Guardian Authorization for Camper
This form provides a way for the guardian to provide sensitive information along with a signature when the camper is registered by a care-giver that is not the guardian. If you prefer to use a the phone for the need-to-know information, then please leave that part blank and fill in the name, camp, and signature portion here.
Fields with * are required
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.
Box 61, Moberly Lake, BC V0C 1X0