confirmation package

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Dear BC Easter Seals Camp Families: The excitement is mounting for another incredible season at camp! The swimming pools are filled, the arts and crafts are unpacked, and the costume room is set up! Welcome to BC Easter Seals Camps and our Confirmation Package. You are receiving this package because we have confirmed your camper to participate in our program this summer! Please review this package carefully and ensure that you complete and bring to camp all necessary documentation. We depend heavily on the CAMPER FAMILY collaboration to make your camper’s arrival and stay at camp smooth. We hope this package helps you prepare yourself as well as your camper to arrive at the appropriate time, with the appropriate documentation as well as proper medication and items provided on the checklist below. CHECK – IN CHECK-IN TIME: 2:00pm TO 4:00 p.m. (1:00pm for campers with PSW’s) When you arrive at camp, Easter Seals Camp staff will be present to greet you and your camper(s), and assist during the check-in process. Check in for all campers except those attending camp with a personal support worker (PSW) is anytime between 2:00pm and 4:00pm. Please DO NOT ARRIVE prior to 2:00 PM. If your camper is coming with a PSW, please arrive anytime after 1:00 pm. This early arrival will give our health care team and counselling staff an opportunity to adequately check in both the camper and PSW. Please ensure that the person dropping the camper off is well informed of the campers care requirements so that they can pass the information along to our camp staff. Camper check-in is a careful process and may take some time, do be prepared to wait for a while. We do our best to make this process smooth, but it does require time. You can best support us by having all of your gear/documents/medications in order. Please make sure that ALL of your PAPERWORK is complete and your camper’s MEDICATION is APPROPRIATELY PACKAGED and LABELLED. A Reminder... Your camper will be attending: Camp Squamish #5 Thurs Aug 11 - Wed Aug 17, 2011 Teens (13-18 years old) Mental Disabilities

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Page 1: Confirmation Package

Dear BC Easter Seals Camp Families:The excitement is mounting for another incredible season at camp! The swimming pools are filled, thearts and crafts are unpacked, and the costume room is set up!Welcome to BC Easter Seals Camps and our Confirmation Package. You are receiving this package because we have confirmed your camper to participate in our program this summer! Please review this package carefully and ensure that you complete and bring to camp all necessary documentation.We depend heavily on the CAMPER FAMILY collaboration to make your camper’s arrival and stay at camp smooth. We hope this package helps you prepare yourself as well as your camper to arrive at theappropriate time, with the appropriate documentation as well as proper medication and items provided on the checklist below.CHECK – INCHECK-IN TIME: 2:00pm TO 4:00 p.m. (1:00pm for campers with PSW’s)When you arrive at camp, Easter Seals Camp staff will be present to greet you and your camper(s), andassist during the check-in process. Check in for all campers except those attending camp with a personal support worker (PSW) is anytime between 2:00pm and 4:00pm. Please DO NOT ARRIVE prior to 2:00 PM.If your camper is coming with a PSW, please arrive anytime after 1:00 pm. This early arrival will give our health care team and counselling staff an opportunity to adequately check in both the camper andPSW.Please ensure that the person dropping the camper off is well informed of the campers care requirements so that they can pass the information along to our camp staff.Camper check-in is a careful process and may take some time, do be prepared to wait for a while. We do our best to make this process smooth, but it does require time. You can best support us by having all of your gear/documents/medications in order. Please make sure that ALL of your PAPERWORK is complete and your camper’s MEDICATION is APPROPRIATELY PACKAGED and LABELLED.

A Reminder... Your camper will be attending:Camp Squamish #5

Thurs Aug 11 - Wed Aug 17, 2011Teens (13-18 years old)

Mental Disabilities

Page 2: Confirmation Package

Please note: We cannot assume responsibility for camper care until ALL paperwork and medication isin order (blister packs or original containers) AND has been processed by the Health Care Team.If your camper uses an epi-pen, please remember that we require TWO epi-pens.We need to take time with each camper to provide the support that all campers deserve. So, we ask foryour understanding and patience in this process.If you would like more information about the check in process, please visit our website: http://www.eastersealscamps.ca/check-in-dayCAMPER DEPARTURECHECK-OUT TIME: 11:00 a.m. TO 12:00 p.m.Parents/Guardians are invited to pick their campers up between 11:00 am and 12:00 pm. As we cannot provide supervision after 12:00 p.m., all campers must be picked up by this time on the last dayof camp. Campers who have not been picked up by 1:00 p.m. will have to be placed in temporary carewith the Ministry for Children and Families. If for some reason you are going to be late, please get in touch with the camp to let them know.A reminder that our pick up policy is that only the following people may pick campers up from camp: 1.They are the parent/guardian listed in the application form AND they present pictureidentification(either passport or driver’s license) OR

