parents guide - amazon s3...2019/04/29 · we cannot guarantee a totally nut free environment as we...

PARENTS GUIDE TO Q CAMPS

1Queen’s University Athletics & RecreationGOGAELSGO.COM/CAMPS

campsQueen’s University Athletics and Recreation

PARENTS GUIDE


2Queen’s University Athletics & Recreation

PARENTS GUIDEOn behalf of our instructors, Queen’s University, and Queen’s Recreation, I would like to welcome you and your child to the Queen’s Summer Sports Camp program. All camps promise to be filled from start to finish with developmentally appropriate activities which promote

life-long learning of recreation and sports skills. The skills are experienced in a recreation setting to encourage each child to explore fun and diverse activities.

We have an excellent group of experienced and enthusiastic instructors leading the program this year who have participated in an extensive pre-camp training program and are certified with CPR/First Aid.

The Athletics and Recreation Centre (ARC) has two facilities; ARC North is located in the Queen’s Centre at 284 Earl Street and ARC South is located in Mitchell Hall at 69 Union Street West. Q campers utilize almost every area of our state-of-the-art facilities and their amenities. The ARC North features two gymnasiums which can be used for a multitude of sports and set for a variety of configurations. The ARC North also has the most squash courts and racquetball courts in Kingston along with the city’s largest pool featuring several swim lanes, two diving boards as well as dedicated pool-side change rooms with showers. Next door in ARC South located in Mitchell Hall we have 3 additional gymnasiums and 35-meter indoor turf area. Q Campers will also use our full-size artificial, multi-season playing fields at Tindall Field, Nixon Field and Richardson Stadium.

Due to renovations of the main entrance of the ARC North all sign-in, sign-out, lunches and canteen will take place in the ARC South located in Mitchell Hall at 69 Union Street West.

PARENT’S NIGHTYou are invited to attend our Annual Parent’s Night in June (date to be determined), in the ARC South located in Mitchell Hall at 69 Union Street West. You will be able to meet the counselors, tour the facility and ask questions!

TABLE OF CONTENTSWhat to Pack for a Day at Camp.................... .............. ............3 Arriving at Camp ...........................................................................4Departing From Camp ................................................................4 Before and After Camp Care Program...................................4 Single Day Registrations ...........................................................5 Valuables ........................................................................................5Accidents and Emergencies .....................................................5Illness ............................................................................................... 5Medications, EpiPens, Inhalers ...............................................6Summer Camp Souvenir T-Shirt .............................................6 Discipline ........................................................................................6Communication ...........................................................................6Contacting Your Child at Camp ...............................................6 Pool Admissions Requirements ..............................................7 Sports Camps Checklist..............................................................8

Canteen Menu Form ..................................................................9Canteen Order Form ..................................................................10 Pita Pit Order Form .....................................................................11 Grocery Checkout Order Form ..............................................12Camper Release Information Form ......................................13Epipen Permission Slip Form ..................................................14Manual Registration Form .......................................................15Camper Code Of Conduct .............................................16 & 17Parent/Guardian Consent ..............................................18 & 19

[email protected] ext. 74605



WHAT TO PACK FOR A DAY AT CAMPCLOTHING AND SHOESCampers should come to camp dressed for a day of activity. We recommend outdoor activity clothes and athletic shoes (no sport-sandals or open-toed shoes). You may want to include an additional pair of socks to help with blister prevention. A hat is also recommended.

WATER BOTTLEWater is a vital component when physically active. Parents are asked to send a water bottle/squeeze bottle each day, labeled with your child’s name. Please encourage your child to drink water while they are attending camps. We also allow for many water breaks throughout the day.

SUNBLOCKYour child will participate in outdoor activities everyday (except for Just for Fish and our Elite camps). For protection from the sun’s rays, we recommend applying SUNBLOCK (SPF #15 or higher) on your child, prior to arrival. We encourage you to send sunblock with your child.

SWIMMING GEARPlease pack a swimsuit every day for your camper. Towels will be provided. If your child is swimming at multiple times throughout the day, a second suit may be required. Backpack/Gym Bag A backpack, gym, or book bag is recommended for your child’s belongings. Please LABEL all of your camper’s items with his or her name.

