Every child at the camp needs a signed permission form: one form for each child, both pages. Register your family online, or print this form, or fill in the PDF, and bring it to the camp. Or call, text or email the church to say you’re coming, and fill in a form at the camp, where there will be paper forms.
St. Clair Community Church | John Street, Sombra, Ontario
Please complete one form per child and return both pages to the camp organizers.
Select camp date(s):
December 21, 2026 • 3:00 to 7:00 pm
December 22, 2026 • 9:00 am to 3:00 pm
Registration is limited to 20 children per camp day.
About the camp
Christmas Camp is a Christian faith-based experience where children will learn about God’s plan for the birth of Jesus Christ and the meaning of Christmas. Activities may include Bible stories, prayer, songs, crafts, games and supervised outdoor play. The camp is provided for children ages 5 to 12.
Children will play outside for part of the camp. Please dress your child for the weather, including a warm coat, hat, mittens or gloves, and suitable boots. Please label belongings.
Pizza and fruit snacks will be provided. Families are welcome to send their child with their own food if desired. Please list all allergies and dietary needs below and discuss any necessary precautions with the organizers before camp. Please do not assume that provided food is free of allergens.
Child and parent or guardian information
Child’s full name:
Date of birth:
Age:
Grade:
Parent or guardian name:
Phone during camp:
Alternate phone:
Email:
Emergency contact other than parent or guardian:
Relationship:
Phone:
Allergies and health information
List all food, medication, environmental and other allergies, including reactions. If none, write “none”:
Medical conditions, medications, accessibility or support needs:
Emergency medication and instructions, such as an inhaler or epinephrine:
Food plan:
Provided pizza and fruit snacks
Food sent from home
Dietary restrictions:
Sign-ups close Friday, December 18. Questions? Call or text 226-402-4504.
Parent Consent and Waiver
St. Clair Community Church Christmas Camp
Child’s full name:
Camp date(s):
December 21, 2026
December 22, 2026
Permission to participate
I am the parent or legal guardian of the child named above and give permission for my child to attend Christmas Camp at St. Clair Community Church on John Street in Sombra, Ontario. I understand that this is a Christian faith-based experience teaching about God’s plan for the birth of Jesus Christ. I consent to my child taking part in the camp’s indoor and supervised outdoor activities.
Acknowledgement of risk and limited waiver
I understand that participation in games, crafts and outdoor play involves risks, including slips, trips, falls, collisions, minor cuts, exposure to cold or changing weather, and allergic reactions. I have considered these risks and voluntarily give permission for my child to participate. I will explain to my child the importance of following leaders’ instructions and safety rules.
To the extent permitted by Ontario law, I release St. Clair Community Church and its camp organizers, staff and volunteers from claims that I personally may have arising from the ordinary, inherent risks of my child’s participation. This limited waiver does not release claims arising from negligence or intentional misconduct, and does not waive any rights or claims belonging to my child that cannot lawfully be waived by a parent or guardian.
Emergency assistance and health information
If my child becomes ill or injured, I authorize camp leaders to provide first aid within their training and to contact emergency services as needed. If I cannot be reached, I authorize them to arrange emergency medical assessment or transportation for my child. Health professionals will obtain any treatment consent required by law. I understand that the organizers will attempt to contact me or the emergency contact as soon as reasonably possible.
I confirm that the health and allergy information I have provided is accurate to the best of my knowledge. I will notify the organizers of changes and discuss any medication or emergency care plan before leaving my child at camp. I consent to this information being shared with camp personnel and emergency responders as needed to care for my child.
Photos
We sometimes take photos at our events to share in church newsletters, on our website or on our Facebook page. If you’d rather you or your children weren’t in them, tell an organizer on the day, or tick here.
Please leave my child out of photos.
Authorized pickup
My child may be picked up by the following people:
Name:
Phone:
Name:
Phone:
Parent or guardian signature
I have read and understand both pages of this form, including the faith-based program, outdoor activities, food arrangements, risks and limited waiver, and give my consent.
