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Pledge – Theme Shabad
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About us
Vision, Mission and Philosophy
Pledge – Theme Shabad
Organization
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Registration Form
G.N. Sikh
Summer Camp
July 1, 2, 3, 4, 5 - 2024
Ages 6 to 10
Fee $50
Student First Name
Middle Name (if any)
Last Name
Please select one
Female
Male
Date of Birth (Ages 6 to 10 years)
T-Shirt Size by Shoulder X Height
YXS (Sh. 37cm X Ht. 48cm)
YS (Sh. 39cm X Ht. 52cm)
YM (Sh. 42cm X Ht. 61cm)
YL (Sh. 44cm X Ht. 62cm)
YL (Sh. 44cm X Ht. 62cm)
YXL (Sh. 46cm X Ht. 65cm)
S (Sh. 42cm X Ht. 71cm)
M (Sh. 47cm X Ht. 73cm)
L (Sh. 52cm X Ht. 75cm)
XL (Sh. 57cm X Ht. 80cm)
Home Address
City
Province
Postal Code
Care card #
Expiry Date: (Care Card)
Doctor name
Doctor phone
Does your child have any food or other allergies?
Yes
No
If yes to allergies, please provide details and treatment plan
Does student have a life-threatening health condition?
Yes
No
If yes, please explain:
Note: Medication
NOTE: Parent/Guardian are responsible for providing the required medication to designated staff on the first day of camp. Medication held at the camp must be picked up prior to the end of the camp.
Has EPI Pen
Yes
No
Note: EPI Pen
NOTE: If a child has an EPI Pen it is Parent/Guardian's responsibility to provide it to the camp administrator.
Does your child need medication at camp?
Yes
No
If yes, please explain and provide treatment plan
Does your child have any other medical issues of which we need to be aware of?
Yes
No
If yes, please explain
1- Parent/Guardian First Name
Middle Name (if any)
Last Name
Phone no.
Email
2- Parent/Guardian First Name
Middle Name
Last Name
Phone no.
Email
Emergency Contact First name:
Middle Name (if any)
Last Name
Phone no.
Relationship to student
Can pick up student?
Yes
No
Release of Liability, waiver of claims, Assumptions of Risks and Indemnity Agreement:
Each of the undersigned parent(s) or legal guardian(s) of the minor child or persons names below states as follows:
I, the undersigned will not hold GURU NANAK SIKH GURUDWARA SOCIETY, G.N. SIKH SCHOOL ASSOCIATION, or any of the directors, employees, instructors or volunteer staff responsible for any accidents and/or injuries which may occur to myself, or any person to whom I am a legal guardian of. This includes any activity, curricular and/or extra curricular held under the responsibility of GURU NANAK SIKH GURUDWARA SOCIETY, G.N. SIKH SCHOOL ASSOCIATION.
I want myself or children to participate in the sponsored lessons, practices, games, exhibitions, tournaments, competitions and other events (the "Activities"), and so I freely accept and fully assume all such risks. I give my unequivocal permission and consent for myself or children to participate in the Activities, subject only to any specific limitations noted below.
In consideration of the Society allowing myself and my children to participate in the Activities, I hereby agree as follows:
1. TO WAIVE ANY AND ALL CLAIMS that I or my child have or may in the future have against GURU NANAK SIKH GURUDWARA SOCIETY, G.N. SIKH SCHOOL ASSOCIATION, and its directors, officers, employees, agents, affiliates, successor, and assigns and representatives (the "Releases") resulting from myself or children's participation in the Activities.
2. TO RELEASE THE RELEASES from any and all liability for any loss, damage, injury or expense that myself or children may suffer as a result of the Activities, due to any cause, INCLUDING NEGLIGENCE BY THE RELEASES.
3. TO HOLD HARMLESS AND INDEMNIFY THE RELEASES from any and all liability for any property damage or personal injury to any third party, resulting from myself or children's participation in the Activities.
4. That this Agreement shall be effective and binding upon me, my heirs, next of kin, executors, administrators, legal representatives and assigns.
5. If I cannot be reached, I authorize and direct any adult Activities sponsor or group leader representing GURU NANAK SIKH GURUDWARA SOCIETY, G.N. SIKH SCHOOL ASSOCIATION, to make emergency medical decisions for my child.
6. GURU NANAK SIKH GURUDWARA SOCIETY, G.N. SIKH SCHOOL ASSOCIATION, is authorized to make any media release (i.e. social media, print media) of myself and my child.
Medical Conditions: I authorize the Society to disclose such allergies or medical conditions to a physician if me or my children require emergency medical care.
Agreement
I agree to follow all camp polices, rules, and pay fees.
Due Today
($50 Registration Fee)
Enter full name of Parent/Guardian as signing authority
Make Payment