LUNCHESWe offer four options:

1. Bring your own bagged lunch from home. 2. Purchase a PITA PIT® meal plan option. 3. Purchase food from our on-site canteen (Cheese or Pepperoni Pizza)4. NEW partnership with Grocery Checkout – Healthy Food Items

We are excited to be offering a PITA PIT® and Grocery Checkout meal plans this summer. Our canteen service is also available daily with Gabriel Pizza. PITA PIT® and Grocery Checkout meal plans must be order prior to the week of camp. Orders can be placed through the online registration system used to register for camps or by filling out the forms on pages 11 & 12.

WE ENCOURAGE ALL PARENTS AND CAMPERS TO LIMIT THE USE OF PEANUTS AND PEANUT BUTTER IN CHILD’S LUNCHES. As you are aware, severe peanut and nut allergies are around us and we are trying to do the best we can to control this. We cannot guarantee a totally nut free environment as we are open to the public.

SNACKSPlease include a few snacks in your child’s lunch as we will break from time to time throughout the day.



ARRIVING AT CAMP• March Break and Holiday Camps: A regular March Break and Holiday camp day is 9:00 am - 4:00 pm. Before

and after camp care is available starting at 8:00 am or in the afternoons until 5:00 pm. • Summer Camps: A regular Summer camp day is 9:00 am - 4:00 pm. Before and after camp care is available

starting at 8:00 am or in the afternoons until 5:15 pm.

CHECK-IN PROCEDURESDuring your registration you were asked to list the people who have permission to sign your child in and out of camp. This is essential as we make it mandatory that parents provide photo ID upon both signing in and out their camper. All campers must be checked (signed) in before the start of our camp day at 9:00 am. This summer the Athletics and Recreation Centre’s main entrance will undergo a major renovation. All campers must be signed in and signed out at the ARC South located in Mitchell Hall. From the original entrance off of Earl Street, follow the wayfinding dots and signs to the ARC South entrance. Lunches and canteen service will also be offered in the ARC South.

LATE ARRIVALSALL late arrivals (after 9:00 am) must report to the Q Services desk in ARC South located in Mitchell Hall.

DEPARTING FROM CAMPEARLY DEPARTURESAdvanced notice must be given in writing to the staff at check-in or check-out if your child needs to leave early. ALL campers who need to leave early will be picked up from the ARC South Q Services desk in Mitchell Hall and signed out accordingly. Due to programming, pick-ups must occur before 2:30 pm.

CHECK OUT PROCEDURESAs you will have noted in the online registration system, you were asked to list the people who have permission to sign your child in and out of camp. We will have a list of those people at sign in and sign out, so please ensure it is accurate. It is mandatory that you present photo ID upon signing out your camper. Please pick up (sign out) your child in the ARC South. On page 12, you’ll find a Camper Release Form that will need to be filled out if your child needs to leave camp for any reason ie. Dentist appointment. Please give this directly to your child’s camp counselor.

BEFORE AND AFTER CAMP CARE PROGRAMThis program is available to parents who need to drop/pick up their child outside a typical day of camp. This portion of the camp is supervised with minimal programming. Children will be asked to relax and participate in low activity games or crafts.

• March Break and Holiday Camps: Before and after camp care is available starting at 8:00 am or in the afternoons until 5:00 pm.

• Summer Camps: Before and after camp care is available starting at 8:00 am or in the afternoons until 5:15 pm. • Pick up / Drop off location: Studio 5 of the ARC South in Mitchell Hall

From the original entrance off of Earl Street, follow the wayfinding dots and signs to the ARC South entrance. Lunches and canteen service will also be offered in the ARC South.



SINGLE DAY REGISTRATIONSWe allow campers to register for a single day of Camp on select camps. If you have registered for a single day of camp, you should follow all of the procedures laid out in this document. We are accepting single day registrations in-person only. The cost for single day registrations is $55 per day.

VALUABLESPlease leave all valuables at home. Label all of your belongings. Cell phones, iPods and other portable music players, collector cards, hand held video games, etc are not allowed at camp (even at lunch). Please leave them at home. Items that are not appropriate for camp will be confiscated and locked in the camp office until check out. Queen’s is not responsible for lost or stolen items.