2.Their name is on the authorized pick up list on the camper’s application AND they presentpicture identification (either passport or driver’s license).Any changes to the Authorized Pick-Up List must be communicated with the CAMP REGISTRAR at Head Office- (604) 873-1865 or 1-800-818-4483 during regular business hours or by email: [email protected] AND FAMILY HEALTHIn order to care for the health of our entire camp community, we request that anyone who is showing signs of illness not attend camp or arrive onsite. This includes family members dropping campers off at camp, as well as campers themselves.We also ask that you inform us of the onset of any contagious illness or disease within the family during or immediately following your campers time at camp so that we may take steps to inform otherfamilies. ALLERGIESDue to camper allergies, please DO NOT BRING to camp any items containing:•LATEX (surgical gloves, water wings, etc…)•FOOD (unless this is very specialized food specifically for your camper and you have talked tohead office or coordinators prior to arriving).TECHNOLOGY AT CAMPCamp is not an appropriate setting for electronics such as Game boys, laptops, IPods, laser devices, walkie-talkies, cell phones or other electronic games/toys as these may get lost, broken, provoke arguments, as well as distract from the outdoor focus of camp. If your camper arrives with inappropriate gear, it will likely be kept in the office and returned at the end of the session. If you would like to discuss this further, please get in touch with the coordinators ahead of time.

Page 3: Confirmation Package

CAMP PROPERTYPlease note that our property is a smoke free property and we thank you for not smoking during your time on site. Pets are not allowed on site during drop off and pick up (certified assistance animals exempt).TRANSPORTATIONIn this package we have provided written directions up to camp, as well as a map to aid with your transportation. Please refer to the map provided in this package for directions. There are also maps available on our website- www.eastersealscamps.ca.As a reminder, transportation and care during transportation both to and from camp is the sole responsibility of parents/guardians. If you are unable to personally transport your camper to camp, please note that alternative arrangements constitute a private understanding between parents/guardians and the transporter contracted. The BC Lions Society is NOT associated with, nor does the Society take any responsibility for the actions of ANY transportation companies, organizations, clubs, or individuals contracted to transport campers (this includes Lions Club members). We encourage you to thoroughly investigate your chosen transporter’s safety standards, wheelchair strapping techniques, compliance with motor carrier regulations, etc.CHECKLIST- Please ensure that you have the following in place before you arrive at camp.•Bubble-Packaging / Original Containers of Medications: All medication in bubble packs (preferable) or original pharmaceutical containers•Medical Update Form: This is filled out for all campers. It can be filled out by the parent/guardian ifthere have been no changes. It must be filled out by a doctor if the camper has been ill or in contact with any communicable disease within the past three weeks OR if there have been any changes to medications or care routines since INITIAL MEDICAL FORM that was submitted with the camper application form.•Initial Assessment Form: This must be completed prior to arrival and presented to Health Care Team during check-in. It should specifically detail all areas of concern•Consent for Administration of Commonly used PRN Medications: We are unable to administer any medicine to your camper without your consent and/or that of your camper’s physician. If you wish to allow for the camp Health Care Team to manage PRN Medications, you must complete this form. If the form has not been completed, we will not give your camper any medications beyond thoseindicated on the medical forms.•Camping Program Property List: This form has a list of suggested things to bring to camp, and should be complete to let staff know what your camper has with them at camp. ALL PROPERTY (including what camper is wearing as s/he arrives, as well as specialized equipment) should be PERMANENTLY LABELED. This is to help our staff manage your campers belongings and to help reduce lost items. Please note: we recommend campers NOT bring clothing items that are of special value to them, as camp can be a difficult place to keep track of items and keep them clean.•Full Value Contract: Please bring your signed forms to camp to give to your camper’s counsellors. Ifthere are any concerns, please bring them up with counsellors at camp upon arrival.

Page 4: Confirmation Package

•Picture ID of parents/guardians if any changes to authorised pick up list are to be made.•No Latex, food, electronic entertainment devices or weaponsIf you have any questions, or if there are any changes to the camper’s registration form prior to your session, please contact our CAMP REGISTRAR at either (604) 873-1865 or 1-800-818-4483. If you have questions while at drop-off, please speak with the CAMP COORDINATORS. Again, we are thrilled to be sharing the summer with you!!!High fives and see you at camp!The BC Easter Seals Camping TeamCamp Contact Information:Camp AdministratorCheryl Williams: 604-873-1865 or [email protected] SquamishCoordinators: 604-898-4298 [email protected] Care Team: 604-898-4747Camp WinfieldCoordinators: 250-766-4334 [email protected] Care Team: 250-766-2137Camp ShawniganCoordinators: 250-743-3031 [email protected] Care Team: 250-743-3082

Page 5: Confirmation Package

Is the camper diabetic? Yes NoIf yes, please att ach a copy of the camper’s diabetic sliding scale to this update report.

