Summer Respite Day Camp 2023: July 4th – August 25th
Price: $50 per week
* Due to limited group capacity for participants, registration will be assigned on a first come first serve basis.
Please select the weeks you wish for your child to attend camp.
*Most answers are compulsory. If a question does not apply, please just type "n/a" in the text box.
* Although we may not be able to accommodate every choice, we will try our best to offer your preferences.
* Please note that this does not guarantee that the facilitator will fall within these categories, however, we will try our best to accommodate everyone as best as possible.
I, the under signed parent/guardian of
do hereby consent to his/her participation in the Yarmouth Association for Community Residential Options and Autism Nova Scotia Summer Respite Program.
I acknowledge that participation in this program may expose the above named youth/child to the possibility of injury. I grant the YACRO and Autism NS Summer Respite Staff the authority to obtain emergency medical treatment as necessary to ensure that the above named child/youth is safe from further injury.
In consideration of YACRO and Autism NS and the permission to allow this child/youth to participate in its Summer Respite Program, I agree to waive and release Yarmouth Association for Community Residential Options and Autism NS from all claims for damages that may arise.
Medication will only be administered if it has been prescribed by a qualified medical practitioner, is in its original container and I have a signed permission form with directions.
parent/guardian, authorize YACRO and Autism NS Respite Coordinator/Summer Respite Staff to administer
(medication) to my child
with the following instructions:
*The Respite Coordinator will contact you directly to confirm your child’s spot in the Summer Respite Day Camp.*
YACRO continues to implement health and safety measures in accordance with public health guidelines to reduce sickness among participants and staff. If you or your child are experiencing illness, please stay home and return once well again. If your child becomes ill at camp, you will be contacted to come pick
Staff will ensure all necessary sanitary measures are implemented throughout the day, such as proper hand washing, avoiding sharing, avoiding touching face, regular waste removal, frequent cleaning of highly touched surfaces, and regular cleaning checklists. Masks are not required by participants or staff.
Hours of Summer Day Camp will be 9:00am-4:00pm. Please ensure you arrive no earlier than 9:00am for drop off and no later than 4:00pm for pick up. You must sign in/sign out your child at the beginning and end of the day. Drop off and pick up will take place through the side door of the building located near the wheelchair ramp.
The cost of Summer Respite Day Camp is $50.00. Payment will be required upon registration to secure your spot.
Your child will require a packed lunch with snacks and water for each day. Please also send an extra set of clothes and any additional items your child will require throughout the day, ie. car seat, pull-ups, medications, sensory tools, communication devices, etc.
If you have any other specific concerns regarding this camper attending the Summer Respite Camp please contact Amy Sarginson at (902)742-9258 or firstname.lastname@example.org
I acknowledge that the above named child/youth will be participating in activities and events organized by the Yarmouth Association for Community Residential Options and Autism Nova Scotia Summer Respite Staff. I am aware that the participation of my child/youth may be outside the scope of his/her regular routine. I give permission for my child to be driven by Summer Respite Staff/Respite Coordinator to a program location when the daily program activities require transportation.
I acknowledge and confirm that I have read this entire document prior to signing.
There may be activities during the YACRO & Autism NS Summer Respite Program where photos and videos may be taken. To do this we are asking your permission to photograph and/or videotape your child/youth when participating in Summer Program activities. YACRO hosts a Day Camp Blog on our website located at respite.yacro.com. Some of the photos taken throughout the Summer could be used on the website's blog, as well as social media, and for other promotional purposes.
give my permission for my child to be photographed or videotaped in a group or individual setting by the YACRO Summer Respite Program staff, and used on the YACRO Respite Blog.
* Fill the spaces below ONLY to deny your consent to share photo/video.
DO NOT GIVE my permission for my child to be photographed or videotaped in a group or individual setting by the YACRO Summer Respite Program staff, and used on the YACRO Respite Blog.
Respite Coordinator, Western Region
Reach out to us for any questions or concerns.
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