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Milner Gardens & Woodland
Registration Form – Shoots with Roots Summer Daycamps
Ages 6 – 10
Camps are 9:30 – 2:30pm at Milner Gardens & Woodland
The cost of camp is $50/child/day. Payment will be arranged after registration.
These camps are now FULL. Any new registrants will be waitlisted.
Which camp are you registering for?
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Friday June 30th
Thursday August 10th – FULL – Register for waitlist
Participant Name
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Age
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Child’s preferred pronouns
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Parent/Guardian Name
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Mailing Address
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Phone Number
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Email
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Emergency Contact Name
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Emergency Contact Phone Number (must be reachable during camp hours)
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What should we know about your child to best support them at camp?
Photo Consent
*
During camp, photos and videos may be taken of our activities. These are shared on our Shoots with Roots Facebook page, primarily for the purpose of sharing camp activities with parents and guardians. We occasionally also use these photos for our website or other advertising purposes. Shoots with Roots and Milner Gardens and Woodland may use photographic material that includes my child’s image for educational, advertising, and promotional purposes.
- Select -
yes
no
Participation Consent
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I authorize Milner Gardens & Woodland to seek emergency medical care (911) for my child if necessary. My child has permission to participate in all Shoots with Roots activities and I accept the inherent risks involved with such activities. I shall not cause proceedings to be brought against Milner Gardens & Woodland or Vancouver Island University, their employees or volunteers. Shoots with Roots, Milner Gardens & Woodland and Vancouver Island University personnel take due care and diligence in all matters of safety involved with their programs. Staff and volunteers cannot be held liable for any injury or loss not directly caused by their failure to meet the standard of care. All adults involved with Shoots with Roots programming have undergone a Criminal Record Check through the Oceanside RCMP.
I Consent
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