2026 Summer Camp Registration Form - Glenbow Ranch Park Foundation

Primary Legal Guardian

First Name

Last Name

E-mail Address

Street Address

City

Province

Postal Code

Home Phone

Work Phone

Cell Phone

Secondary Legal Guardian

First Name

Last Name

E-mail Address

Street Address

City

Province

Postal Code

Home Phone

Work Phone

Cell Phone

Child Information

Child First Name

Child Last Name

Gender

Any Allergies?YesNo

Allergy Description and Allergic Reactions

Any Medical Conditions?YesNo

Explain any Medical Conditions, Medications, Dosages and Frequencies

Who should be considered the Primary Emergency Contact?Primary Legal GuardianSecondary Legal GuardianOther

Other Emergency Contact

First Name

Last Name

E-mail Address

Street Address

City

Province

Postal Code

Home Phone

Work Phone

Cell Phone

Password To Release Custody of the Child

If Child is attending with a sibling or friend, who would you like them paired with? (Optional)

Is there anything else you would like to tell us about your child?

Does your child require additional aide support in school?If Yes, please note you will be required to provide additional aide support for your child at GRPF Summer CampsYesNo

Image Release Consent *During GRPF programs, film and photos may be taken for media or marketing purposes. Please check yes to the image release below if you are willing to have yourself or your child participate in film or photo opportunities. I/my child has permission to participate in media coverage and photographs of programs at Glenbow Ranch Provincial Park. I hereby grant the Glenbow Ranch Park Foundation the right and permission to publish moving composite reproductions for the purpose of, without limitation, television, publications, and any trade or advertising purposes. Accordingly, I release and discharge the Glenbow Ranch Park Foundation from any liability by virtue of blurring, distortion, alteration, optical illusion or use in composite form that may occur or be produced in the taking of said picture(s) or any processing through completion of the finished product. YesNo

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