Discovery Western Day Camp

Thank you for choosing the Discovery Western Day Camp!

Please complete the registration form below. The 2024 Camp will run the week of August 12-16, 2024 at the Lucknow and District Sports Complex. This camp offers hands-on projects, scientific demonstrations, LEGO Robolab, programming, STEM activities and swimming.

For more information contact 519-395-3735, x138 or mbartlett@huronkinloss.com

Age Requirements: Students entering Grades 4-6

Camp Registration Fee:  Through the Huron-Kinloss Early Investment in Education and Skills program, funded by the NWMO, Huron-Kinloss residents pay a registration fee of only $105. The fee for Non-residents is $210.

Cancellation: To cancel camp registration, notification must be recieved in writing to the Administrative Coordinator no later than July 15, 2024. 

Township of Huron-Kinloss payment options:

• In person at office - 21 Queen St. - cash, cheques, debit or credit card
• E-Transfers to jjohnson@huronkinloss.com please add STEM CAMP or invoice number.
• Mail cheque to P.O. Box 130, Ripley ON N0G 2R0
• Drop box at 21 Queen St, Ripley - Cheques only please.

Please Read!

By signing, you agree to the follow:

PHOTO AND VIDEO CONSENT AND RELEASE

By signing this form, you are consenting to the taking of photographs and/or video recordings of you by the Township of Huron-Kinloss for the purposes of marketing and promoting programs. You are assigning to the Township of Huron-Kinloss and waiving any rights you have related to any photographs and video recordings and you are consenting to the use of such photographs and/or video recordings, in whole or in part, by the Township of Huron-Kinloss. I hereby agree to allow photographs and/or video recordings to be taken of me, whether posed or candid, while I am on Township of Huron-Kinloss property and/or participating in Township of Huron-Kinloss programs. 

ASSUMPTION OF RISK AND INDEMNYFING RELEASE
While Township of Huron-Kinloss staff and volunteers will make every reasonable effort to minimize
exposure to known risks associated with each Registrant’s participation in a Township of Huron-Kinloss
program (“Program”), I hereby acknowledge that I and/or my child if I am registering on his/her behalf
(collectively, the “Registrant”) may be required, depending on the nature of the program, to participate in
various physical activities that may involve a risk of injury. In this regard, I hereby permit the Registrant to
participate in the full range of Program activities. In consideration of the Registrants opportunity to
participate in the Program, the receipt and sufficiency of which is hereby acknowledged, I hereby release
and hold harmless the Township of Huron-Kinloss, its respective officers, directors, employees, volunteers
and agents, and their respective successors and assigns from any and all liability for damages sustained in
consequences of loss, injury or damage to the Registrant, and from all other actions, causes of action,
claims, demands or damages of any kind with respect to death, injury, loss or damages to any person or
property arising out of or connected with preparation for, or participation in, the Program.

DISCLAIMER
All programs are subject to change or cancellation due to low enrolment numbers, lack of volunteers or
other unforeseen circumstances that are prohibitive to the operations of the program.

MUNICIPAL FREEDOM OF INFORMATION AND PRIVACY ACT
In accordance with the Municipal Freedom of Information and Privacy Act, personal information is collected
under the Authority of the Municipal Act, R.S.O. 1990, c.M45, as amended, and will only be used for the
purpose of maintaining adequate records of participation and enrollment in recreation programs and for
medical information when required in emergency situations.