CGRA PD Day Camp Form 2025-2026

Welcome to Chappelle Gardens PD Day Camps

Thank you for choosing Chappelle Gardens PD Day Camps for your child! The CGRA is a non-profit organization that is responsible for the maintenance of community features, including entry ways, parks, and for running programs and events all year round for all members to enjoy. Please ensure that you read the following information before camp begins. If you have any questions or concerns, please do not hesitate to contact us. We are looking forward to a fun and adventurous time ahead! If any of your family contact information or camper personal/medical information changes prior to the start of camp, it is imperative that you notify the office.

The office is open 7 days a week from 9:00am to 9:00pm and if you have any questions or are in need of information, please do not hesitate to contact us by:

Phone: 780-705-1815

Events email: Events@chappellegardensra.ca 

Cancellation Policy 

Refunds and cancellations can be requested up to 2 weeks prior to the day camp start date with a non-refundable administration fee of $15.00. All requests must be made in writing by contacting the Events Coordinator at events@chappellegardensra.ca. No refunds will be issued for programs cancelled less than two weeks prior to the camp start date unless for medical reasons and documentation is provided.

Initial Here

Photo Release

The Chappelle Gardens Residents Association staff take a variety of photos and or video of camp activities. These photos and/ or videos may be used on our social media, website or used for promotional purposes (no names will be included). 

I give permission to allow photos or videos of my child to be taken during camp activities. I further give permission to Chappelle Gardens Residents Association the right to any such photos or video to promote camp the experience. *If photos are prohibited we ask that you discuss this with your child before hand so they understand they cannot be photographed. 

Yes 

No

Initial Here 

 

First Aid Authorization

 I confirm the Participant’s medical conditions and information stated on this application is complete and correct. I give permission to the Chappelle Gardens Residents Association Camp staff to (1) provide appropriate first aid for minor injuries; and (2) seek further treatment from emergency services and hospitals if the situation warrants. I certify that I have completed all sections of this form and accept full responsibility for any errors or omissions. The Participant has permission to take part in all program activities except as noted above. I understand the information on this form will be shared on a “need to know” basis with Chappelle Gardens Residents Association Camp staff. I fully understand that the Participant is to abide by all rules governing personal conduct during all activities. Any violation of these rules may result in the Participant being sent home. All medical incidents and severe behavioral incidents will include an incident report form to be sign by the parent or guardian upon pickup. 

Initial Here

 

Sunscreen and Bug Spray

When given permission, Chappelle Gardens Camp Staff will assist in applying sunscreen and/or bug spray to bare surfaces including face, ears, bare shoulders, arms, legs and feet. All sunscreen and insect repellent will be provided by the parent/guardian in the original container with a valid expiration date, where applicable, labeled clearly with the participant's name. Sunscreen and bug spray will be reapplied during the day as needed. 

Do you give permission to Chappelle Gardens Residents Association Camp Staff to apply sunscreen and bug spray to your child, if assistance is required?

 Yes   

  No

Initial Here

 

Late Pick-Up Policy

We understand that, at times, lateness to pick up children can be an unforeseeable circumstance. Therefore, the first late instance will not be charged. However, subsequent lateness will result in additional fees.

Initial Here

Sign In and Out Authorization

During morning drop-off, parents/guardians MUST sign their campers in and out. The camp has already received a list of “Authorized Persons” when you completed the registration form; only those listed as “Authorized Persons” will be permitted to drop-off and pick-up the child. If you need to remove or add a person to the authorized list, please notify the office immediately at 780-705-1815.

In addition, individuals must present photo identification the first time that they are picking up the child. Failure to do so will result in the child not being released until the office has contacted the primary contact to receive authorization. 

Please remember to bring photo ID the first time that you pick up your child. If an authorized person is listed, they must present photo ID if it is the first time that they come. Chappelle Gardens prides itself on safety policies and procedures. Please do not ask our camp staff to allow you to pick up your child without showing them your ID or having previously shown it.

Initial Here

 

Walk Home Alone Authorization

For some families, the ability for their child to walk to and from camp is a sign of independence and maturity. In order to ensure our campers safety, we require consent from parent/guardian confirming their camper can walk home alone. Camp leaders will only allow campers over the age of 8 to walk home alone if prior consent has been received. If you click no on the below box, your child will be required to be picked up by one of the authorized individuals stated lower in this waiver. Any child with authorization to walk home alone will NOT be permitted to leave the CGRA before 4pm.

I consent to my child being allow to walk home from camp on their own after the programming is completed. I ensure that my child understands the safety aspects of walking home on their own. I understand that my child will be walking home unsupervised and it is the responsibility of the parent/guardian, and not Chappelle Gardens camp leaders, or the Association, once my child has left the Social House building. 

 Yes   

  No

Initial Here

 

Sunday, November 2, 2025   

Snacks and Treats

At the end of the camp or during certain activities, the Chappelle Garden Residents Association Camp Staff may provide some peanut-free snacks or treats to the campers (taxing into consideration all allergies and dietary restrictions). 

Do you give permission to Chappelle Gardens Residents Association Camp Staff to provide snacks or treats to your child?

Yes

No

Initial Here

 

Signee Information

PLEASE NOTE:

Please send your child with a peanut-free bag lunch and extra snacks each day of camp. We will have time throughout the day for the kids to have a break and a snack to keep their energy levels up. We require a bag lunch as we will not have access to a microwave during summer camps. We thank you for your understanding.


















Check all that apply

Medical Information

In order for us to care for your child well, we do require to know a bit of medical information about your child. Please answer the following:

If there are no allergies, please type none




* If your child is required to carry their EpiPen please provide two non-expired EpiPens. One for your child to carry with them and one to keep in the office.

If there are no dietary restrictions, please type none




If yes, and your child has used their puffer in the last year, they will be required to have a puffer at camp.






Please include all conditions that are known, and any necessary details. If none, please type none.

If medication is to be taken during camp time please indicate the drug, dose, reason for taking, time taken and how it is given. Medication will be stored in the office unless otherwise indicated. If none, please type none.

Please provide any additional information that would be helpful for staff to know for your camper to have a successful week (behaviors, supports, strategies, etc.). If none, please indicate.

Emergency Contacts

In case of an emergency, please include the name and phone number of two emergency contacts.

First and Last Name - relationship to child

Phone Number

First and Last Name - relationship to child

Phone Number

Sign in and Out Authorizations

During morning drop-off, parents/guardians MUST sign their campers in and out. The camp has already received a list of “Authorized Persons” when you completed the registration form; only those listed as “Authorized Persons” will be permitted to drop-off and pick-up the child. If you need to remove or add a person to the authorized list, please notify the office immediately at 780-705-1815. In addition, individuals picking up children from camp must present photo identification to match the name on the list. Due to a high volume of repeat campers, we will only require photo ID on the first day that the authorized individual is picking up. Failure to do so will result in the child not being released until the office has contacted the primary contact to receive authorization. Please remember to bring photo ID the first day that you pick up your child. Chappelle Gardens prides itself on safety policies and procedures. Please do not ask our camp staff to allow you to pick up your child without showing them your ID or having previously shown it.

Please remind this individual that they will need to show ID to pick up your child

Please remind this individual that they will need to show ID to pick up your child

Please remind this individual that they will need to show ID to pick up your child

Sign Here

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.