Senior Week Camp Cue 2027 Registration Form

Camp Cue 2027 Senior Camp Registration Form

FULL WEEK CAMP REGISTRATION
Camp Information

Designed for older campers, this full-week experience is the perfect opportunity to fully immerse yourself in the world of musical theatre. Build lasting friendships, refine your performance skills, and create unforgettable memories while exploring everything that makes camp magical over an entire week of engaging and action-packed activities! Camp is located in Sooke, BC on Vancouver Island
Camper Information
My camper is attending FULL WEEK:
* If you are born in 2008 but have not yet turned 19 by the start of camp - you may register.
Legal Name

First NameMiddle NameLast Name
Camper Prefers a Different Name:
If yes, please note below:
Date of Birth

MonthDayYear
Date
Camper's Email
example@example.com
Camper's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Camper's Assigned Sex at Birth
Camper's Gender Identity

Other
If Other, please note below:
Camper's Pronouns

Other
If Other, please note below:
Roommate Requests

These are requests only. (Optional)
Choice 1
Choice 2
Camper's T-Shirt Size (all sizes are adult, gender neutral)
Parent/Guardian Information 1
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Information 2
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Information 3
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Information 4
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Information 1

In the case of an emergency and we can't get in touch with a parent/guardian.
Name

First NameLast Name
Relationship to Camper
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Information 2
Name

First NameLast Name
Relationship to Camper
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Camper Medical Information
Camper's PHN/Care Card Number
Camper's Physician
Physician Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please indicate any medical conditions:
Please indicate any medications and/or treatments:
Please indicate any injuries, hospitalizations, or surgeries that may be relevant:
Please indicate if your camper requires any additional support:
*Please note that Camp Cue is not able to provide dedicated one on one support.*
Please indicate any allergies (food and other):
Please indicate severity of allergy.
Please select any food preferences/intolerances:

Other
If other, please explain:
Does the Camper have permission to be given over-the-counter medication if requested? (i.e. Tylenol)
Does the Camper have permission to be transported in the case of an emergency by a staff member of Camp Cue?
Signature of Parent/Guardian:
Parent/Guardian authorization: This health history is accurate to the best of my knowledge and the person herein described has my permission to engage in all planned Camp Cue activities, except as noted by the examining physician and me. In the event that neither I nor an emergency contact described above can be reached in an EMERGENCY, I hereby give permission to the health care provider selected by the Camp Cue certified First-Aid Attendant and directors to hospitalize, provide proper treatment for and order injections as necessary.
Medical Transportation and Supervision Policy: In the event that a camper requires transportation to a hospital or emergency medical facility, the primary guardian agrees to begin making immediate arrangements to have themselves or an authorized representative (such as an emergency contact, co-guardian, or family member) meet the camper at the hospital as soon as possible. Camp Cue staff will accompany the camper during transportation to the hospital if necessary but are not able to remain with the camper overnight or provide extended supervision at the medical facility. If no guardian or authorized representative is able to arrive in a timely manner, and extended supervision becomes necessary, the guardian understands that additional costs may be incurred and agrees to assume full responsibility for those costs.
Photo, Video, & Sound Recording Release

Camper's Name:   First Name*   Last Name*

At Camp Cue we celebrate every child's experience at our camp. Throughout the week we will be documenting all of our classes, workshops, and activities through photos, videos and other forms of media.

I hereby give Camp Cue permission to licence the images, videos or sound recordings in any media form for any purpose, which may include advertising, marketing, and promotional purposes.

I agree that I have no rights to the images, videos, and/or sound recordings mentioned above and all rights belong to Camp Cue.

Date:   Date*   Parent/Guardian Name:   First Name*   Last Name*
Parent/Guardian Signature:
Signature
COVID-19 & Communicable Disease Waiver

I,   First Name*   Last Name*  (parent/guardian), acknowledge that Camp Cue cannot guarantee my camper,   First Name*   Last Name* , will not become infected with the COVID-19 or other viruses. I understand that the risk of becoming exposed to and/or infected by the COVID-19 or other viruses may increase by the result of the actions, omissions, or negligence of my camper and others, including but not limited to, Camp Cue staff, guest instructors, vendors, volunteers, and other campers.

