Emerald Crossing Day Camp

August 4, 2026 9:00 AM - August 7, 2026 4:00 PM

41 out of 60 remaining tickets available

Our 5th annual Day Camp. This is open for kids ages 4-12 years. An all day event running for 4 days packed with fun including: music, games, crafts, science, sports, and Bible adventures. Also every day there will be special entertainment featuring some great shows. Don't miss this!

Type

Price

Quantity

Emerald Crossing

41 Remaining

Price
$75.00

Quantity

Emerald Crossing 0

Emerald Crossing Day Camp

August 4-7, 2006 9:00 am to 4:00 pm daily. Ages 4-12

Please Note: All children registered must be toilet trained (No exceptions)

Information received is confidential and is being gathered for the purposes of serving the participant while in the care of Hutton Heights Community Church (HHCC) in Wingham, ON. Any medical information collected here serves to authorize HHCC and its staff and volunteers to obtain medical assistance in emergencies.

Participant's First Name *

Participant's Last Name *

Date of Birth *

Age of Participant *

Home Address *

Mailing Address *

Phone Number *

Health Card Number *

Family Doctor *

Family Doctor Phone Number *

Does your child have any allergies? *

If yes to allergies, please list them here:

Does your child have any physical, emotional, mental or behavioral concerns or limitations that staff should be aware of? *

If yes, please list them here:

Parent/Caregiver Name *

Parent/Caregiver Mobile Phone *

Parent/Caregiver Work Phone

Email Address *

Emergency Contact Name *

Emergency Contact Phone Number

Relation To Participant *

Emergency Contact Work or Alternate Number

Will participant be bringing any medication? *

Please note that our staff, volunteers, or anyone associated with the leadership of HHCC or the Day Camp will NOT be administering any medication to any participant whatsoever. It is the Parent/Caregiver responsibility to come onsight and administer medication to their child.

If yes, please list all medications that participant will be bringing.

Who will be dropping off and picking up the participant? *

Medical Consent

I/We authorize the administration of HHCC of any first aid treatment necessary, and in the case of medical emergency, give permission to the Physician mentioned above by the supervisors to hospitalize and secure proper treatment for the participant named *

Medical Consent Part 2

I/We acknowledge that it is my responsibility to take the necessary steps for insuring against personal injury, property damage, or any loss by the participant or by self. I also acknowledge that I/We must assume total responsibility for ALL medical coverage, accidental insurance and personal injury, or any other loss or damage. I will also pay for the cost to have the participant sent home if he/she is unwilling to comply with the rules. *

Communication

A policy is in effect that communication is to be used solely for the dissemination of information. I/We grant permission to HHCC staff and volunteers to communicate with the participant via telephone, email, social media or text. *

Purposes and Extent

HHCC is collecting and retaining this personal information for the purposes of enrolling the participant in our programs, to develop and nurture ongoing relationships and to inform you of program updates and upcoming opportunities at our organization. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish HHCC to limit the information collected, or to view the participant's information, please contact us at 519-357-1340. *

Liability Release

I/We, named above, undertake and agree to indemnify and hold harmless and blameless HHCC, Program Personnel, its trustees, directors, servants, agents, volunteers, and employees from any and all actions, causes of actions, claims and demands whatsoever whether existing as of this date or in the future; and against any loss, damage or injury suffered by the participant as a result of being part of the activities of HHCC, as well as any medical treatment authorized by the supervising individuals representing HHCC. This consent and authorization is effective only when participating in events sponsored by HHCC.

Do you agree to the Liability Release? *

Photo And Media Authorization

We would like to share with our community the many positive things taking place in our events and programs. However, we want to strike the right balance between getting our message out and respecting the wishes of both the participant and parents/caregivers who do not want to be photographed, appear on video, or their child's name, stories or phot displayed in nay newsletters, social media posts and websites.

Will you allow us to take photos and video clips of your child to put on our website, social media pages and newsletters? *

If answer is no, please indicate the reason here:

I have read, understood and agree with the above and by clicking yes below, cover all kids and youth program activities for HHCC. *

Date Completed