Required Fields *
Please complete the following information to register for Flourish Week.
No Yes
Small Medium Large X-Large XX-Large XXX-Large
Calgary Central Edmonton Northwest South
Yes - residential (no voc program) Yes - residential & vocational No - vocational only No - SIL/Respite/Relief only
Yes No
Yes - will go any chance they get! No. Sometimes.
Yes Yes - with assistance No
Diabetic Gluten Free Vegetarian Vegan Dietary Allergies Other None
The camper wishes to participate in the Rehoboth Camp Ministry. As a condition thereof, the camper or guardian and trustee agrees to the following:
1. A variety of activities will be offered in the camp program, and some of them may present stresses and hazards that are unforeseeable. The camper assumes all ordinary risks involved in participating in these activities and agrees that Rehoboth Christian Ministries, its representatives,and any persons conducting the activities will not be responsible for any damages or injuries to the camper in the absence of evidence of gross negligence.
2. Rehoboth Camp Ministry staff reserve the right to dismiss the camper from further participation in the camp program if he/she is deemed unsuitable for this type of camping experience as follows:
a) Campers will demonstrate respect toward themselves, volunteers and staff.
b) Campers whose behaviour demonstrates risk for injury toward themselves or others will be asked to leave the camp should it occur more than one instance within the camp week. Additionally, if a camper’s risk behaviour causes injury and the staff or volunteer expresses discomfort with supporting that camper, the camper will be dismissed for their camp week, at the discretion of the Camp Program Manager, in consultation with the Director(s).
c) If a camper’s risk behaviour caused injury that results in medical attention, that camper will not be accepted to further camp weeks.
d) If a camper’s risk behaviour causes injury that does not need medical attention or no injury, the camper will be accepted into further camp weeks unless three consecutive dismissals have occurred.
e) Campers who are declined access to volunteer supported camp weeks may apply to the staffed camp week (s).
f) The camper and/or the parent/legal trustee will be responsible for any additional transportation costs resulting from such a dismissal.
3. The applicant releases Rehoboth Christian Ministries and its representatives from all liability for personal injury resulting from:
a) any participants failure to obey, to the best of their ability, the safety regulations and directions while at camp. These include following COVID-19 health protocols as mandated by the Government of Alberta to the best of the camper’s abilities.
b) the exercise of judgment made in good faith in response to emergencies that may occur.
c) unanticipated risk behaviors managed using non-violent crisis intervention techniques (NVCI) as trained which focuses on the least intrusive measures in the absence of evidence of gross negligence.
4. Rehoboth Christian Ministries and its representatives will not be liable for loss of, or damage to, the camper’s personal property in the absence of willful misconduct by them.
5. Any medical costs incurred by the camper will be their sole responsibility, or the parent/legal trustee.
6. The camper or the parent/legal trustee will be liable for damages to property or facilities of Rehoboth Christian Ministries that result from the camper’s action.
7. First aid & medication administration certified staff ("Med Admin Staff") provides medical support for the camp program. The camper agrees this is sufficient coverage to meet their medical needs.
8. The Med Admin Staff and/or Director(s) will authorize any emergency medical and/or hospital care for the applicant. The Emergency Contact person named in the camper’s application will be notified as soon as possible in the event of any emergency.
9. Rehoboth Christian Ministries may reject any applicant should all required documents fail to be completed.
Need to send the form to the guardian? Download it here:
Participation Agreement
Consent received No consent given Printable Version to be sent to Guardian
Camper and/or trustee understand following fees are due to attend Camp Flourish; payable to Rehoboth Christian Ministries in the amount of $600 .
Camp fees also include transportation to/from Camp, a camp t-shirt, and the camper’s tuk tokens for the week.**Campers do not need to bring any funds/cash to camp with them.
Cheque Cash OPT Transfer Credit Card E-transfer from trustee Please contact Coordinator or Manager regarding payment.
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