Algonquin Students' Association | PD Day Camp Registration

Please Note:

Please ensure you have completed your payment BEFORE filling out the registration form.

If you are registering more than one child, please fill out a separate registration form for each child.

To register your child for Algonquin Wolves PD Day Camp, please complete the following steps:

Select your PD Day of choice from the options on the right.
Complete the payment form.
Use the link highlighted on the payment page to access and complete the registration form.

Note: Payment and registration must be completed separately for each child.

Register Now for PD Day Camp!

By completing this form, you acknowledge that you’re giving up certain legal rights and hereby represent and warrant to the Algonquin Students’ Association.

I, the individual signing in this consent, is for a minor for whom I am the parent or legal guardian for. I am registering on behalf of a minor and are their parent/legal guardian and as such are fully authorized and entitled to enter into this agreement on their behalf.

Please complete each section in order for the registration to be considered complete.

How did you hear about us?*

Online Search

Social Media

School

Radio

Other

Other: please specify*

Camper Information

Camper's Name:*

First Last

Birthdate:*

Proof of age will be required on first day.

Parent / Guardian (Main Contact)

Full Name:*

First Last

Email:*

Cell Phone:*

Are you also the emergency contact?*

Yes

Emergency Contact

Full Name:*

First Last

Email*

Cell Phone:*

Secondary Contact

Full Name:*

First Last

Email*

Cell Phone:*

Shirt Size

Youth / Adult Size:*

Camp Selection

If you are registering your camper for more than one day, you may select multiple days.

Please select the appropriate day and section based on the age and date of birth provided in the "Camper Information" section above.

If you are registering more than one child, please fill out a separate registration form for each child.

Friday, October 2, 2026

Pups (Born 2020-2019)

Delta (Born 2018-2017)

Gamma (Born 2016-2014)

Monday, October 26, 2026

Pups (Born 2020-2019)

Delta (Born 2018-2017)

Gamma (Born 2016-2014)

Friday, November 20, 2026

Pups (Born 2020-2019)

Delta (Born 2018-2017)

Gamma (Born 2016-2014)

Friday, January 22, 2027

Pups (Born 2020-2019)

Delta (Born 2018-2017)

Gamma (Born 2016-2014)

Friday, January 29, 2027

Pups (Born 2020-2019)

Delta (Born 2018-2017)

Gamma (Born 2016-2014)

Friday, April 23, 2027

Pups (Born 2020-2019)

Delta (Born 2018-2017)

Gamma (Born 2016-2014)

Monday, April 26, 2027

Pups (Born 2020-2019)

Delta (Born 2018-2017)

Gamma (Born 2016-2014)

Medical Background Information

This personal information will be used by the Recreation Coordinator & staff to help understand your campers needs, this information will be private information and will be handled respectfully.

Please list any medical conditions we should be made aware of (ie. usage of an Epi-pen, allergies, ADHD, ADD, physical disabilities, emotional problems, learning disabilities or anything special we should know about your child. )

Does the camper have any of the listed below? Check all that apply.

Epi-Pen

Medic-Alert Bracelet

Asthma

Seizures

ADD/ADHD

ASD

Diabetes

Behavioral Concerns

Other

Other, please specify:*

Will your child require to take any medication while in our program?*

Yes

How many medications does the camper take?*

Please provide basic information for each medication in order:*

Medication Name:

Type of Medication:

Purpose of Medication:

Expiry Date:

Please provide dosage and times for each medication:*

(Following the same order as listed in the previous question)

Medication Name:

Time of Last Dose:

Medication Administration Times:

Dosage:

Parent Full Name:*

First Last

Parent Signature:*

Pick-up / Drop-off Information

Camp pick-up / drop-off information will be requested via email closer to the Camp week.

Photo / Video Consent:

Choose one of the following:*

I consent to the above, and allow my camper’s image to be taken.

I DO NOT consent to my camper’s image being taken.

Marketing / Communications Usage Consent:

Choose one of the following:*

I consent to the above.

I DO NOT consent to the above.

Parent Signature:*

Refund Policy:

There are no refunds once registered.
Transfers to a different day are free and are subject to availability.

Consent:*

I've read the refund policy.

Algonquin Wolves Sports Camp – Consent, Release, Waiver & Indemnity

"*" indicates required fields

Member Type:*

Community/Guest/Other (Algonquin Wolves Sports Camp)

Algonquin SA Full-time Staff

Choose one of the following:*

I am signing on behalf of my child who is 16 years old or younger.

