Participant Information

Participant's Full Name *

Date of Birth *

Sex *MF

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code *

Parent's Information

Parent's/Guardian's Name *

Parent's/Guardian's Name

Email Address *

Email Address

Phone Number *

Phone Number

Emergency Contact

Primary Emergency Contact *

Phone Number *

Medical/Health Information

Please complete all fields as detailed as possible.

Medical/Health Conditions *

Treatment *

Medications

Allergies *Please list all allergies.

EpiPen Required?YesNoIf yes, you will be asked to complete and submit an anaphalaxis plan.

Health Card Number *

Registration Terms and Agreements

Please read and check all sections to verify that you agree to our terms of registration.

Registration Agreement *I have read, understand and agree to the terms of registration agreement.I have read, understand and agree to the terms of registration and enrolment in programs at Oak Learners and I have read and understand the policies and procedures laid out in the Parent Handbook.

Cancellation Policy *I have read, understand and agree to the cancellation policy.All cancellations of summer camp programs made before June 1 of the same program year are subject to a 10% administration fee. All cancellations of summer camp programs made on or after June 1 of the same program year are subject to a 50% administration fee. No cancellations will be processed within 7 days of the start of the session to be cancelled.

Force Majeure Clause *I have read, understand and agree to the Force Majeure Clause.The above cancellation policy is not applicable during a time of Force Majeure; an Act of God or circumstances beyond our control (i.e. pandemic, quarantine, natural disaster, etc.). In the case that Oak Learners is unable to provide comperable instructional programming through online learning methods, a credit towards tuition fees will be applied. All withdrawal requests made during the Force Majeure period will be provided with a credit, calculated as per the withdrawal policy towards a future program registration. The lifetime credit can be used towards any future Oak Learners program registration and is transferable to any immediate family member.

Local Outings Consent *I give permission for my child to go on local walking outings within 5km of Oak Learners and I release Oak Learners and individuals from liability in case of accident during activities related to regular programming, provided outlined safety procedures have been taken.Campers go on daily walking excursions and adventures in the local neighbourhood within a 5km radius of Oak Learners.

Photography ConsentI give consent for Oak Learners to take pictures of my child for internal sharing to parents.I give consent for Oak Learners to use these pictures for promotional purposes outside the program premises.Photographs may be taken to document our discoveries and experiences throughout the summer. To protect the rights and privacy of the children in our programs, we require parental consent to share photos internally and/or through our promotional websites and media productions. Oak Learners agrees to never share children's names and/or personal information with their photographs.

Please type your name as your e-signature to certify that all information on this form is complete and accurate. *By typing your name in the box above, you are signing this form electronically. You agree that your electronic signature is the legal equivalent of your signature.

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Summer Camps Registration Form