ACCIDENTS AND EMERGENCIESIn the case of an emergency or accident involving your child, you will be notified following notification of the appropriate emergency personnel. All members of the camp staff are certified in First Aid and CPR and have been trained in emergency procedures at all locations.

Please be sure to provide the most accurate and update emergency contact information.

ILLNESSIf your child should become ill while at camp, you will be notified. We do not have a registered nurse on staff, therefore, we will ask you to make the decision whether to remove your child from the program for the day. We ask for your discretion on bringing your child to camp if he/ she is ill. Please call 613-533-6000 ext. 74605, if your child is ill and away from camp for the day.



MEDICATIONS/EPIPENS/INHALERSWe are not responsible for administering your child’s medication. If your child does require medication, the parent/guardian will be required to administer it at camp. The camper is responsible for carrying his/her EpiPen or inhaler with him/her at all times. The camper will show the counselor where it is carried. The use of a fanny pack has proven the most successful way to do this. In the event of an emergency, the camp counselors will administer the EpiPen. Please see the permission form on page 13 that will need to be signed and brought to the first day of camp.

SUMMER CAMP SOUVENIR T-SHIRTEach camper will receive one complimentary Q Camps t-shirt as a keepsake for attending camp. T-shirts will be distributed at the session of camp for which the camper is enrolled.

DISCIPLINEAt the Q Camps, we are aware that there will be a time when every camper has a difficult day. First and foremost, we want to quickly resolve any conflicts and keep your child involved in the activities. On occasion, it may be necessary to give the camper a chance to re-group away from the activity area.

In order for you to have a fun and exciting time, every camper needs to follow the same Camp Rules. Our Camper Code of Conduct is our guide to ensure the enjoyment and safety of all persons attending camps at Queen’s University.

Click here to view the Q CAMP CAMPER CODE OF CONDUCT

COMMUNICATIONE-Mail:Summer Camp Supervisor [email protected] Eyles Coordinator, Camps and Community Outreach [email protected]

Website: gogaelsgo.com/camps

Camp Office: 613-533-6000 ext. 74605

Q Services: 613-533-2500

CONTACTING YOUR CHILD DURING CAMPIf you have an emergency and need to contact your child during the day, please call Q Services desk at 613-533-6000 ext. 74715 or ext. 74717

https://rec.gogaelsgo.com/documents/2019/4/29//CAMPER_CODE_OF_CONDUCT.pdf?id=711



POOL ADMISSIONS REQUIREMENTSTo ensure that children have a safe and enjoyable swimming experience, Queen’s Athletics & Recreation has updated our wristband policy. This system allows staff to identify children at greater risk and ensure adequate supervision when in the pool area.

Additionally, children who are unable to pass the swim test and who cannot touch the bottom of the pool and keep their head out of the water must wear a lifejacket.

*Due to the depth of the Queen’s ARC shallow end, all children who are unable to pass the facility swim test and unable to reach the minimum height requirement of 4ft 10 inches will be required to wear a lifejacket in the shallow end.

Each ratio indicates the maximum number of children that one responsible person (aged 16 or older) is able to supervise. Responsible person should be in proper bathing attire, in the water, actively participating within arm’s reach at all times.High-risk participants must be in a ratio of 1:1. High-risk participants are defined as those who have a condition or illness that may put them at risk in an aquatic environment (i.e. frequent seizures, fainting conditions, etc.) and those who are unable to control behaviour or impulses and require direct supervision.

Facility Swim TestChildren must swim on their front across the shallow end of the pool (50m distance) without touching the bottom. Children may attempt the swim test ONLY ONCE during a scheduled swim time.



CAMP CHECKLISTPlease use this checklist to ensure all relevant documents are completed and enclosed.

Drop-off and Pick-up at ARC South in Mitchell Hall (69 Union Street West) ** bring your photo ID. Daily Camper Release Information Please ensure contacts are up to date online.

Before and After Camp Care Form (if needed) Paid IN FULL prior to start of camp

Canteen Form filled out with money (exact change or canteen card is preferred)

PITA PIT® / Grocery Checkout order form filled out and paid one week prior to start of camp

Sunscreen and Hat

Water Bottle with name on it

Bathing Suit (we provide towels for swims)

Running Shoes (no sandals)

Canteen Card

Smile!



