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Samantha Wulf 9609 90 Street Narrow Lake Youth Camp 2022 Morinville AB T8R 0E3 Student Camp Form Cell: (780)720-0912 E-Mail: narrowlakeyouthcamp@outlook.com Hello Camper! Welcome to Narrow Lake Youth Camp, or if you are returning, welcome back! It is my privilege to lead the Narrow Lake Youth Camp, I am grateful to have the opportunity this year to work more closely with you and others at camp. At Narrow Lake Youth Camp, we strive for excellence in all aspects of summer camping for our campers. We are proud of our more than 30 years of excellent providing this summer camp in Alberta. We stand on the side of young people and strive to serve them well. If at any time you need information or assistance or have a suggestion concerning how we might improve our services, please do not hesitate to call myself at 780-720-0912. Or email us at narrowlakeyouthcamp@outlook.com. Please take a moment to read through this information. The youth camps are held at Narrow Lake Conservation Centre, which is located approximately 25 minutes southwest of Athabasca. Due to the success and popularity of our youth camp we will once again be offering two camps this summer. Both camps will offer the same courses and certifications. Please register for the one that fits with your schedule. The camp is open to both girls and boys ages 12-17 (due to Federal firearms regulations all participants must be 12 years of age by the end of the camp week). Due to the ongoing COVID-19 pandemic, registration will be a bit different this year. July is a ways away, and we do not know what the rules & regulations will be. I also don’t want youth to miss out on another summer, that they can be up at the Narrow Lake Youth Camp, learning new outdoor activities. So, for the 2022 year, if you know you are interested in sending your youth to camp, please fill out a registration from and mail or email it in. I will be communicating via email, therefore on the registration from please attach a valid and legible email address. Within the beginning of May, if camp is able to run, I will be reaching out to each camper (via th, email) and collecting the $550 registration fees. If payment is not made by May 15 then I will remove your youth from camp and fill their spot with someone who is on the waiting list. Once payment is made, official acceptance letters will be mailed out in the middle of May. This will include which week and which level the camper is enrolled in, as well as drop off & pick-up times, recommended packing list and directions. No news is good news, just look for the email in early May with more information. Our chef is a culinary instructor at N.A.I.T. Our chef is able to accommodate for any food allergies as long as it is made aware of on the registration form. There is plenty of food available for all, when seconds are called don't be shy, to go get more till you are full! This is an Outdoor camp, majority of their time is spent outdoors, including experiencing sleeping in a tent. These are outfitter tents, for the last night of camp the campers get to experience the outdoors and get to sleep in a lean-to that they build. It makes for a fun and eventful experience. The cost for the week is $550 per participant, this fee includes all lodging, meals Sunday dinner till Saturday BBQ. Also includes all instruction, course books, course fees and testing for the various certifications. All participants are to take these courses seriously as it is not a guarantee that they will pass their tests. I hope that I will have the opportunity to meet you in person. If you have any questions, please reach out to me Sincerely, Samantha Wulff - Camp Director, Narrow Lake Youth Camp 1 Samantha Wulf 9609 90 Street Narrow Lake Youth Camp 2022 Morinville AB T8R 0E3 Student Camp Form Cell: (780)720-0912 E-Mail: narrowlakeyouthcamp@outlook.com Please print legibly, mail or email this form in. Part A: Camp I want to attend camp: Camp 1: July 3-9, 2022 Camp 2: July 17-23, 2022 Information I am sponsored by the ___________________ Fish & Game Club I am NOT sponsored by an Alberta Fish and Game Club st nd o 1 year- BASIC Camper o 2 year- ADVANCED Camper - Select any courses that the camper has previously Classes they will be taking: taken. - Restricted Firearms Safety (Narrow Lake) - Wilderness Survival (Narrow Lake) - Leadership (Narrow Lake) Hunter’s Training Un-Restricted Firearms Safety Boater’s Safety FEE $ 550.00 ALL FORMS ZONE 4 AND 5 AFGA MEMBERS ARE DUE NO LATER THAN May 15, 2022. ALL NON- ZONE 4/5 