Summer Nature Camp 2017 Registration

Welcome to the registration for our 2017 Summer Camps on Salt Spring Island, BC.

To complete registration, please fill in the form below, click SUBMIT, and then complete payment at the bottom, using the shopping cart. Payment is via Paypal (you can use Paypal to pay with your Paypal account, bank account or credit card).
(You may also send an E-transfer to info@wisdomoftheearth.ca. Please include GST.)

All prices are in Canadian dollars. 5% GST will be added at check-out.

Please fill a separate form for each child. We look forward to welcoming your child to our camp!

* = Required

Child's First Name*

Child's Last Name*

Age*

Parent's First Name*

Parent's Last Name*

Parent Email*

Home Phone Number*

Work Phone Number*

Cell Phone Number*

Please check which camp you are registering for*
Way of the Wild Scout Camp July 3-6Ninja Camp July 17-21Go Wild Survival Camp Aug 7-11TEEN Firemaker Camp July 9-15TEEN Art of Mentoring Camp Aug 21-27

Additional Emergency contact name and phone number *

Family Physician name and phone number *

PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK *

In consideration of the services of Wisdom of the Earth Wilderness School, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf, I hereby agree to release, indemnify, and discharge Wisdom of the Earth Wilderness School, on behalf of myself, my children, my parents, my heirs, assigns, personal representative and estate as follows:

1. I acknowledge that my participation in outdoor adventure based activities climbing, hiking, camping, backpacking, canoeing, sea kayaking, and fishing entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. Furthermore, Wisdom of the Earth employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant's fitness or abilities. They might misjudge the weather, the elements, or the terrain. They may give inadequate warnings or instructions, and the equipment being used might malfunction.

2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation and/or the participation of my child in this activity is purely voluntary, and I elect to participate or allow my child to participate in spite of the risks.

3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Wisdom of the Earth Wilderness School from any and all claims, demands, or causes of action, which are in any way connected with my participation or my child's participation in this activity or use of Wisdom of the Earth's equipment or facilities or facilities which they use or rent, including any such claims which allege negligent acts or omissions of Wisdom of the Earth or any persons acting on their behalf.

4. Should Wisdom of the Earth or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.

6. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against Wisdom of the Earth on the basis of any claim from which I have released them herein.

I have read and agree to these terms and conditions*

MEDIA RELEASE *

I hereby grant free permission for Wisdom of the Earth Wilderness School to use images of myself and/or my child participating in their programs or events for outreach purposes, including but not limited to photo, audio, and / or video media. Please consider granting this release to us if at all possible, as our ability to successfully share our programs with new participants depends on having representative media. 

YesNo

Medical Questions *

If you or your child have any personal medical conditions or problems that Wisdom of the Earth should be aware of, it is your responsibility to acquaint us with the existing condition both in this form as well as at the registration for the program. All information gathered will be held in confidence and used only to render proper assistance to you or your child should the need arise.

I understand and have read the above*

Does your child have asthma and/or serious allergies? If so, does your child have medication or carry an epi-pen? (please explain) *

Does your child have a heart condition or any other illness or medical condition? If so, please describe your child's limitation, medications (if any) and history: *

Does your child have any physical disabilities that may limit participation in this program? If so, please describe disability, limitation, and history: *

Allergies/Intolerance to any insects, plants, foods, medications, etc- List below. Please describe your child's reaction (if you know them) to any of the above. *

Does your child have any mental, emotional or psychological issues we should be aware of at this time? Please include any significant social or language barriers. All information is kept confidential and is meant to provide a supportive and safe atmosphere for all involved in the program. *

Additional notes to Wisdom of the Earth staff

Please click the button above to submit your registration information, and then continue to payment (below).

CANCELLATION POLICY
Wisdom of the Earth Wilderness School has implemented this cancellation policy based on the time, resources, deposits (based on numbers), and staffing that goes into planning and facilitating our programs. Cancellations and transfers to other programs cost us time and money, and can prevent others from attending. If you cancel for any reason:
• Cancellations and transfers made 14 or more days before the first day of the program will receive a full refund, less $50 administrative fee.
• Cancellations and transfers made 8-13 days before the first day of the program will receive a refund of 50% of the total program tuition.
• Cancellations and transfers made 7 or less days before the first day of the program will receive no refund or credit. This includes if you do not show up or come decide not to continue.

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