Registration Form

Please take the time to complete this form carefully.This information is personal and confidential, with the exception of certain situations, will only be used by staff at Joyful Learning Center (Hereinafter called the "Joyful") to ensure that proper care and attention is given to the health and safety of the child.

 

Child Information 

 

GenderMaleFemale 

Birth Date    

（If only one child, please fill "no" in the Child Information form below.Thank you! ）

   GenderMaleFemale 

Birth Date  

 

  GenderMaleFemale 

Birth Date  

 

Parent(s)/Guardian(s)/Agency Information

   

     

 

 

 

 

 

 

 

Waiver - Camp Waiver

Please read the following waiver carefully.

 

GUARDIAN WAIVER AND RELEASE OF LIABILITY FORM

CONSENT AND WAIVER OF LIABILITY

In consideration of (name of child) being permitted to participate in the Joyful Summer Camps named above (the “Camp”), I, , the undersigned parent or legal guardian of the Child, on behalf of myself, my heirs, executors, administrators, and assigns, hereby:

1. Understand, appreciate and accept the inherent physical risks of the Camp, including that serious injury is possible and may result from my child’s actions, the actions or interactions of others, or a combination of both.
2. Understand, appreciate and accept the inherent risk of exposure to COVID-19 that exists by attending the Camp and agree to com­ply with all directives from Camp staff related to COVID-19, including all requirements for social distancing.
3. Agree to be solely responsible for any personal property loss or damage, and/or any personal injury sustained by my child unless such loss damage or injury was caused by sole negligence of Joyful, its employees or agents.
4. Have read, understand, and discussed the Camp Code of Conduct with the participant. I understand that failure to comply with the Camp Code of Conduct may result in my child being suspended and/or removed from the camp program.
5. Give permission for my child to participate in the Camp.

 

Permission Granted

Children must be picked up by a parent or guardian.List who is allowed to pick up the participant.(The person picking up the participant may be asked to show picture I.D. even if they have picked-up or dropped off previously). Parents are asked to notify the Camp Counselor if there is to be an alternate guardian picking up the participant,prior to pick up.

Guardian 1

 

Guardian 2

 

Sun Screen:

1.Give permission for the staff of the Joyful staff to assist in the application of sunscreen to my child. I understand that adequate sun screen coverage will be my full responsibility, and not of the staff. I also understand that I must provide a clearly labeled bottle of approved sun screen.

Please Fill UpYesNo

Right of image:

2.May we have permission to take the participant’s photograph or video which may be used on the Joyful public website, in print, electronic media and/or community newspapers for the promotion of  programs and services?

Please Fill UpYesNo

 

Medication Terms and Conditions

1.I agree to provide Joyful staff with:

  a. Inthecase of Non-prescription Medication

       i. All medications must be provided by the parent or guardian in the original container with the 

            original label. They must have child proof-capping and be identified with the dosage and the 

            name of the  child for whom the medication is intended.     

 b. In the case of Prescription medication

      i. Prescription medications must have (in addition to the above) the name of the physician or doctor; 

        instructions; and the time period of use.

 c. Photograph – in the case of epinephrine auto-injectors

     i. ONE photograph that will be affixed to the Medication Administration Request Form.

 d. Inform staff of allergy, emergency treatment and location of EpiPen, EpiPen must be

     prescribed by a physician and labelled with the phamacist and child’s name.

 e. I understand that in the case of the TwinJect auto injector, Joyful staff will 

    not  administer the second dose but will use the second TwinJect provided or an EpiPen.

2.Joyful will refuse participation in the registered program if the above Terms

    and Conditions have not been followed.

3.Joyful will refuse to care for a camper that requires the use of emergency medication

   (i.e., Nitroglycerin, inhaler, EpiPen) and comes to the program without their medication.

4. I agree that Joyful staff may refuse to administer, supervise children taking 

    their  own  medication, or store medication where the lables on the medication container(s)

    do not contain all the information specified above.          

5. I understand that not all Joyful staff are trained health professionals and that the administration of medication is being provided by or, on behalf of Joyful on a purely voluntary and gratuitous basis. As the Participant or Parent/Legal guardian of the Participant/Client receiving medication, I fully understand the nature and extent of the risks involved in administering medication .

I confirm that I have read, understood and completed the medical terms and conditions and the registration form.

I am aware that by signing this agreement I have agreed to assume full legal liability for all risks involved in having Joyful administer medication under form this to the named camper.

I authorize Joyful staff to (please circle those that apply):

 

Signature of Parent/ Guardian:

 

 

OUT TRIPS PERMISSION FORM

 

 Day Trip / Excursion Information

Destination Site: 

Joyful Outdoor Playground: Northwest side of the 12 Ella Ln Building

Brookline Drive Park: 210 Brookline Drive Brookline Drive Park Bedford, NS B4B 1S8

Cascades Community Playground: Evandale Ln & Abbington Ave

Method of Transportation: Walking

 Assumption of Risk Agreement

I agree and understand that my child has my permission to participate in theprogram/activity

or series of programs/activities as indicated above.

By signing this agreement, I hereby acknowledge the risks associated or related to out-trip outlined

above.  I, as the Parent or Legal Guardian of the child, fully understand that it is a release of all liability

and waive any right that I may have on behalf of myself and/or my child to bring legal action or assert

a claim for death, injury or loss of any kind against Joyful Indoor Play Space.

 

CAMP TRANSFER & REFUND POLICY

1. Camp registrations must be paid in full at time of enrolment.
2. All the refund will be charged the Credit Card Processing Fee, if you paid via Credit Card.
3. If the camp you are registered for is canceled, you will receive a full refund (prorated, if applicable). 
4. You may withdraw from a camp up to seven (7) days prior to the camp start date for a refund subject to a 15% administrative charge from total payment amount (fee is applied to each camp refunded).
5. Camp transfers are permitted no less than seven (7) days prior to the camp start date. There is no administrative charge for a camp transfer.
6. No pro-rated refunds will be given for any camp days that are missed due to illness or vacation.

I/We acknowledge and understand the Camp Transfer & Refund Policy.

 

  Parent Handbook 2024