Contact Us
We are committed to making our programs and leisure activities available and accessible. It is our goal to make your child's time with us a positive experience!
Please help us by completing the following information. The information you provide will be shared with our staff/volunteer team to provide support to your child within the program setting.
Emergency Contact (during program time when parent/guardian is unavialable)
Please rate your child's physical skills by choosing the appropriate number
Please rate your child's skill level by choosing the appropriate number
Please indicate if your child exhibits any of the following behaviours and their triggers
Please list all medications, even if not taking at camp
If yes, please complete Consent for Administration of Epi-Pen Form
Staff will follow up to let you know what weeks you are registered for. If your child has a sibling or friend attending camp with them, please provide that child’s name below. Siblings will be automatically scheduled for the same week unless parent/guardian request otherwise.
If you are sending a worker to attend the program with your child, please complete the Support Worker Information Sheet
If your summer plans change, please contact Natalie Verschueren, Recreation Coordinator Child & Youth, at 519-623-1340 ext. 4554 or camps@cambridge.ca.
In order to maximize the benefits and enjoyment derived from this program and to offer the best support possible, I understand that it is important for the staff to have a clear idea of the capabilities of the program participants. The above information is true, accurate and includes as complete a description as possible. I hereby, authorize City of Cambridge staff to obtain/release information on my child who will be participating in the program. The purpose of the information is to enable the staff, instructors and volunteers to plan the sessions to meet the needs of the participants. I permit my child (listed below) to participate in the program. I understand that this information is to be used by the recipient for the purpose of program planning, development and accommodation/support.
The City of Cambridge summer program staff are dedicated to providing your child with a safe, creative and innovative program that will peak their interest and keep them enthused. We have fun, play fair, and show respect for ourselves and for others.
The rules of program participation will be clearly outlined to participants
It is the intention of staff to provide a fun and safe program environment for your child. Summer program staff have been trained in a variety of behaviour management techniques to encourage positive behaviour and self-discipline. Keep in mind this is a camp/playground environment with no therapists on site. Playground staff and Inclusion Facilitators will not use physical restraint. Personal care such as toileting, diapers, lifts and transfers will be the primary responsibility of the family - agency support may be arranged through Inclusion Services when necessary.
To ensure the best use of resources and the success of our programs, we ask the following program expectations be reviewed;
For information on programs, support and accommodation contact;
Natalie VerschuerenRecreation Coordinator Child & Youthcamps@cambridge.ca519-623-1340 ext. 4554
Personal information in relation to this process is collected under the authority outlined in the Municipal Freedom of Information and Protection of Privacy Act. This information will be used only for the purpose for which it is intended. If you have any questions regarding this collection of personal information, you can contact the Freedom of Information and Privacy Coordinator, who can be reached through the Clerk’s Office at (519) 740-4680. Ext 4583.
