Camp Awakening

-Please read carefully all terms and program requirements listed below-

You are about to complete an application form for Camp Awakening @ Home for April Break. The program takes place April 12-16, 2021.

Please fill out this form and return by Wednesday, March 31, 2021 @ 5 pm. 

*We will accept applications after this deadline, but please note that shipping of your ‘camp-in-a-box’ care package may be significantly delayed.

April Break Application Form

PART 1: Participant Information

Mailing Address (this is where your camper's April Break package will be sent):

PART 2: Program Logistics and Cost

Camp Awakening @ Home for April Break is a brand new program, consisting of a combination of virtual games & gatherings and a mailed care package, full of independent activities & resources.

For this program, we are simply asking you to “contribute-what-you-can”.

Camp Awakening is a small charity and we have experienced significant financial loss due to the pandemic. Any amount, small or big, to help offset the cost of shipping & materials is so appreciated

It’s been a tough year, so please know that we will not be turning away anyone who is eligible and interested in participating.

PART 3: Terms of Participation - To Be Read and Signed By Camper

Campers are expected to behave in a way that enables themselves, their fellow campers, and Camp Awakening staff and volunteers to have a safe, positive, and enjoyable Camp Awakening @ Home for April Break experience.

By signing these Terms of Participation below, I agree to:

  • Actively participate in the Camp Awakening @ Home for April Break  program
  • Treat others, including my supervising parent/guardian, fellow campers, Camp Awakening staff and volunteers with respect.
  • Take a minimum of 2 photographs of myself completing activities and email them to info@campawakening.com
  • Provide feedback on this brand new program- Share with us what you like and what you did not enjoy!

PART 4: Photo and Video Consent - To Be Read and Signed By Parent/Guardian

By signing below, I agree to allow Camp Awakening to use photographs and/or video footage taken of my child while involved in Camp Awakening @ Home for April Break activities to be used for the purposes of fundraising, advertising & promotion, information sharing and for any purpose consistent with Camp Awakening’s mission. In our online/virtual programming, we may capture your child’s name, photo, voice or likeness in a digital or recorded form. I understand that I will not have an opportunity to review or approve uses of the recordings.

PART 5: Assumption of Risk - To Be Read and Signed By Parent/Guardian

  • I understand that my child’s participation is voluntary and that as a condition of my child’s participation, I agree to all terms of participation and program requirements in this document.
  • I understand that I, as the parent/guardian, retain full supervisory responsibility for any and all Camp Awakening @ Home for April Break activities.
  • I understand that as a new and untested program there are potential risks connected with my child’s participation.  I acknowledge that Camp Awakening is not responsible for any injury, illness, cybersecurity breaches, or damage or loss of personal property that occurs as a result of participation in the Camp Awakening @ Home for April Break program.
  • I give permission for personal information about my child, collected by Camp Awakening, to be shared with Camp Awakening @ Home for April Break staff and volunteers. Information will be used solely for programming purposes.
  • I understand that going to public spaces is not a program requirement. If I, or my child, choose to participate in Camp Awakening @ Home for April Break’s activities in a public space, I agree to follow current Public Health guidelines for my region while participating in the activity.
  • I acknowledge that Camp Awakening may engage with third party service providers to provide online resources that will be used as part of the Camp Awakening @ Home for April Break program and that those third party service providers may collect information from you and your child.  The third party service providers engaged for Camp Awakening @ Home for April Break are listed below:
    • Zoom
    • YouTube
    • Facebook
    • Instagram
    • Canada Post
  •  I acknowledge that any additional questions or concerns have been communicated to a Camp Awakening staff member in writing.