March Break @ Ross Creek Registration

General Information

 

Known As








Emergency Phone #
 Primary Household E-Mail
Mother/Guardian's Cellphone #
Father/Guardian's Cellphone #




 

 

 


If Yes, what years/programs?


Are you applying for a Bursary?



If YES please download our Bursary Form and mail it in with the req'd letters.

 

 

 

March Break Camps

Please make your selections below
Each Day Camp is $55 or $250 for the whole week [5 days].
  

March Break Juniors
for Campers ages 5-7
(Select each camp you wish to attend)

Monday - Project Earth (Art & Environment)

Tuesday - Jungle Explorer (Animals & Plants)

Wednesday - Fancy Face (Mask Making)

Thursday - Mighty Ocean Monsters

Friday - Winter Friends (Forest & Animals)

I would like to enroll my camper for all 5 days.

 

March Break Intermediates
for Campers aged 8-10
(Select each camp you wish to attend)

Monday - Print Pro! (Visual Art)

Tuesday - Improv 2 Go! (Theatre) FULL -
PLEASE CALL TO GO ON WAITING LIST

Wednesday - Robot Madness (Science & Art)

Thursday -Gargoyle Grotesque (Art & Buildings)

Friday - BBoy & BGIRL Basics (Dance)

I would like to enroll my camper for all 5 days.

March Break Senior
for Campers ages 11+

Monday - Pro Draw (Visual Art)

Tuesday - Pro Paint (Visual Art)

Wednesday - Pro Sculpt (Visual Art)

Thursday - BBoy BOOM! (Dance & Urban Art)

Friday - Mic Controller (Music & Urban Art)

I would like to enroll my camper for all 5 days.

Please Note: A Camper cannot attend both day camps and the week-long Passion Theatre Program due to contraints imposed by the Space-Time Continuum.

March Break Senior Week Long Camp
for Campers ages 11+

Week-Long Program Passion Theatre (Theatre): Welcome to Passion Theatre, one of Ross Creek’s flagship workshops. This week long workshop is for 11+ campers that really want to advance their acting skills. This workshop will be a blast with a more advanced look at improv, movement, Script. They they put it all together for a theatrical perfomance on Friday evening!

Enroll Camper in the Week-Long Theatre Program


Please Note: We ask that the Passion Theatre kids stay through supper on Friday and parents come to get them at the performance to give them enough time to prepare.

T-Shirt Size

Camper's Health Information
EVERY CARE WILL BE GIVEN TO THE HEALTH AND COMFORT OF THE CAMPER. In order that the staff may provide the best care for your child, the following information MUST be filled out.
Health Card #
 Expiry
Province
Other/Private Health Insurance
Family Doctor
 Family Doctor's Phone Number
Does the camper have any dietary restrictions? Is there anything else we should know about the camper's eating habits or restrictions?


Personality

We are interested in providing a positive summer camp experience for your child. To do this, we need to prepare as well as we can for your child and ensure their comfort. Please answer the following questions if your child will be with us overnight. Indicate with a check which of these best describes your child (check as many as you need):



Shy
Makes friends easily
Emotional
Sensitive
Easy-going
Nervous
Happy
Wets the bed
Gets homesick
Has stayed at an overnight camp before
Likes going to sleepovers with friends
Other:

Medical Conditions
Does the camper have any chronic medical challanges?
Yes No
(If they take any ongoing medications , the answer is yes.)
------------------------------------------------------------>
If Yes, please detail the condition. (i.e. diagnosis, treatment including medications, any possible restrictive activities):


Mental Health Issues
Does the camper have any behavioural or mental health challenges?
Yes No
(If they take any ongoing medications, or receive regular treatment, the answer is yes)
--------------------------------------------------->

If Yes, please detail the condition. (i.e. diagnosis, treatment including medications, any possible restrictive activities):

Medications

List any medications, both over the counter and prescribed, accompanying the camper and condition for which they are prescribed. All medications must be
in original packaging with dosage instructions
and clearly labelled with camper’s name.
These medications will be kept by the Designated
Camp First Aid Person during camp.



Date of Last Tetanus shot:


Any immunizations Not done:
Camper has had H1N1 vaccine or already had the H1N1 flu.

 

I give permission to give permission to the Designated Camp First Aid Person to release pre-prescribed medication and non-prescribed medication such as:

Cough Drops
Sudafed, Benadryl or Equivalent
Anti-Diarrhea
Motrin
Advil		 I do not give permission to give permission to the Designated Camp First Aid Person to release pre-prescribed medication and non-prescribed medication such as:

Cough Drops
Sudafed, Benadryl or Equivalent
Anti-Diarrhea
Motrin
Advil

I hereby authorize the Ross Creek Centre for the Arts staff to secure such medical advice and services, including transportation, as may be deemed necessary for the health and safety of my child/ward. I agree to accept financial responsibility in excess of the benefits allowed by Provincial Health Insurance Plans.

 


Name:

Date:

 

Transportation

PLEASE NOTE - SOME DAYS ARE NOW FULL FOR THE BUS - PLEASE CALL BEFORE ASSUMING YOU CAN USE THIS SERVICE

I Would like my child to use the Bus Service:
Yes
No

 If YES, what Bus Stop will your child be using?

I will bring my child first day:
Yes
No
I would like to added to the Carpooling List:
Yes
No

Name and number of people who have permission to pick up your child from the bus stop or Arts Centre:

Name: Phone:
Name: Phone:
Name: Phone:

 

  Payment Information

We require a $55 deposit to secure your Camper's place. Please pay Online or call (902)582-3842 to make other arrangements. Your application is not considered complete until the deposit is made. If you are applying for a bursary a deposit is NOT required.
 

I would like to pay the remainder of my balance by:

I would like to pay in installments:

We will contact you for full payment arrangements once we receive your application.
  Submit your Application.