Camp Registration Form
Fields with * are required (if you have no information for a required field, use N/A)
Family Day Wkend
In case of serious accident or illness every person must be covered by the BC Health Plan or an equivalent policy.
Please use this comprehensive list of our over-the-counter First Aid medications to answer the question below. Also see our First Aid Policy online. www.sagitawa.bc.ca/docs/FirstAidPolicy.pdf
Any medications you bring must be in the original container. Prescriptions may only be used by the person for whom they are prescribed. Camp Policy regarding first aid treatment can be found on our website in the parents information section.
Fill out if you are the guardian! If not, please contact the guardian and have them fill out the form listed here. www.se.sagitawa.bc.ca/emailforms/36 This short form asks for the Need-toKnow information, the waivers and the signature. Parents should sign below as well.
The following information is crucial for our Wellness Director to prepare a supportive and caring plan for your child to have a successful week at camp. He/she may give you a call to seek relevant information. Your understanding as a parent is crucial to help us support your child.
We require the guardian's signature and sensitive need-to-know information.
This part is required and must be signed as is:
I recognize that, while Sagitawa staff will care for my child in a responsible manner, accidents and discomforts may still occur. I'm fully aware of the types of activities my child may be involved in, and I accept that these activities often come with a degree of spontaneity and risk. Should injury require emergency treatment which would be delayed by efforts to contact me, I authorize the Director or First Aid Attendant to begin medical treatment and inform me as soon as possible.
I will provide Camp Sagitawa with "need-to-know" information to assist them to care for the well-being of my child and other children.
I consent to Sagitawa's purposes for gathering and using the information I provide.
Registration only accepted if above waiver is signed with box already marked as Yes. If you disagree
then do not sign form.
Change to 'No' if you disagree.
Please have student registering for PCLT answer the following question. (Can also do it by email through "Contact Us".)
Please enter full amounts from charts into the corresponding areas below. When making your payment, minimum deposit is $60 or full amount if less.
Note: Prices to right are for 2 days.
If skiiing only 1 day, then divide by 2.
Other Rental Info
Space will be held once payment is made.
Box 61, Moberly Lake, BC V0C 1X0