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    Student Information

    Prefix: MrMsMrs
    Gender: MaleFemaleUnspecified
    Nationality


    Emergency Contact



    Legal Guardian Information



    Summer Camp Center

    Select Course

    Start Date
    Start Date
    Start Date
    Start Date
    Start Date
    Start Date
    Start Date

    Want to add another camp? NoYes

    Select Course

    Start Date
    Start Date
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    Start Date
    Start Date
    Start Date
    Start Date

    Cell Phone Collection

    Tamwood encourages campers NOT to bring personal devices (i.e. cell phones, tablets, etc.) with them to camp. Aside from the fact that personal devices are expensive and can be lost or damaged while at camp, having multiple devices also creates a distraction and discourages campers from interacting with their peers. During the day, campers will be asked to not carry their cellphones to avoid distractions during activities.

    The most common time for inappropriate cellphone use is before bed/ during the night which makes it difficult for your child to have a good night’s sleep. We will conduct a nightly phone collection with your permission. By checking the box below, you permit Tamwood to collect the cell phone from your child each night before bed and understand that Tamwood is not responsible for possible damage/loss to the cellphone. Students who participate in the nightly cellphone collection are encouraged to bring a battery pack for their device, as it will not be charged overnight.

    Would you like Tamwood to collect your child's phone at night? YesNo

    Extra Accommodation Nights

    Residence: 1 Additional Day ($300)2 Additional Days ($600)
    Homestay: 1 Additional Day ($100)2 Additional Days ($200)



    Optional Services

    Notarized Custodianship Letter ($150 CAD)Unaccompanied Minor ($25 CAD each way)Off Hour Transfer Fee 1-way ($175)


    Health Information

    To Parents(s)/Guardians(s): Please follow the instructions below to complete the required heath information. No students will be accepted into a Tamwood program until Tamwood has received this form. This form need to be completed by a parent or legal guardian.

    ALLERGIES

    No Known AllergiesThis Camper is allergic to:

    Please describe below what the camper is allergic to and the reaction.

    DIET AND NUTRITION

    Eats Regular DietEats a Regular Vegetarian DietGluten IntolerantLactose IntolerantOther

    Please explain restrictions in space below.

    PETS
    Camper can live with pets: YesNo
    If no, please explain in the space below.

    PHYSICAL RESTRICTIONS

    I have received the program and activities of the camp and feel the camper can participate without restrictions.I have reviewed the program and activities and feel the camper can participate with the following restrictions or adaptations.

    Please explain in the space below

    IMMUNIZATION RECORD
    Tamwood recommends that all campers be given Meningitis and Tetanus vaccinations before attending a junior camp. Please email your student’s immunization record to Tamwood attention Camps Registrar and mark clearly the student’s full name, program location, program dates and Tamwood student number if you have it.

    If your child has not been fully immunized, please sign:
    I understand and accept the risks to my child from not being fully immunized.

    MEDICATION
    “Medication” is any substance a person takes to maintain and/or improve their health. This includes vitamins & natural remedies. Any medication not listed here will not be allowed at Tamwood Camps. All medication must be locked in the Health Room for the duration of Camp. All Medication will be administered as are in these tables.

    Non Prescription Medicine



    Prescription Medicine


    The following non-prescription medication may be stocked at camp and are used on an as-needed basis to manage illness and injury. Please tick those your child should NOT be given.

    Acetaminophen (Tylenol)Calamine LotionAntacid for Stomach PainIbuprofen (Advil, Motrin)Generic Cough DropsAloe Gel for SunburnsAntihistamine (Allergy Medicine)Laxatives for Constipation (Ex-lax)Live Shampoo or Cream



    GENERAL HEALTH HISTORY
    Please check "Yes" or "No" for each statement.
    Have problems with diarrhea? NoYes
    Had pain during exercises? NoYes
    Have recurrent/chronic illnesses? NoYes
    Had a recent infectious disease? NoYes
    Ever had back/joint problems? NoYes
    Had asthma/shortness of breath? NoYes
    Wear glasses and or contacts? NoYes
    Often have headaches? NoYes
    Had seizures? NoYes
    Had diabetes? NoYes
    Ever had surgery? NoYes
    Had a recent injury? NoYes
    Had fainting/dizziness? NoYes
    Ever been hospitalized? NoYes
    Have any skin problems? NoYes
    Menstrual cycle started (period) NoYes
    Please explain any "Yes" answers in the space below.

    MENTAL, EMOTIONAL, AND SOCIAL HEALTH
    Please check "Yes" or "No" for each statement.
    Ever been treated for attention deficit disorder (ADD) or attention deficit/hyperactivity disorder (AD/HD)? NoYes
    Ever been treated for emotional or behavioural difficulties or an eating disorder? NoYes
    During the past 12 months, seen a professional to address mental/emotional health concerns? NoYes
    Had a significant life event that continues to affect everyday life? (History of abuse, death of a loved one, family change, adoption, foster care, new sibling, other) NoYes

    Please explain any "Yes" answers in the space below. The camp may contact you for additional information.


    Education For All

    I want to help children around the world gain access to education. Please add the following amount to my invoice as my donation to the Tamwood "Education For All" project in Nicaragua:
    Donation: $5$10$15Other


    Parent's Authorization

    The health history is correct as far as I know, and the person herein described has permission to engage in all prescribed camp activities except as noted. I hereby give permission to the physician selected by Tamwood to order X-rays, routine tests, and treatment for the heath of my child, and in the event, I cannot be reached in an emergency, I hereby give permission to the physician selected by Tamwood to hospitalize, secure proper treatment for and to order injection and or anesthesia and/or surgery for my child as named above.

    Tamwood International College will arrange for private medical and liability insurance coverage for all students staying in residence or homestay under the age of 18 for the duration in Canada/the US. The coverage for private insurance starts the day the students arrive in Tamwood care with the Tamwood Camp Director listed as the students' guardian for the duration of their stay. in the case of an emergency, the Director will make an effort to contact parents/guardians. I hereby give permission to a member of the Tamwood Camp Staff to be the guardian/signatory for students to obtain any medical testing and prescribe treatment for the health of my child. I authorize Tamwood Camp Staff to review my child’s medical records before and after treatment while in Tamwood’s Care and allow medical service providers to release the child’s medical records to Tamwood international and Tamwood Camp staff.


    Your Relationship to the Camper: FatherMotherLegal Guardian

    Check to confirm authorization


    Airport Transfer Service

    Do you require transportation? Yes, on Arrival DayYes, on Departure DayNo
    ARRIVAL

    DEPARTURE


    Signature Section

    I have read and understood all of the above and I agree to all these terms and conditions.

    Yes, I Accept

    I understand that any changes to the registration may be a subject to the Course Change Fee as per the pricelist.
    Yes, I Accept


    For Agency Use Only