Register

Registration Form

Full Legal Name of Camper

Address

City/Town

Province/Territory

Postal Code

Phone Number

Your email

First Time Camper? Yes No

Preferred Pronouns

Birth Date

Shirt Size

NOTE: Campers must be 14 before the start of Senior Co-ed. Our “Squirt” camps are a great way to introduce younger youth to summer camp — they are 2 days long and packed full of fun and activities.

I'm registering this child for:

2026 - Sr. Coed
430.00

2026 - Jr. Scampers
345.00

2026 - Jr. Coed
430.00

2026 - Sr. Scampers
430.00

2026 - Squirts
175.00

2026 - Day Camps
175.00

2026 - Sr. Hodge Podge
430.00

2026 - Jr. Hodge Podge
430.00

NOTE: These prices are ALL INCLUSIVE. There are no hidden fees.

Name of Guardian

Relationship to Camper

Main Phone Number

Alternate Contact

Please enter at least one valid alternate contact we can reach in an emergency.

I give Camp Shagabec permission to use photos and videos that may contain images of my child on their website or for promotional purposes.

Yes No

Where did you hear about Camp Shagabec?

Rooming requests (we will do our best to accommodate all requests)

I waive all claims against Camp Shagabec, the paid and volunteer staff and the United Church of Canada and their employees and representatives, for any accident or injury to the applicant or to his, her, or their property in connection with the camp. I understand that Camp Shagabec activities occur both on and off camp property.

If you submit this form you give your approval for your child to attend Camp Shagabec.

Medical Form

We will have on-site a First-aider, who holds a current First-aid certificate, during all camps. Please send any medications (prescribed or over the counter) that your child is likely to need during camp. ALL MEDICATION MUST BE CLEARLY MARKED, AND HANDED TO THE MEDIC UPON ARRIVAL AT CAMP, along with an introduction of the child to the medic. Camp Shagabec reserves the right to dismiss any camper (at the discretion of the Camp Director) who is, in their opinion, a hazard to the safety and rights of other campers or staff. Please contact us with any SPECIAL DIET CONCERNS so that we can make other arrangements. Basic first aid for minor injuries will be provided as necessary; you must provide all medicines for chronic conditions. Parents/guardians will be notified if the camper is transported to hospital.

Provincial Health Care Number

Province/Territory of registration

Doctor's Name

Doctor's Phone Number

Conditions

Heart Disease

Asthma

Diabetes

Hay Fever

Seizures

Sleepwalking

Spinal problems

Bed wetting

ADHD

Immunizations and tetanus shot up to date? Yes No

Allergies (e.g. none, food, drugs, insects, other)

Is your child on any medication? If yes, please itemize:

Does your child have any physical, emotional, dietary (special diet) or behavioral problems? Please explain:

Other concerns

First Time Camper? Yes No

Consent for treatment

We will make every effort to inform parents/guardians of medical concerns, but we will not delay seeking medical attention as needed. In the event of a medical emergency, I give permission to Camp Shagabec and its staff to provide First Aid and/or transport to medical services as deemed necessary by Camp Shagabec personnel.

Yes No

Does the camp's medical personnel have your permission to administer over-the-counter medications to your child as required? (Such as Tylenol, antihistamine, antacid, etc.)

Yes No

Junk Food

I agree to not send any junk food to camp with my child.