breathing
Wheezing with exercise
Wheezing from environmental allergins
If yes to ASTHMA please indicate triggers
* If your child has been prescribed a puffer, please ensure that they bring it with them to camp and that staff are aware of its location.
Dietary Info
Does your child have any dietary concerns??
Halal
Lactose-Intolerant
Vegetarian
Gluten-Intolerant
Celiac
None
Other
Please explain other dietary concerns:
Additional Info: By answering the following questions below, we will be able to determine how we can best support your child so that they have a successful experience at camp.
1. Does your child require additional assistance with anything (e.g: hygiene, verbal instructions, tying shoes, physical or emotional needs, etc.)
2. Does your child use any special equipment and devices? Will your child have these at camp?
3. How can we help your child if they do not seem to understand what we are trying to communicate?
4. What are your child’s favourite activities? (eg: strengths, abilities, preferences)
5. Does your child have a support person? Will the support person be accompanying the child to camp? Why or Why not? (They are more than welcome)
6. Does your child have any difficulty in new situations, noisy or crowded places? Does your child run away or become agitated? What is the best way to manage these situations?
7. Do you have any other suggestions for how we can help your child succeed at camp?
Registration Fee: $250/week. Opal Family Services will secure camp spots upon receipt of an e-transfer, sent to director@opalfamilyservices.ca, or a cheque. We will provide a receipt that can be submitted to Social Development or Jordan’s Principle for reimbursement. It is the parent/guardian’s responsibility to confirm that Social Development or Jordan's Principle have agreed to reimburse.
Thank you!
