FALL DAY CAMP APPLICATION 5-12 years old

Does your child have friends/siblings attending the same age group and week? List their names here, if you would like them to be in the same group.

NOTE: children will be grouped by age. There will be opportunities for siblings to mingle throughout the day, but it may be hard to place a older sibling with a younger sibling.

Please provide brief details of any health or behaviour issues we should be aware of - (i.e. peanut allergies, ADHD, etc.), or if an aide will be attending with your child. If necessary, we will contact you to further discuss the information provided.

  CONTACT INFORMATION

Your email address will be used to communicate Butterfield Acres Program information. Butterfield Acres NEVER sells, rents or trades your email information.

...making life EASIER for Parents...   and MORE FUN for campers!

EASY OPTION A - SNACK PROGRAM
Our nutritious camper-friendly snacks- see website for menu items.

I would like Butterfield Acres to provide the two snacks needed each day: for a 5 day week $41.49 , for a 4-day week $33.49

YES! Register for Farm Snack Program

EASY OPTION C - BEFORE CAMP CARE PROGRAM

Available starting at 8:00 a.m.
Cost: $10.99/hr

YES! Register my child for BEFORE CAMP CARE

Your child's camp begins at 9:00am. For this week, you will need how much time of BEFORE CAMP CARE for how many days?
Please choose carefully from the following dropdown list. This information is used to calculate your BEFORE CAMP CARE fee.

I will need BEFORE CAMP CARE on these days:

EASY OPTION D - AFTER CAMP PROGRAM

Available until 4:30 p.m.
Cost: $10.99/hr

YES! Register my child for AFTER CAMP CARE

Your child's camp ends at 3:30pm. For this week, you will need how much time of AFTER CAMP CARE for how many days?
Please choose carefully from the following dropdown list This information is used to calculate your AFTER CAMP CARE fee.

AFTER CAMP CARE is required on these days:

PARENT / GUARDIAN APPROVAL

I / We do hereby acknowledge and agree that the participation of the child, above named, in this program is at our sole risk and liability; moreover, we hereby release and agree to hold harmless and indemnify BUTTERFIELD ACRES INC., its agents, subcontractors and servants or employees or any responsible adult for any and all actions, the causes of action, claims, liabilities and demand whatsoever arising out of or in any way related to or connected with this program without limitation.

ACKNOWLEDGMENT OF RISK

I / We do hereby acknowledge and agree that the participation of the child, above named, in this program is at our sole risk and liability; moreover, we hereby release and agree to hold harmless and indemnify BUTTERFIELD ACRES INC., its agents, subcontractors and servants or employees or any responsible adult for any and all actions, the causes of action, claims, liabilities and demand whatsoever arising out of or in any way related to or connected with this program without limitation.

CONSENT FORM

I / We hereby consent to any medical attention or any other care or treatment considered necessary by the staff of BUTTERFIELD ACRES INC. or other responsible adult.

RELEASE

Further, I / We also grant full permission for any pictures of my child, taken by BUTTERFIELD ACRES INC. employees and / or agents during this camp to be used for promotional purposes providing this child's name is not used.

CHANGE/ADJUSTMENT POLICY

A minimum $30.00 fee will be applied to registration change(s). The exception to this is program additions.

CANCELLATION / REFUND POLICY

Camps will be cancelled when the Teacher's strike is over. Full refunds for any camps that are cancelled. Otherwise fees are not refundable. If your camper is unable to attend camp for the week, you may substitute another child for the week (a new registration form is required) or you may switch to another week if:
a) if there is availability in the week.

I have thoroughly read, and agree, to the terms and conditions.

SECURE ONLINE REGISTRATION

As with any transmission over the Internet, there is always some element of risk involved in sending personal information. In order to try to minimize this risk, we encrypt all information that you submit using the Secure Socket Layer (SSL) protocol. Our Certificate enables up to 256-bit SSL encryption - the most powerful SSL encryption commercially available today.

If you are ever in doubt, look for the lock - -   it   appears in your web browser window (usually bottom right corner) and/or browser address bar along with the "https://" prefix indicating SSl security is enabled on the current page.

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