Glendale Farms Outdoor Education Day Program Form
Glendale Farms Outdoor Education Day Program
COVID-19 NOTICE:
With the changes to COVID-19 restrictions that the government has put in place, all participants must have a filled Self Health Declaration Form. This form will be sent with the admission package and must be filled a day prior to your child attending camp.
Name
First
Last
Age
Date of Birth
/
MM
/
DD
YYYY
Gender
Male
Female
Address
City
Province
Postal Code
Email
Mother's Name
First
Last
Home Phone
-
(###)
-
###
####
Work Phone
-
(###)
-
###
####
Father's Name
First
Last
Home Phone
-
(###)
-
###
####
Work Phone
-
(###)
-
###
####
Emergency Contact
Home Phone
-
(###)
-
###
####
Returning Camper
Yes
No
Other Contact
Relationship
Phone
-
(###)
-
###
####
Doctor's Name
Phone
-
(###)
-
###
####
Health Card #
Does your child have any health issues or special needs we should be aware of?
Is your child ok with spending most of the day outside?
Is your child able to follow directions? We do need the children to respond to our veral instructions and be able to stay with their pod.
Dates requested (Please note that we are currently only doing Wed and Thurs, starting October 7th )
Horse Knowledge
COVID-19 NOTICE:
With the changes to COVID-19 restrictions that the government has put in place, all participants must have a filled Self Health Declaration Form. This form will be sent with the admission package and must be filled a day prior to your child attending camp.
