CAMP DATES: JUNE 14, 15,16, 17
JUNE 21, 22, 23, 24
Age __________________ Grade ____________
Phone ___________________ School______________
Emergency Contact Name and Number
Have you ever worked with children? If yes, how?
Have you worked at Camp before? If yes, when?
Do you have any special talent that you could share with our group?
( ) Pre-K & Kindergarten – 8:15am – 1 pm
( ) 1st & 2nd grade 11:15 am – 3:30 pm
( ) BOTH
Please indicate the dates you can work
I GIVE MY PERMISSION TO:
Attend these sessions and allow Don Mills Achievement Center to use my child’s photograph for publicity purposes in all forms of media.
It is my understanding that precautions will be taken to avoid accidents and that my child/children will be supervised. In event of an accident, THE AGENCY WILL NOT BE DEEMED RESPONSIBLE.
I have read the above policies regarding Camp activities, publicity and insurance procedures, and I am in agreement as stated.