2019 All Ontario Camporee

COST: $265.00

Registrations are due by May 15, 2019.

Registrations made AFTER May 15, 2019, must add a $40.00 Late Fee.

Registrations will be closed on June 1, 2019.

Your registration Fee MUST be mailed to:

Ron Feenstra

241 King Street South

Harriston, Ontario

N0G 1Z0

Make cheque payable to "All Ontario Camporee 2019".

A receipt will be sent to the payer of the registration fee upon request. Send request to register@allontariocamporee.com

Enter your Account Username (This should be your email address).

Please fill this form in carefully. Be sure to select the correct information from the fields that have a "drop-down" menu. (They have a "down-arrow" beside them)

What type of Camper are you?

Last Name:

First Name:

Date of Birth (yyyy-mm-dd):

Email:

Phone:

Club Number

Date of Camp Certification (yyyy-mm-dd):

Are you First Aid Certified?

Police Check

All Campers, 18 years of age or older, MUST have a current Police Check.

Please select a T-Shirt Size...

Emergency Contact if Parent/Guardian is not available. We require this for Counsellors and Staff also.

Last Name

First Name

Phone

HEALTH HISTORY

You will have an opportunity to enter any medication you may be on after you submit this form.

F: Year of most recent TETANUS IMMUNIZATION.

Note: Your tetanus immunization should be within ten years.

A: Does this camper have any of the PROBLEMS listed below?

1. HAY FEVER, ASTHMA or WHEEZING

2. ECZEMA OR FREQUENT SKIN RASHES

3. CONVULSIONS / SEIZURES

4. HEART TROUBLE

5. DIABETES

6. FREQUENT COLD, SORE THROAT, EAR ACHES (FOUR OR MORE PER YEAR)

7. TROUBLE WITH PASSING URINE OR BOWEL MOVEMENTS

SHORTNESS OF BREATH

9. SPEECH PROBLEMS

10. DENTAL PROBLEMS

11. HIGH SENSITIVITY TO POISON IVY

12. OTHER

B: SPECIAL CONDITIONS to be watch for - such as bed-wetting, fainting, sleepwalking, history of emotional or behavioural disturbances, etc.

C: ALLERGIC REACTIONS to medications, food or environmental factors:

Please state:

Allergy

Reaction

Treatment

EpiPen Required

D: OPERATIONS OR INJURIES?

G: Should the child's ACTIVITY BE RESTRICTED because of any illness, injury or physical disability?

H: Is there any INFORMATION that you feel should be passed on to the boy's cadre counselor and / or to the camporee medical staff? If so, please explain.

If required, may we adminster any of the following medications?

Tylenol

Benadryl

Gravol

Cough Medicine

Ibuprofen

Other Treatments

Parent/Guardian/Counsellor/Staff Name

The registrant named above has my permission to attend the 2019 Cadet All Ontario Camporee near DUNNVILLE. I have read the requirements for Camporee attendance and to the best of my knowledge the registrant meets these requirements.
By clicking on SUBMIT FORM, I certify that all the information in this form is Correct and True.

Thanks to all those who have sponsored us in the past and we look forward to your support in the future.

Please support our sponsors!

If you would like to be a sponsor, contact: promotion@allontariocamporee.com