Furthermore, I acknowledge that my camper must comply with all set procedures and guidelines including, but not limited to, applicable orders/guidelines set by the PHO and Camp Cue and possible rapid COVID-19 testing prior to arrival, to reduce the spread of COVID-19/Coronavirus while attending Camp Cue.

Date:   Date*   Parent/Guardian Name:   First Name*   Last Name*
Parent/Guardian Signature:
Signature
Liability & Responsibility

I,   First Name*   Last Name*  (parent/guardian) accept full financial responsibility for any actions intentional or otherwise that   First Name*   Last Name* (camper) may have committed to cause any damage to any facility, property, and/or equipment used while attending and residing at Camp Cue.

Date:   Date*   Parent/Guardian Name:   First Name*   Last Name*
Parent/Guardian Signature:
Signature
Transportation Liability & Waiver

I,     First Name*   Last Name*      (parent/guardian), waive and release Camp Cue, its staff, vendors, and volunteers from any and all liability for any loss, injury, or damage to my camper, First Name*   Last Name*   (camper), and/or my property incurred while being transported with Camp Cue by means of including, but not limited to, ferry, vehicle, or bus.

I accept all financial responsibility for any actions intentional or otherwise that    First Name*   Last Name*    (camper) may have committed to cause any damage to any facility, property, and/or equipment used while traveling to and from Camp Cue.

Date:    Date*     Parent/Guardian Name:         First Name*   Last Name*
Parent/Guardian Signature:
Signature
Release & Waiver

I,   First Name*   Last Name*  (parent/guardian), waive and release Camp Cue, its staff, guest instructors, vendors, and volunteers from any and all liability for any loss, injury, or damage to my camper and/or property incurred while attending and residing at Camp Cue and any other Camp Cue sanctioned activity including, but not limited to, off campus activities and travel to and from.

Date:   Date*   Parent/Guardian Name:   First Name*   Last Name*
Parent/Guardian Signature:
Signature
Indemnification

I,   First Name*   Last Name*  (parent/guardian), parent/guardian of   First Name*   Last Name* (camper) agree to indemnify Camp Cue, its staff, guest instructors, vendors, and volunteers from any claims or demands which might be made against Camp Cue arising out of or in consequence of  First Name   Last Name  (camper) attending and residing at Camp Cue and any other Camp Cue sanctioned activity including, but not limited to, off campus activities and travel to and from.

Date:   Date*   Parent/Guardian Name:   First Name*   Last Name*
Parent/Guardian Signature:
Signature
How did you hear about Camp Cue?

Other
If referred by friend, please list friend's name.
Cancellation Policy

Payment Options - Camp Tuition includes room & board, all camp programming, and a Camp Cue t-shirt.

Full Tuition (includes Registration Fee)

Tuition includes: Lodging for 6 nights, 3 meals a day, all camp related activities, workshops and classes with guest professionals and a camp t-shirt!

$1,445.00 CAD

Registration Fee Only

Pay the non-refundable registration fee today and pay the remaining balance monthly starting from the time of registration until July.

$200.00 CAD

Transportation

Includes pickup and drop off at Tsawwassen Ferry Terminal. Ferry and Bus fees are included. * If not selected, Guardians will be responsible for transporting campers to and from Camp.

$90.00 CAD

Enter coupon

Subtotal

Tax

Total

Payment Methods

Credit Card

Apple Pay

Google Pay

Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

Camp Cue 2027 Senior Camp Registration Form

Camp Information

Camper Information

Roommate Requests

Parent/Guardian Information 1

Parent/Guardian Information 2

Parent/Guardian Information 3

Parent/Guardian Information 4

Emergency Contact Information 1

Emergency Contact Information 2

Camper Medical Information

Signature of Parent/Guardian:

Cancellation Policy

Payment Options - Camp Tuition includes room & board, all camp programming, and a Camp Cue t-shirt. *

Payment Methods

Payment Options - Camp Tuition includes room & board, all camp programming, and a Camp Cue t-shirt.