This form must be completed no more than fi ve (5) days before camp. It must be brought to camp with camper and given to the Camp Health Care Team. Please Note: If a parent/guardian cannot be contacted in the event of an emergency, the Camp Nurse reserves the right to approve medical/hospital treatment.

CAMPER NAME: _____________________________________________ Camp Session: _ _____To be completed by a parent/guardian:

If applicable:Date of last seizure:__________________________________________________________________Type of seizure: __________________________________________________________________

Has the camper or anyone in the family been ill in the past 3 weeks? Yes NoHas the camper been in contact with any communicable diseases in the past 3 weeks? Yes NoHas the camper, or anyone in the family had lice in the past 2 months? Yes NoSignature of Parent/Guardian: __________________________________Date_______________________

I request the camper’s activities be limited as follows: ___________________________________________________________________________________________________________________________Is the camper allowed to swim? Yes No Is a Life Jacket required? Yes No

Time of Arrival: _______________________Last Medication Given (include dose/time foreach medication):______________________________________________________________________________________________________________________________________________________________________________

BC Easter Seals Camp Medical Update

2011

FOR CAMP STAFF USE ONLY

I have examined_______________________________________________________ and in my opinion, s/he need not be excluded from camp because of illness or likelihood of transmitt ing a communicable disease to others.

Name of Physician: ___________________________________ Phone: ________________________Signature of Physician: _______________________________ Date: ________________________

ADD/DELETE GENERIC NAME DOSAGE TIME GIVEN

CURRENT MEDICATION - Please update any new medication or cancelled medications in the space below. Att ach an additional sheet if necessary. IMPORTANT: If the camper has been ill or in contact with any communicable disease within the past three weeks OR if there has been a change in the camper’s medication since the fi rst medical report, the area below must be completed by a physician.

Page 6: Confirmation Package

BC EASTER SEALS CAMPS

IMPORTANT MEDICAL INFORMATION

***PLEASE REVIEW CAREFULLY***

All medications must be in original Pharmaceutical Containers OR packaged by a pharmacy in bubble packs. The medications MUST have the original drugstore

label affixed to the container.

***NO MEDICATIONS IN PLASTIC BAGGIES***

Please send at least one extra day of medication. And send extra feed tubes or other sensitive equipment that may be damaged during camp.

Arrive with all medications and medical supplies separate from camper belongings and give these directly to the Health Care Team member who checks

you in.

Parents/Guardians are responsible for the costs of medical treatment/transportation required during camp.

All medications/treatments must be listed on either the Initial Medical Report, the Medical Update or the Consent for PRN form. These include any homeopathic,

alternative treatments, PRNs and Vitamins. Physicians must sign for these medications/treatments.

NOTE: If the medications listed on the Initial Medical Report and Medical Update do not correspond to the medication labels OR if the medication is

packaged in an improper container OR if the medication has been forgotten at home, the camper will not be permitted to remain at camp until the issue

has been resolved.

Page 7: Confirmation Package

CAMPER INITIAL ASSESSMENT FORMThis form is to be completed by all camping families prior to arrival at camp. Please complete this document no more than TWO (2) Day prior to the session start date. Indicate all concerns both in writing and by marking the

diagrams. The form will be reviewed with the Health Care Team onsite and by Camper Counsellors.

Camper Name_____________________________ Disability________________________________

Age _____ Sex _____ Camp ________________ Session ________________________

Injury or Areas of Concern/Sensitivity- Description (i.e.-location, size, colour, etc):

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Signature – Parent/Guardian Print Name Date

RN Follow-up:_____________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Signature/Date Signature/Date Signature/Date Print Name

Check Out Review Completed: 0-Yes 0 –No Date: _______________ HCT Initial:__________Comments: ____________________________________________________________________________________

**Use Additional pages as required**

Health Care Team Only Below this line

Page 8: Confirmation Package

BC EASTER SEALS CAMPS Consent for PRN (as needed) Medication

In the event that my child/ward (circle one), __________________________ (camper’s name), requires health care attention beyond what is specified in their health file, I, _________________, parent/guardian (circle one), give consent for ______________________ (camper’s name) to receive the following medication(s), in dosages appropriate for their age and weight upon assessment and recommendation by the Registered Camp Nurse. Name of Medication Indication for Use