SUMMER 2019 Q CAMPS CANTEEN MENU (The following options may be adjusted. View latest menu at gogaelsgo.com/canteen)

Gabriel Pizza (Cheese or Pepperoni) .................................................................................................................. $4.00

Juice (Five Alive or Fruitopia 341ml can) ............................................................................................................. $1.50

Powerade (Berry Blast, Fruit Punch, or Orange 491ml bottle) .............................................................................. $2.50

Fresh Popped Popcorn ...................................................................................................................................... $1.00

Freezies ............................................................................................................................................................... $1.00

Minute Maid Frozen Treats (Strawberry or Lemon flavor) ................................................................................. $2.00

Small Snacks (Granola Bars, Rice Krispies Snacks) .......................................................................................... $1.25

Other Snacks (Licorice, Cookies, Combos) ....................................................................................................... $2.00

Sour Keys ...................................................................................................................$0.25 each / bag of 5 for $1.00

PRICES INCLUDE TAX

Payment for lunches or canteen items can be made with cash or a reloadable Canteen card.

Canteen cards can be purchased or reloaded at Q Services desk in the ARC.- No more digging for change- Reloadable- Valid for all purchases at the Canteen and Q Shop- Balance never expiresThe quick and easy way to give your child a treat at the canteen!

Please note: It is the camper’s responsibility to take care of their card. Their card must be included with their Canteen order form when it is dropped off in the morning. Lost cards cannot be replaced. Treat the Canteen cards like cash!



CANTEEN ORDER FORMPlease complete this form if you plan to order any of the items below so they can be prepared ahead of time.All other canteen items (drinks etc…) can be purchased at lunch time. PLEASE TURN IN ORDERS TO YOUR CHILD’S COUNSELOR AT DROP-OFF IN THE MORNING

CAMPER NAME DATE CAMP GROUP #

Item Cost Quantity Total PriceSlice of Gabriel cheese pizza $4.00 $Slice of Gabriel pepperoni pizza $4.00 $

Grand Total $

PAYMENT METHOD Canteen Card (enclosed)

Cash: $ Amount enclosed $Change Due $

CANTEEN ORDER FORMPlease complete this form if you plan to order any of the items below so they can be prepared ahead of time.All other canteen items (drinks etc…) can be purchased at lunch time. PLEASE TURN IN ORDERS TO YOUR CHILD’S COUNSELOR AT DROP-OFF IN THE MORNING

CAMPER NAME DATE CAMP GROUP #

Item Cost Quantity Total PriceSlice of Gabriel cheese pizza $4.00 $Slice of Gabriel pepperoni pizza $4.00 $

Grand Total $

PAYMENT METHOD Canteen Card (enclosed)

Cash: $ Amount enclosed $Change Due $



PITA PIT LUNCH ORDER FORMPlease enter your meal plan choices for each day below. Although all meal plan options are peanut-free, we cannot guarantee they have not come in contact with peanut products. If you have specific requests for your meal plan - please indicate them in the comment box at the bottom of this page, we will do our best to accommodate them.

• Multiple Camps: If you are registering this camper for multiple camps, your meal plan choices will be used for each week.• 4-day camps: If you selected a 4-day camp with a meal plan, please just enter choices for Tuesday thru Friday• 2 week camps: If you are registering this camper for a 2-week camp, your meal plan choices below will be repeated for the second week.

Camper Name: _________________________________________________

Name of Camp(s): _________________________________________________

Camp Date(s): _________________________________________________

Please check off selections in the boxes below (Price includes a petita, or regular pita, a bottle of juice or water, and 2 cookies)

Monday Tuesday Wednesday Thursday FridaySandwich Type

Ham Turkey Roast Beef Cheese/Veg Chicken Club BLT Falafel Black Bean





Bread White Brown

White Brown

White Brown

White Brown

White Brown

Toppings(Packages of Mustard/Mayo on side)

Cheddar cheese Green pepper Lettuce Tomato Cucumber Pickles Onion Light Mayo Tzatziki Light Ranch Honey Mustard Reg Mustard





