1645 Colborne St. E, Brantford, ON, N3T 5L4
Phone: (519)754-0171 Fax: (519)754-5490
If your child is attending overnight camp, please fill out this form on the DAY OF ARRIVAL. If your child is attending Day Camp you may fill the form the day before your camp starts.
Please enter the first and last name of all children attending camp this week:
If you have a child in both camps please select "overnight camp."
Please select the camp(s) your child(ren) are attending:
COVID-19 PARTICIPATION AGREEMENT
Please read and sign the information below.
I understand that Circle Square Ranch has COVID Policies and Procedures and I am responsible for reading these policies and procedures and explaining them to my child. This policy may change with limited notice. I understand that I am able to access the COVID Policies and Procedures on the camp webpage.
I, the parent/guardian, understand that the COVID Policies and Procedures include:
-obtaining a PCR test
-pre-camp online health screening
-an attestation of limited contact (for overnight campers only)
If there is any indication of being unwell, or if COVID Policies and Procedures have not been followed, Circle Square Ranch has the right and responsibility to deny acceptance into camp.
I, the parent/guardian, acknowledge that the health information provided upon arrival is current, accurate and complete.
I agree that the participant is to abide by the current regulations and restrictions as outlined by the Ministry of Health and Circle Square Ranch COVID Policies and Procedures.
Parents/guardians are responsible to inform camp if their camper has come in contact with a positive COVID-19 case within 3 weeks of the start of their camp session.
I understand that if any illness occurs while at camp, and the participant requires isolation, the participant at camp will be isolated until travel arrangements can be made. I, the parent/guardian/participant am responsible to provide transportation home from camp as immediately as possible.
I understand that camp does not provide quarantine accommodations following any international travel or for assumed or confirmed COVID cases.
I am fully aware of the risks and hazards with respect to COVID-19 inherent in my (or my child's/ward's) attendance at InterVarsity Circle Square Ranch Grand River and participation in the activities at camp.
I freely and voluntarily agree to assume the risk with respect to COVID 19, including the risk of death, bodily injury or property damage, regardless of severity, that I (or my child/ward) may sustain as a result of my participation in the activities of InterVarsity Circle Square Ranch Grand River or attendance at InterVarsity Circle Square Ranch Grand River, howsoever arising, including, but not limited to, the active or passive negligence of the Releasees.
I release Inter-Varsity Christian Fellowship of Canada, its trustees, directors, corporation members, staff and agents from any loss, personal injury, accident, misfortune or damage to the herein named or his/her property. I confirm that the undersigned is covered by provincial health insurance or equivalent medical insurance prior to arrival and must extend throughout the entire time at camp.
By entering my name here, I confirm that I have read the Covid 19 Agreement, that I understand it, and that I agree to be bound by it.
Please Sign Full Name: