Camper Application Form

8-16 YEAR OLD

SUNDAY to SUNDAY AUGUST 17-24, 2025

We will be returning to the beautiful Camp Tamarack in Muskoka.

$900 per camper before June 1st but $950 afterwards follow registration for details.

GTA transportation will leave from Holy Trinity Armenian Church Aug. 17 at 10 am, returning Aug. 24 around 4 pm.

Ottawa and Montreal transportation will be leaving from St. Mesrob Armenian Church in Carlsbad Springs at 10 am and returning approximately around 5-6 pm.

Please do not hesitate to email us at info@campararat.ca or call Ani Altounian at (416) 473-3921 with any questions.

CHILD'S FIRST NAME

CHILD'S LAST NAME

ԱՆՈՒՆԸ ԵՒ ՄԱԿԱՆՈՒՆԸ ՀԱՅԵՐԷՆՈՎ - FIRST AND LASTNAME IN ARMENIAN

GENDER *

DATE OF BIRTH *

CHILD'S EMAIL *

Confirm Email

ADDRESS *

APT. # *

CITY *

PROVINCE *

POSTAL CODE *

FATHER'S NAME *

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Last

MOTHER'S NAME *

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Last

FATHER'S EMAIL *

Confirm Email

MOTHER'S EMAIL *

Confirm Email

HOME PHONE *

FATHER'S CELL PHONE

MOTHER'S CELL PHONE

WHICH PARENT CAN WE REACH DURING THE TIME YOUR CHILD IS AT CAMP? *

EMERGENCY CONTACT INFORMATION (OTHER THAN PARENT/GUARDIAN) *

EMERGENCY CONTACT INFORMATION RELATIONSHIP *

EMERGENCY CONTACT INFORMATION PHONE *

CONFIDENTIAL MEDICAL INFORMATION *

In case of emergency, physical health card should be available to be shared with the Camp Nurse via phone.

FAMILY PHYSICIAN

PHYSICIAN'S PHONE

LIST ALL ALLERGIES OR SENSITIVITIES TO ANY DRUGS, FOODS, OR ENVIRONMENT *

* An additional medical form will be mailed with the welcome package and all medication will be administered to the child as directed in writing.

NAME TWO FRIENDS OR ACQUAINTANCES, OF SIMILAR AGE AND GENDER, YOU’D LIKE TO BE BUNKED WITH AND ALL OTHER CONSIDERATIONS/REQUESTS

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SELECT YOUR CAMP ARARAT T-SHIRT SIZE *

IS THIS THE CAMPER’S FIRST OVERNIGHT CAMP EXPERIENCE? *

Please check to confirm that the fee payment of $900 will be completed by June 1st (or $950 thereafter) via e-transfer to PAYMENT@CAMPARARAT.CA and that their spot will only be guaranteed once payment is confirmed. ONLY include ONE CAMPER per etransfer to facilitate your receipt publication issued after camp. ALSO include the camper's NAME in the MESSAGE section of your e transfer. Fees are reimbursable until July 1st or in accordance with public health measures.

I CONFIRM THAT PAYMENT FOR THIS CAMPER WILL BE RECEIVED.

NAME AND ADDRESS OF TAX RECEIPT RECIPIENT

BY SUBMITTING THIS APPLICATION I/WE CONFIRM THAT AS PARENT/GUARDIAN OF THE CHILD HAVE SOUGHT COMPETENT ADVICE WITH RESPECT TO MY/OUR CHILD’S HEALTH AND WELL BEING PRIOR TO COMPLETING THIS FORM. I/WE AGREE TO RELEASE THE ARMENIAN HOLY APOSTOLIC CHURCH CANADIAN DIOCESE, CAMP ARARAT AND ITS MEDICAL STAFF, COUNSELLORS AND SUPERVISORS OF ANY LIABILITY. IN THE CASE OF AN EMERGENCY, MEDICAL/HOSPITAL SERVICES MAY BE REQUIRED FOR THE CAMPER/PARTICIPANT. I/WE UNDERSTAND THAT EVERY REASONABLE EFFORT WILL BE MADE BY THE CAMP/HOSPITAL SERVICES TO CONTACT ME/US. THIS IS MY/OUR AUTHORIZATION TO HAVE MEDICAL PERSONNEL AND/OR HOSPITAL STAFFS ADMINISTER MEDICAL OR SURGICAL SERVICES, INCLUDING ANAESTHESIA AND DRUGS TO THE CHILD. I/WE UNDERSTAND THAT ANY COSTS RELATING TO SUCH MEDICAL SERVICES BEING REQUIRED WILL BE MY/OUR RESPONSIBILITY. *

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By submitting this application, we confirm that as parent/guardian of the child and the child have read the Code of Conduct, the Freedom of Information and Protection of Privacy Act, and the Waiver and Release of Liability Agreement (www.campararat.ca/code-of-conduct-privacy-waiver/) and agree to their terms and conditions, and to extend our full cooperation to the Camp counsellors and staff during the child's stay at Camp Ararat. *

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