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MORTON CENTRE
ENVIRONMENTAL EDUCATION PROGRAMS
Participant Registration Form
*EARLY BIRD DISCOUNT*
Receive 15% off of the registration costs when you register before April 30.
*SIBLING DISCOUNT*
Receive
a $50 discount when registering a second child from the same family for a camp.
Please fill out information under 'Participant Name 2' in the form below (including name, date of birth, health information, consent forms). Payment option for a second child will be available on the next page.
*REFUND POLICY*
Cancel your registration before June 1st, 2020 and all fees, besides the deposit ($40), will be refunded. After June 1st, all fees are non-refundable. T
here are no refunds for participants that discontinue camp. In extenuating circumstances – such as, illness, injury, or a family emergency – credit may be given for the following season.
We require payment before we can confirm your spot, which may be completed by following the instructions at the bottom of the registration form.
For any questions or inquiries about general camp information or registration, please contact Clare at 902-634-9977, or by email at
clare@coastalaction.org
. To check out our Morton Centre programs, click
here
to see past reports.
*
Indicates required field
Participant's Name
*
Participant Name 2 (sibling discount only)
*
Locavores' Feast
*
July 20 - 24, 2020
Date of Birth
*
(DD/MM/YYYY)
Guardian's Name
*
Contact Number
*
Email
*
Date of Birth
*
DD/MM/YYYY
Address
Street
*
Town
*
Postal Code
*
Emergency Contact
*
(Other than guardian listed above)
Relationship to Participant
*
Emergency Contact Address
*
Same as above
Different address
Preferred Phone Number
*
Other 1
*
Other 2
*
Address (if different than above)
Street
*
Town
*
Postal Code
*
Food Allergies (please specify per child)
*
(Indicate severity/type of reaction for any allergies)
Other Allergies (please specify per child)
*
(Indicate severity/type of reaction for any allergies)
If Allergy causes anaphylaxis, does participant carry an Epipen and Benadryl?
*
Yes
No
Will the participant take medication during the program? If YES, please discuss with Coastal Action staff.
*
Yes
No
Please explain any other relevant condition or circumstance that may affect your child(ren)'s participation in this program.
*
Did your child attend a program at the Morton Centre last summer?
*
Yes
No
If so, which one?
*
Why did you sign up for this Program?
*
How did you hear about us?
*
Carpooling (optional)
Coastal Action encourages you to consider carpooling to and from the Morton Centre, as a way of reducing the impact of fossil fuels on the environment. If you indicate an interest in carpooling, we will contact you to discuss details further. Please check yes or no to the following statements.
I am open to having my child carpool with other participants that live near me
*
Yes
No
I have a vehicle and will be available to carpool as a driver
*
Yes
No
Medical Statement & Informed Consent (Required)
Coastal Action programs involve a variety of activities that often include, but are not limited to, co-operative games, group initiatives, and physical adventure activities that take place outdoors in rugged environments.
I am aware of the inherent risks of these activities (including, but not limited to, the potential for insect bites, sunburn, scrapes, and bruises) and agree that no Coastal Action staff members will be held liable for any injury to my child, or for the loss or damage of my child's personal property unless such injury, loss, or damage was caused by the sole negligence of Coastal Action / Acadia University.
In case of emergency or illness, every effort will be made to contact the parents/guardians. In the event that contact cannot be made, I give permission for Coastal Action staff members to provide First Aid treatment and give permission for qualified emergency response personnel to provide care to my child.
Cancel your registration before June 1st, 2020 and all fees, besides the deposit ($40), will be refunded. After June 1st, all fees are non-refundable. There are no refunds for participants that discontinue camp. In extenuating circumstances - such as illness, injury, or a family emergency - credit may be given for the following season. We require payment before we can confirm your spot, which may be completed by following the instructions at the bottom of the registration form.
Coastal Action reserves the right to cancel the program due to lack of funds, number of registrants, or any other reason at their discretion, and, upon doing so, will refund the registration fee.
Coastal Action reserves the right to refuse participation to any participant for rule infractions.
I understand that I may ask questions or request further explanation or information about the program at any time before, during, or after the program. I have read, understand, and agree to the above consents.
Participant Name 1
*
Date
*
Participant Name 2
*
Guardian Name
*
Photo Consent (Optional)
If yes, please read below agreement and sign.
I hereby give permission for Acadia University and/or Coastal Action to use photographic or video-graphic digital images of my minor child. I grant Acadia University and Coastal Action the right to publish photographic images and/or video footage on either or both entities' websites and permit the use of photographic images and/or video footage in any media produced by or on behalf of Acadia and/or Coastal Action. I waive any right that I may inspect or approve the finished product that may include the use of photographic, digital, or video images of my child. I understand that my child's name will not be used in connection with his or her image.
Participant Name 1
*
Date
*
Participant Name 2
*
Guardian Name
*
Payment Method
*
Online (Credit or Debit)
Cash/Cheque
E-transfer
*After clicking submit you will be taken to a payment method page.
Let us know if you would like to
*
Contribute an additional $20 towards the registration of another child in need of financial assistance.
Be considered for financial assistance towards my child's registration fee.
Submit
HOME
WHO WE ARE
NEWSLETTER
WHAT WE DO
CLIMATE CHANGE
>
STORMWATER MANAGEMENT
LIVING SHORELINES
INTERACTIVE FLOOD MAPPING
Agricultural Projects
ENVIRONMENTAL EDUCATION
>
Camp FAQ
EARTH ADVENTURE CAMPS
SCHOOL PROGRAMS
NOVA ACTION
>
MEET THE COHORT
CONTACT THE TEAM
COASTAL & MARINE
>
MICROPLASTICS
GHOST GEAR
OCEAN FRIENDLY NOVA SCOTIA
WATERSHEDS & WATER QUALITY
>
WATERSHEDS
>
FISH HABITAT RESTORATION
WATER QUALITY
>
LAHAVE WATERSHED
PETITE RIVIÈRE
SHERBROOKE LAKE & FOX POINT LAKE
SPECIES AT RISK & BIODIVERSITY
>
ATLANTIC WHITEFISH
AMERICAN EEL
SNAPPING TURTLE
PAST PROJECTS
>
LUNENBURG HARBOUR
ATLANTIC SALMON
COASTAL POLICY
WILDCAT SHALE PIT
ROSEATE TERN RECOVERY
CLEAN BOATING CAMPAIGN
ANNUAL REPORTS
WHAT YOU CAN DO
DONATE
WORK WITH US
AWARDS & BURSARIES
EVENTS
DONATE
CONTACT