Please Initial:*

Informed Consent:

Consent*

I, the individual signing in this consent, for myself or a minor for whom I am signing this consent as parent or guardian (hereinafter referred to as the “Participant”), declare that the Participant intends to use or participate in some or all of the facilities, equipment, events, programs and services from time to time offered or made available (collectively referred in this document as “activities”) by The Students’ Association of the Algonquin College of Applied Arts and Technology Corporation (the “SA”) at its facilities from time to time on the campuses of the Algonquin College of Applied Arts and Technology or elsewhere off-site from time to time (any or all of them, individually and collectively referred to as the “Facilities”), including without limitation those at the Jack Doyle Athletics and Recreation Centre (the “ARC”), Algonquin Students’ Association Sports Field (the “SF”), and Algonquin Commons Theatre (the “ACT”) located at 1385 Woodroffe Avenue, Ottawa, ON, K2G 1V8. I understand that every individual (including me) has a different capacity for participating in such activities. I am aware that all activities are educational, recreational or self-directed in nature. I acknowledge that some activities or areas may be unsupervised, including among others, the locker and shower areas at the ARC. I assume full responsibility during and after any participation by Participant in activities and use of the ARC, and for the Participant’s choices to use or apply at Participant’s own risk any portion of the information or instruction received from or on behalf of the SA or its personnel. I hereby declare that the Participant is physically able to participate in any activities in which he/she/they chooses to participate, including without limitation any in or at the Facilities.

I understand that part of the risk involved in the Participant undertaking any of the activities is relative to the state of fitness or health (physical, mental, or emotional) and to the awareness, care and skill with which the Participant conducts himself/herself/themself in any of the activities. In addition, I understand use of the Facilities and participation in any of the activities offered by the SA is entirely voluntary and the Participant is free to withdraw from, reduce or modify involvement in any of the activities and should do so on recognition of any signs of physical discomfort or illness (which may include, among other things, transient light headedness, fainting, chest discomfort, leg cramps, nausea, etc.).

I further understand that personal injury or death is among the possible risks involved in participating in the activities or use of the Facilities. These possible risks may include, among other things, heart attack or stroke; aggravation of any existing or past injury, discomfort or problem with any other injury, discomfort or physical problem or injury associated with physical activity. By providing my initials below at the end of this paragraph, I confirm have read and understood the above possible risks associated with the Participant engaging in any the activities and use the Facilities and I consent to the above, including without limitation, all the above-noted risks.

I understand.*

Please Initial:*

Release of Liability, Waiver of Claims, and Indemnity:

Please Initial:*

Consent to Collection and Use Personal Information and Likeness and Electronic Communications:

Consent*

I, the individual signing in this release for myself and/or any minor for whom I am signing this release as parent or guardian as the Participant, and our respective heirs, executors, administrators and assigns, by providing my initials below at the end of this paragraph, hereby consent to The Students’ Association of the Algonquin College of Applied Arts and Technology Corporation (the “SA”)

collecting, retaining and using the personal information of the Participant, and the Parent/Guardian,

taking photographs, videos and/or digital images of the Participant, and

sending me and the Participant electronic messages,

solely for the purposes of:

communicating about or administering enrollment or participation of the Participant in activities from time to time offered by the SA, including without limitation activities at the ARC,

contacting an emergency contact(s), if provided by or for the Participant, in the case of medical or other emergency relating to or involving the Participant (provided, for greater certainty, the SA is not under any obligation to do so), and

use the photographs, videos, digital images and the likeness of Participant in marketing, advertising, promotional or general information and news about the SA or activities offered by the SA from time to time.

I also acknowledge that I, and the minor Participant for whom I am signing (if applicable). consent to receive electronically a copy of this form as signed by me.

By checking the applicable box below, I am indicating consent to the above and to otherwise receive electronic messages from the SA, and waive any claim against the SA or its directors, officers, employees, members, contractors, suppliers, agents or other representatives for any such matters conducted by the SA in compliance with the above consent. I understand I may withdraw this consent at any time by contacting a member of the SA staff in person or by telephone at (613) 727-4723 or by unsubscribing as indicated at the bottom of electronic messages from the SA. I understand, however, that if the Participant is a member of or enrolled in or using activities offered by the SA, unsubscribing may result in the loss of privileges as a member and/or enrollment in or use of the activities if, in the sole judgement of the SA, such withdrawal of consent to electronic messages hinders or interferes with either of the first two purposes set out above. To learn about the SA’s commitment to privacy and personal information handling practices, a copy of the SA’s Privacy Policy is available at www.algonquinsa.com/privacy-policy.

I have read the terms above; and*

Choose one of the following:*

I consent to the above, including receiving electronic messages.

I DO NOT consent to the above or to receiving electronic messages.

Please Initial:*

Parent/Guardian Acknowledgment:

Please Initial:*

Consent:

If any term or provision of this Consent, Release, Waiver & Indemnity is held to be invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Agreement or invalidate or render unenforceable such term or provision in any other jurisdiction. This Agreement shall be governed by and construed in accordance with the laws of the Province Ontario and the federal laws of Canada applicable therein. Any claim or cause of action arising under this Agreement may be brought only in the courts of the Province of Ontario, and I hereby consent to the exclusive jurisdiction of such courts.

I declare that I have read, understood and agree to the above and to this Consent, Release, Waiver & Indemnity in its entirety.

Parent/Guardian Name:*

First Last

Parent/Guardian Signature:*

Date*

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