Junior Youth Summer Camp

Register your child for our summer camp. Fields marked * are required. Your information is encrypted and only accessible to our team.

DatesAugust 29 – September 2

Time11:30am – 5:30pm

LocationDouglas Park

Ages11–14

Camp participant

Tell us about the child you're registering.

Name *

Age *

Parent email *

Home address *

Health conditions & special considerations (optional)

Food restrictions (optional)

Emergency contact

Someone we can reach during the camp.

Phone number *

Relationship to participant *

Consent

Do you permit photos/videos of activities that include your child to be used (website, social media, brochures, posters, etc.)? *

Yes No

As parent/guardian of the abovementioned participant, I give permission for my son/daughter to attend this event of the Junior Youth Empowerment Program (JYEP). I understand that JYEP will endeavour to provide my son/daughter with a safe environment. In the case of personal injury, loss or damage I, or a third party, will not hold JYEP, its agents or volunteers responsible.

I have read and give permission as stated above. *

Parent/guardian full name *