Drink Apple Juice Orange Juice Iced Tea Cranberry Juice Water

Apple Juice Orange Juice Iced Tea Cranberry Juice Water




Cookie Chocolate Chip Oatmeal Raisin

Chocolate Chip Oatmeal Raisin




Special Requests

4-DAY CAMP Petita option ($40/camp) Regular Pita option ($45/camp)

5-DAY CAMP Petita Pita option ($50/camp) Regular Pita option ($55/camp)

10-DAY CAMP Petita Pita option ($100/camp) Regular Pita option ($110/camp)



GROCERY CHECKOUT ORDER FORMPlease enter your meal plan choices for each day below. Although all meal plan options are peanut-free, we cannot guarantee they have not come in contact with peanut products. If you have specific requests for your meal plan - please indicate them in the comment box at the bottom of this page, we will do our best to accommodate them.

• Multiple Camps: If you are registering this camper for multiple camps, your meal plan choices will be used for each week.• 4-day camps: If you selected a 4-day camp with a meal plan, please just enter choices for Tuesday thru Friday• 2 week camps: If you are registering this camper for a 2-week camp, your meal plan choices below will be repeated for the second week.

Camper Name: _________________________________________________

Name of Camp(s): _________________________________________________

Camp Date(s): _________________________________________________

Please check off selections in the boxes below

Monday Tuesday Wednesday Thursday FridayMeal Choice Chicken

Caesar Salad Veggie Tray

& Hummus Veggie Tray

& Ranch

Chicken Caesar Salad

Veggie Tray & Hummus

Veggie Tray & Ranch



Veggie Tray & Ranch



Veggie Tray & Ranch



Veggie Tray & Ranch

Drink Apple Juice Orange Juice Strawberry

Banana Yogurt Drink

Mango Yogurt Drink

Strawberry Yogurt Drink

Apple Juice Orange Juice Strawberry

Banana Yogurt Drink

Mango Yogurt Drink



Banana Yogurt Drink

Mango Yogurt Drink



Banana Yogurt Drink

Mango Yogurt Drink



Banana Yogurt Drink

Mango Yogurt Drink


Side Choice Fresh Fruit Pretzel Crisps

& Hummus Cheese &

Crackers

Fresh Fruit Pretzel Crisps

& Hummus Cheese &

Crackers


& Hummus Cheese &

Crackers


& Hummus Cheese &

Crackers


& Hummus Cheese &

CrackersSpecial Requests

Grocery Checkout 5 day plan $ 55.00 Grocery Checkout 4 day plan $ 45.00 Grocery Checkout 10 day plan $110.00



CAMPER RELEASE FORMReminder: Early pick-up must occur before 2:30pm due to programming schedule.

Child’s Name: ______________________________________

Counselor’s Name: ___________________________________

Camp Name: _______________________________________

Date: ______________________________________________

Reason for leaving: (ie: Dentist Appointment, August 2 10:00am)

Please ensure to include time and date!

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Parent/Guardian Signature______________________________

PLEASE HAND FORM DIRECTLY TO CAMP COUNSELLOR.



PARENTS’ GUIDE TO Q-CAMP

13SUMMER Q-CAMPS

PARENTS’ GUIDE TO Q-CAMP

11SUMMER Q-CAMPS

Anaphylaxis Emergency Plan: _________________________________________ (name)

This person has a potentially life-threatening allergy (anaphylaxis) to:

PHOTO

(Check the appropriate boxes.) Peanut Other: __________________________________________ Tree nuts Insect stings Egg Latex Milk Medication:______________________________________

Food: The key to preventing an anaphylactic emergency is absolute avoidance of the allergen. People with food allergies should not share food or eat unmarked / bulk foods or products with a “may contain” warning.

Epinephrine Auto-Injector: Expiry Date: _________________ / __________________

Dosage: EpiPen® Jr 0.15 mg EpiPen® 0.30 mg Twinject® 0.15 mg Twinject® 0.30 mg Allerject™ 0.15 mg Allerject™ 0.30 mg

Location of Auto-Injector(s): _______________________________________________ Previous anaphylactic reaction: Person is at greater risk. Asthmatic: Person is at greater risk. If person is having a reaction and has difficulty breathing, give epinephrine auto-injector before asthma medication.