MEMBER FORMS WILL BE TAKEN IN DATE RECEIVED, AFTER APRIL 15, 2022, FORMS WILL BE TAKEN UNTIL CAMPS ARE FULL. NO POSTDATED CHEQUES PLEASE! They will be sent back. Please note, due to space and availability you will be notified if there will be a change in the time slot. Sending In cheque or money orders secures your spot. *** There will be a $50 charge to all NSF cheques received. Please make cheques or money orders payable to and enclose fees with forms: Cheques payable to: Narrow Lake Youth Conservation Camp Send to: c/o Samantha Wulf, Registrar 9609 90 Street Morinville, AB T8R 0E3 Paid By: Please check payment Option ❏ Cheque: Make payable to Narrow Lake Youth Conservation Camp- Please Mail camp registration form and payment. ❏ Money Order: Make payable to Narrow Lake Youth Conservation Camp- Please Mail camp form and payment. ❏ E-Transfer: Please Email camp registration form and payment. * Confirmation letter will be mailed out when the camp is full, with items to bring, drop off and pick up times* Part B: Camper Information *Due to Federal firearms regulations, all participants must be 12 years of age by the end of the camp week* Last name: First name: Gender: Female Male Other Date of Birth Please indicate shirt size: Youth Adult Sm. Med. Lg. X-L XX-L XXX-L * No exchanges will be available 2 Samantha Wulf 9609 90 Street Narrow Lake Youth Camp 2022 Morinville AB T8R 0E3 Student Camp Form Cell: (780)720-0912 E-Mail: narrowlakeyouthcamp@outlook.com Part C: Primary Household Information Mailing Address: Town/City: Postal Code: Province: Name of Parent/Guardian #1: Name of Parent/Guardian #2: Home Phone # Alternate Phone # Email Address: Pick up and Drop of Authorization: *Please state if anyone other than Parent/Guardian #1 or #2 will be picking up/ dropping of your camper* Name: Relation to camper: Part D: Emergency Contact Information Emergency Contact: Relation to Camper: Home Phone # Alternate Phone # Part E: Medical Information of Camper AHC Number *Please attach photocopy * Family Doctor: Family Doctor Address: Alternate Phone # Medical Waiver: In case of a medical emergency, I understand that every reasonable efort will be made to contact me. If I cannot be reached, I give my permission to any Physician selected by the camp director to secure necessary treatment, including hospitalization. To the best of my knowledge my child is in good health. _____________________________________ ______________________________ ________________________ Signature of Parent/ Guardian Print name of Parent/ Guardian Date 3 Samantha Wulf 9609 90 Street Narrow Lake Youth Camp 2022 Morinville AB T8R 0E3 Student Camp Form Cell: (780)720-0912 E-Mail: narrowlakeyouthcamp@outlook.com Other Information: Please list all medications and serious medical symptoms of your camper in the space below. This is to ensure that medical treatments are taken care of by our on staf medical person(s). ALL medication is to be registered & handed over to the director at time of arrival to ensure safety of student and others on site. PLEASE SEND ALL MEDICATION IN ORIGINAL PRESCRIPTION BOTTLES WITH DOSAGES AND NAMES MATCHING THE STUDENT. IF THE NAME DOES NOT MATCH, WE CANNOT USE IT! Unscheduled Medications: During the week, your camper may request medication for ailments such as allergies, cold symptoms, headaches or stomach aches. Before we can offer your child any over the counter medication, we need your permission. Indicate below whether or not you grant permission for the first aid person to administer over the counter medications according to package directions, should he/she feel it necessary. (The first aid person will be available at registration to speak with you, should you so desire and to collect all medications your child brings with them) I authorize the First Aid Personnel to administer over the counter medication to my child Call me before giving my child any over the counter medications PARENT SIGNATURE________________________________ DATE ________________________ Part F: Tell Us About Your Camper Medical: Will your camper be taking medication while at camp? Yes No Please list any medications, dosages and times that they are taken: _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ Please list any and all medical, behavioral, or mental conditions, _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ Does your camper have any allergies? Yes No If Yes please specify____________________________________________ Does your camper require a reader for testing? Yes No 4
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