Spare Home Spare Summer Camp 2026 An Online Camp Registration Form for Pouch Cove. Participant InformationParticipant Name(Required) First Last Participant Age(Required)1011121356789Last Completed School Grade(Required)N/AKindergardenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12T-Shirt Size(Required)Kids SmallKids MediumKids LargeYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLParent/Guardian InformationParent/Guardian Name(Required) First Last Your Email Address(Required) Email Address Confirm Email Address Phone Number(Required)Alternate Phone NumberAddress of Parent/Guardian(Required) Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Consent Include Secondary Parent/Guardian InformationSecondary Parent/Guardian Name First Last Address of Secondary Parent/Guardian Street Address Address Line 2 City Postal Code Designated People for Alternative Pickup (up to 3)Designated People for Alternative PickupNamePhone Number Add RemoveChoose Available WeeksSelect the weeks you wish to participate in and if you require Early Drop-off and Late Pickup for each week. PLEASE NOTE REGISTERING IS A COMMITMENT AND YOU ARE OBLIGATED TO PAY FOR THE WEEKS THAT YOU REGISTER FOR. DO NOT REGISTER UNTIL YOU ARE CERTAIN OF YOUR PLANS FOR THE SUMMER. REFUNDS ARE ONLY POSSIBLE WHEN A DOCTORS NOTE IS PROVIDED. Choose Weeks(Required) Week 1: July 2 - July 3 (Reduced Fee of $50) Week 2: July 6 - 10 Week 3: July 13 - 17 Week 4: July 20 - 24 Week 5: July 27-31 Week 6: August 3 - 7 WEEK 7: August 10 - 14 Choose Weeks Week 1: Require Early Drop-off and Late Pickup (Reduced fee of $10) Week 2: Require Early Drop-off and Late Pickup Week 3: Require Early Drop-off and Late Pickup Week 4: Require Early Drop-off and Late Pickup Week 5: Require Early Drop-off and Late Pickup Week 6: Require Early Drop-off and Late Pickup Week 7: Require Early Drop-off and Late Pickup Medical InformationMCP Number:(Required) Does your child have any special needs, requirements, or conditions that may prevent them from fully participating in any programs or activities?(Required) Does your child require medication during the day for the duration of the program?(Required) If yes, a medical consent form must be completed before your child’s first day of camp. Please contact [email protected] or [email protected] Does your child have any allergies and do they carry an EpiPen?(Required) If yes, a medical consent form must be completed before your child’s first day of camp. Please contact [email protected] or [email protected] Consent - I AGREE AND UNDERSTAND THAT IN THE EVENT OF AN EMERGENCY, THE TOWN OF POUCH COVE STAFF WILL TAKE APPROPRIATE ACTION(Required) Yes No Swimming InformationCan your child swim?(Required) Yes No Is your child in swimming lessons?(Required) Yes No If yes, what was the last level completed and where? Does your child require a Personal Floatation Device?(Required) Yes No Can your child swim in the shallow end?(Required) Yes No Can your child swim in the deep end?(Required) Yes No Any other information we should know prior to your child going swimming?REFUND POLICY - A refund will only be given with written medical documentation stating that the participant is no longer able to take part in the program. Refunds will not be issued for missed program days or holidays. The Town of Pouch Cove reserves the right to refuse a refund in cases of removal due to behavioural concerns. I acknowledge that my child will be attending the program on the days registered. I have read and understand the refund policy for the Town of Pouch Cove summer camp program. If your child will be leaving the program, two weeks’ notice is required.(Required) I give permission to use photographs of the above participant in any promotional materials (i.e., print, website, television). I fully understand that there will be no compensation paid to the participant or the parent/guardian of the participant in exchange for the use of the photograph. as well, the town of pouch cove has permission to modify the image (i.e., by cropping or digital manipulation).(Required) Yes No Payment for Summer Camp(Required) Please note, your registration IS NOT COMPLETE until 50% of payment is received. The easiest payment option is emt to [email protected] with your camper's name, your telephone number, and the weeks that you are registering for listed in the comments section of the transfer. We can also accept debit and credit card at the town office. Payment must be made by May 15th. If no payment is received, your registration will NOT be processed and your place in camp will be given to someone from our waitlist. ConfirmationI confirm that I have fully registered my child for Summer Camp Programming, i understand the rules and details of summer camp and attest that the information supplied is correct.(Required) Yes No EmailThis field is for validation purposes and should be left unchanged.