A person having an anaphylactic reaction might have ANY of these signs and symptoms:

• Skin system: hives, swelling, itching, warmth, redness, rash• Respiratory system (breathing): coughing, wheezing, shortness of breath, chest pain/tightness, throat tightness, hoarse voice, nasal congestion or hay fever-like symptoms (runny, itchy nose and watery eyes, sneezing), trouble swallowing• Gastrointestinal system (stomach): nausea, pain/cramps, vomiting, diarrhea• Cardiovascular system (heart): pale/blue colour, weak pulse, passing out, dizzy/lightheaded, shock• Other: anxiety, feeling of “impending doom”, headache, uterine cramps, metallic taste

Early recognition of symptoms and immediate treatment could save a person’s life.

Act quickly. The first signs of a reaction can be mild, but symptoms can get worse very quickly.

1. Give epinephrine auto-injector (e.g., EpiPen®, Twinject® or Allerject™) at the first sign of a known or suspected anaphylactic reaction. (See attached instruction sheet.)

2. Call 9-1-1 or local emergency medical services. Tell them someone is having a life-threatening allergic reaction.

3. Give a second dose of epinephrine in 5 to 15 minutes IF the reaction continues or worsens.

4. Go to the nearest hospital immediately (ideally by ambulance), even if symptoms are mild or have stopped. The reaction could worsen or come back, even after proper treatment. Stay in the hospital for an appropriate period of observation as decided by the emergency department physician (generally about 4 hours).

5. Call emergency contact person (e.g. parent, guardian).

Emergency Contact Information

Name Relationship Home Phone Work Phone Cell Phone

The undersigned patient, parent, or guardian authorizes any adult to administer epinephrine to the above-named person in the event of an anaphylactic reaction, as described above. This protocol has been recommended by the patient’s physician.

Patient/Parent/Guardian Signature Date Physician Signature On file Date

ANAPHYLAXIS EMERGENCY PLAN: � �� (NAME)

Q-CAMPS ATHLETICS AND RECREATION



REGISTRATION FORMPlease use a separate form for each participant and each camp. Please print clearly!Registration cannot be processed without payment

Sport Specific Camp must tell us position: _________________________________________

Please list full name(s) of person(s) eligible to sign in AND sign out your child from camp. ID will be required.________________________________________________________________________________________________________________________________________________________________________________________________

CAMPER FIRST NAME NAME OF CAMP

CAMPER LAST NAME DATE OF CAMP

GENDER (Please circle)

MALE FEMALEI do not identify as male or female

I prefer not to disclose PRICE OF CAMP

STREET ADDRESS

CITY BEFORE/AFTER CARE YES NO

PROVINCE ATTENDED CAMP BEFORE? YES NO

POSTAL CODE PITA PIT MEAL PLAN? YES NO

EMAILGROCERY STORE

CHECKOUT? YES NO

HOME PHONE SWIM LEVEL

ADDITIONAL PHONE LIFEJACKET NEEDED? YES NO

BIRTHDATE (MM/DD/YYYY) T-SHIRT SIZEYS YM YL

AS AM AL AXL

GRADE AT REGISTRATION QUEEN’S EMPL #

EMERGENCY CONTACTS

PARENT/GUARDIAN #1

RELATIONSHIP PHONE

PARENT/GUARDIAN #1

RELATIONSHIP PHONE

EMERGENCY CONTACT PHONE

FAMILY DOCTORMEDICAL

INFORMATIONFAMILY DENTIST

List friends you would like to be grouped with, however, there are no guarantees.

PAYMENT:(circlet one) Cash Debit Cheque Credit Card POS Transaction

number: ____________

Q CAMP REGISTRATION FORM



CAMPER CODE OF CONDUCTIn order for you to have a fun, exciting time at the Athletic and Recreation Q Camp Program, every camper needs to follow the same Camp Rules. Our Camper Code of Conduct is our guide to ensure the enjoyment and safety of all persons attending camps at Queen’s University at Kingston.

