2018Over18

Counselor Appreciation day 2018

Sunday, November 4th 2018
11:00am to 2:00pm: Pizza lunch, Praise & Worship. Basement, St. Theresa's Catholic Parish, 7508 - 29 Avenue

2:00pm to 5:00pm: Swimming; Millwoods Recreation Centre, 7207 - 28 Ave NW, Edmonton

registration form for those over 18!

* Indicates required field

Name *

First

Last

Date of Birth *

Parish *

Gender *

Male Female

Please indicate if you are willing to help make this event successful: *

I would like to help with planning Praise & Worship and the hall programming. I would like to help on the day of the event.

Address *

Line 1

Line 2

City

State

Zip Code

Country

Please indicate any food allergies for special dietary requirements. *

Please indicate any medical conditions that camp should be made aware of for your participation in this event. *

Email *

Emergency Contact *

First

Last

Emergency Contact Phone Number *

Camp Encounter Waiver and Consent
This must be signed by a participant over the age of 18.

I request that I be permitted to participate in the Camp Encounter Counsellor Appreciation Event on November 3rd, 2018. I understand that the program will include a pizza lunch with fellowship and Praise & Worship at St. Theresa's Parish, 7508 - 29 Avenue and then swimming in the pool at the Millwoods Recreation Centre, 7207 - 28 Avenue, Edmonton. If a medical emergency involving myself should arise during the event I understand that my emergency contact will be called as soon as reasonably possible. I authorize Camp Encounter, its staff and volunteers to obtain medical treatment for myself, and to consent to medical treatment on my behalf if I am unable to do so. The medical information I have provided is correct, so far as I know, and I am able to engage in all prescribed activities except as noted by me. In consideration of myself being permitted to participate in the Camp Encounter Counsellor Appreciation Event, I, on behalf of myself, and my respective heirs, executors, administrators, and assigns, do hereby release Camp Encounter and The Catholic Archdiocese of Edmonton, its staff and volunteers, (collectively, the "Releasees"), from any claims, demands, or actions arising out of any loss, injury, or damage to my person or property, notwithstanding that any such loss, injury or damage may have arisen by reason of the negligence of the Releasees. I understand that I shall be required to abide by all the rules of this Camp Encounter Event, which will be provided to me, and that my failure to follow these rules may result in my immediate dismissal from the event at my expense.

Signature of Participant over the age of 18 *

Date *

Submit