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March Break & Summer Camps - Medical Form
March Break & Summer Camps - Medical Form
March Break & Summer Camps - Medical Form
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Camp
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Strings Camp – Intro to Suzuki, Book 1, Book 2, Chamber and Orchestra
Instrument Exploration #1 July 4-15 (Ages 4-5)
Instrument Exploration #1 July 4-15 (Ages 6-7)
Instrument Exploration #2 July 18-29 (Ages 4-5)
Instrument Exploration #2 July 18-29 (Ages 6-7)
How to Make a Musical Camp July 18-29
Rock Band Camp for Kids July 18-22
Rock Band Camp for Teens July 25-29
Instrument Exploration #3 Aug 2-12 (Ages 4-5)
Instrument Exploration #3 Aug 2-12 (Ages 6-7)
The Gruffalo Aug 8-12
Band Camp Aug 8-12
Instrument Exploration #4 Aug 15-26 (Ages 4-5)
Instrument Exploration #4 Aug 15-26 (Ages 6-7)
What the Ladybird Heard Camp Aug 15-19
Parent/Guardian Contact Information
#1
Parent/Guardian First and Last Name
Parent/Guardian Email
Home Phone Number
Cell Phone Number
#2
PARENT/GUARDIAN FIRST AND LAST NAME
Parent/Guardian Email
Home Phone Number
Cell Phone Number
Pick-Up List/Alternative Emergency Contact
#1
Pick-Up First and Last Name
Phone Number
Relationship to child
#2
Pick-Up First and Last Name
Phone Number
Relationship to child
For your child’s safety, campers are not permitted to be sent home with a guardian who is not included on their approved pick-up list, including family/guardians of other campers. any additional pickup names must be sent in advance in writing to
[email protected]
and confirmed by programs coordinator for approval.
Medical Information
Health Card Number
Please list any allergies or medical information we should be aware of:
Does your child require an EpiPen?
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No
Has your child recently had a cold/flu/infection?
Yes
No
Does your child have any behavioural/social/emotional needs?
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Please provide any additional information/comments about your child you feel our staff should be aware of:
Medical Restriction(s) Acknowledgement
I hereby certify that my child has no medical restrictions or concerns prohibiting him/her from participating in any day camp activities. Should the need arise, permission is granted to The Royal Conservatory and/or its representative to transport my child to a local hospital for medical treatment if necessary.
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