This document is to be read and signed by both parent/guardian and camperConduct which is considered unacceptable and constitutes an offence within the community includes, but is not restricted to the following:1. A violation of published rules and regulations of Queen’s University or any authorized rulemaking body within

the university;2. Failure to comply with the directions of officials of the university, camp staff and if applicable, your school

board/school representatives acting within the scope of their authority;3. Queen’s University is a safe and welcoming environment that recognizes and is respectful of the diverse nature

of the Queen’s and Kingston Community. Discrimination or harassment based on, among other grounds, race, religion, gender, handicap, ethnicity, national origin or sexual orientation may result in being sent home without refund;

4. There will be a zero tolerance towards physical violence and non-physical bullying/aggression. Any camper causing harm, or intending to do so to any other camper, or staff may result in being sent home without refund;

5. Violation of the rights of any member of the university community and/or other participants of your camp/programs;

6. Disruptive camp/classroom behavior that impacts negatively on the learning of other campers;7. Theft, vandalism, and willful or negligent damage to property belonging to other campers or of Queen’s

University or a member of the university community;8. Absence from camp without the expressed consent of camp staff, your appointed supervisor, or parent/

guardian;9. (If applicable) Absence from campus, if you are living in residence, without the expressed consent of your

appointed supervisor;10. (If applicable) If living in Queen’s University residence, not returning to your own floor/wing by the specified

time, not reporting to your supervisor or not being in your own room by the specified time;11. Queen’s University has zero tolerance for the possession/consumption or suspected possession/consumption

of alcohol or drugs , smoking/vaping at any time by any participant of any program regardless of age; if you are suspected you may be sent home at your own expense with the possibility of the activity being referred to the City of Kingston Police;

Incidents of misconduct will be dealt with as follows:Violations of the laws of the land including incidents related to drug or alcohol consumption, assault, theft or vandalism will be handled with the assistance of Queen’s University Campus Security and Emergency Services and, where appropriate, City of Kingston Police. In all cases where serious misconduct has occurred, or is suspected to have occurred, students, parents and if applicable, school officials, will be notified and individuals will be removed from the program immediately at their own expense.If the situation is judged to be very serious, such as in the case of assault or abuse (verbal/physical/psychological), the above steps may be waived and immediate dismissal from camp may be warranted.

Q CAMP REGISTRATION FORMQ CAMP REGISTRATION FORM



CAMPER CODE OF CONDUCT (CONTINUED)Camper: By signing this form, I am agreeing to follow the guidelines above. I understand that failure to follow these guidelines will result in disciplinary actions by the staff at the Athletic and Recreation Q Camp Program, and may include dismissal from the camp.

Print Name: ____________________________

Signature of Student/Camper: _____________________________________ Date: ______________

**If student/camper is of an age and cannot provide informed consent the parent/guardian will sign for their camper above after reviewing the document and ensuring their child is capable of understanding the camp’s code of conduct**

Parent(s)/Guardian (must sign if camper is under the age of 18): By signing this form, I understand that should my child/camper be dismissed from a Queen’s camp due to illness, behavior problems or other reasons, I will be required to provide transportation from camp in a timely manner. By signing this form, I acknowledge that I have read the guidelines and discipline procedures and discussed with my child.

Camper’s Name: ____________________________

Parent/Guardian’s Name (print): ___________________________

Parent/Guardian Signature: ____________________________________ Date: ____________________

This form MUST be completed along with all required forms for your children to participate at camp.




PARENT/GUARDIAN CONSENTASSUMPTION OF RISKS, RELEASE OF LIABILITY, WAIVER OF CLAIMS, AND INDEMNITY AGREEMENT WARNING: BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. PLEASE READ CAREFULLY!

DISCLAIMERThe Board of Trustees of Queen’s University, their officers, directors, agents, contractors, employees, volunteers, members and representatives of the Event (all hereunder collectively referred to as “the Released Parties”) are not responsible for any injury, loss or damage of any kind sustained by any person while participating in the activities/events as stated above (the “Event”) and related activities of the Event provided through the Released Parties, including injury, loss or damage which might be caused by the Negligence of the Released Parties. I am aware that participating in the Event has some inherent risks.

ASSUMPTION OF RISKI understand that by virtue of my participation or involvement in all activities related to the Event, that I will be exposed to risks of loss including financial loss, severe injury or death. I acknowledge the existence of known risks and potential unknown risks which may include, but are not limited to the following: • Falls to the ground due to uneven or irregular terrain or surfaces; • Injuries resulting from contact, collisions or malfunctioning structures and equipment; • Failure to properly use any piece of equipment or from the mechanical failure of any piece of equipment; • Spinal cord injuries which may render me permanently paralyzed; • Being struck by other participants, spectators, equipment or vehicles; • Vigorous physical exertion and strenuous cardiovascular activities associated with the Event; • Potential for bone and muscular skeletal injury, such as sprains and strains; episodes of light headedness,

fainting, chest discomfort, leg cramps and nausea;• Failure to follow directions from those in charge of the event; and • Loss due to theft of personal property (e.g. bags, other valuables). I freely accept and fully assume all risks, dangers and hazards and the possibility of personal injury, death, property damage, expense and other loss delay or inconvenience resulting there from or from acts or omissions, including negligence of the Releasees. I understand that I am solely responsible for my own health, medical, dental, and property insurance.

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENTIn consideration of the Released Parties allowing me to voluntarily participate in the Event, I hereby agree as follows: 1. RELEASE AND WAIVE as against the Released Parties any and all losses, liabilities, damages, injuries including

death, claims, demands, lawsuits, costs, expenses including legal fees and disbursements, and any other liability of any kind including negligence, howsoever arising out of or in connection with my participation in the Event.

2. I shall indemnify and hold harmless the Released Parties from any and all losses, liabilities, damages, injuries, claims, demands, lawsuits, costs, expenses including legal fees and disbursements, and any other liability of any kind including negligence, breach of contract or breach of any statutory or other duty of care, including any duty of care owed under the Occupiers Liability Act, RSO 1990 c.o.2., as amended, on the part of the released parties, howsoever arising out of or in connection with my voluntary participation in the Event.

3. This Agreement is governed by the laws of the Province of Ontario and federal laws of Canada applicable therein. This Agreement survives termination of my participation in the Event. This Agreement cannot be modified or interpreted except in writing by Queen’s University and no oral modification or interpretation is valid.

4. This Agreement ensures to the benefit of and is binding upon me, my heirs, next of kin, executors, administrators, representatives, successors and assigns.




PARENT/GUARDIAN CONSENT (CONTINUED)ACKNOWLEDGEMENT In entering into this Agreement, I am not relying upon any oral or written representations or statements made by the Released Parties s other than what is set forth in this Agreement.

I HAVE READ AND UNDERSTOOD THIS AGREEMENT AND I AM AWARE THAT BY VOLUNTARILY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST THE RELEASEES.

Privacy: Personal information in connection with this form is collected under the authority of The Queen’s University Royal Charter, 1841, as amended, and will be used for the purpose of administering your participation in the Event/event and related purposes. If you have any questions about the collection, use and disclosure of your personal information by Queen’s University, please contact: Queen’s University, Records Management and Privacy Office, Suite F300 Mackintosh-Corry Hall, 68 University Avenue, Kingston, Ontario, K7L 3N6, 613-533-6095

Parent/Guardian Signature: ____________________________________________________________________

PhotosI hereby grant to Queen’s University at Kingston ( the “University”) the right to reproduce, use, exhibit, display, broadcast, distribute and create derivative works of the photographed and/or filmed images of me or my children, taken at Queen’s Camps for use in connection with the activities of the University or for promoting, publicizing or explaining the University or its activities. This grant includes, without limitation, the right to publish such images in the University newspaper, alumni magazine, and PR/promotional materials, such as marketing admissions publications, advertisements, fund-raising materials, and any other University-related publication. These images may appear in any of the wide variety of formats and media now available to the University and that may be available in the future, including but not limited to print, broadcast, videotape, CD-ROM, and electronic/online media.

Parent/Guardian Signature: _____________________________________________________________________

Camp Refund & Cancellation PolicyFull refunds will be issued (less an administration fee) up to three (3) working days prior to the start date of the program. The administration fee for camps is $50. Following this, no refunds will be issued. Exceptions to this policy will only be made for medical reasons.


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