I do consent for use (initial)

Acetaminophen/Tylenol for fever, pain, headache

Ibuprofen/Advil/Motrin for pain, menstrual cramps, fever, headache

Asprin/Acetylsalicylic acid/ASA for pain ONLY if allergic to Tylenol

Tums/Antacid for heartburn

Pepto Bismol for heartburn, indigestion, upset stomach, diarrhea

Kaopectate for diarrhea, cramps

Gravol/dimenhydrinate for nausea, vomiting, dizziness

Benadryl/diphenhydramine for hay fever symptoms, itch

Cough & Cold Syrup for sneezing, runny nose, cough, nasal congestion

Throat Lozenges for sore throat, cough

Metamucil for constipation if prune juice/cookie ineffective

Polysporin Antibiotic Ointment for scrapes, cuts

Laxatives/senna/sennokot/docusate/colace for constipation if Metamucil ineffective

Other(s):

Signature of Parent/Guardian: _________________________ Date: ______________ Signature of Nurse: ___________________ Signature of Coordinator: ____________

Page 9: Confirmation Package

Camper Full Value Contract Please read the following behaviour expectations that have been put in place to maintain a safe, supportive and fun camp atmosphere. In recognizing the BC Easter Seals Full Value Contract, you are valuing the camp community and experience. The staff will uphold the value of this contract by utilizing behaviour support strategies that will be laid out in detail below, while seeking parental input for reinforcing positive behaviours. In extreme cases, Easter Seals British Columbia has the right to send campers home without notice if the behaviour or acts of a camper have potential to harm or impede other’s experience at camp. ***Please bring the signed Full Value Contract to camp on arrival day***

As a camper I will:

● be nice to other campers and I will treat them the way I would like to be treated. ● respect my counsellors and other staff members and listen to their instructions. ● follow the camp rules ● communicate appropriately with fellow campers and staff members and refrain from using vulgar language to

express myself ● not hit, punch or use aggression to communicate with other campers or staff ● respect other’s personal space and respect their wishes ● respect other’s property ● not intentionally damage camp equipment ● not leave camp property without supervision of a staff member ● have fun and enjoy camp to my fullest capacity

As staff we will: We pride ourselves in creating a safe and fun environment for campers to challenge themselves and try new things while being well supported. If the behaviour of a camper takes away the safety or feeling of safety of another camper, as staff, we will intervene and address the issue in an appropriate manner by reinforcing the expectations staff have of campers and the reasons behind these policies. If after the first intervention the behaviour continues, the camper will be addressed by the coordinators who will further the understanding of the behaviour and develop a contract that the camper will sign and agree to. Parents will be contacted by the coordinators at this point to discuss additional strategies that could best support a successful time at camp. If the behaviour continues the camper and coordinators will contact parents together. If the behaviour continues, the parents will be contacted to pick the camper up early. As we like to accommodate to all our campers and their needs, we cannot have campers on site who may be of risk to other campers or staff members in impeding on their safety at camp. We will however make the departure of the camper as easy as possible for the other campers as well as the departing camper. We do hope that no campers are sent home as we want every camper to have an equal experience at camp, so please go over these policies with your camper and ensure they understand the implications of not following camp policies. By signing this document you are agreeing to follow the above expectations. Failing to follow these rules will result in serious consequences, with the potential of being sent home earlier or not being able to come back another summer. ______________________________________ _____________________

(Camper’s Signature) (Date) I have read the Camper Full Value Contract and understand that should my child violate any of the above expectations that there will be serious consequences that may include my child being sent home early from camp and I will be required to pick them up. ______________________________________ ______________________ (Parent/Guardian’s Signature) (Date)

Page 10: Confirmation Package

PLEASE LABEL ALL CAMPER’S BELONGINGS - CLOTHING, TOILETRIES, BEDDING ETC.

PLEASE LABEL ALL CAMPER’S BELONGINGS - CLOTHING, TOILETRIES, BEDDING ETC.

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BC Easter Seals Camping Program Property List DO NOT MAIL THIS FORM. THIS FORM SHOULD ACCOMPANY THE CHILD TO CAMP.

ATTACH AN ADDITIONAL SHEET IF NECESSARY IMPORTANT: Please send ALL equipment the camper normally uses in their daily routines (INCLUDING SPECIAL UTENSILS, PERSONAL CARE ITEMS SUCH AS ATTENDS, ETC.). As we are unable to do camper laundry at camp, dirty laundry will be sent home. It is the parent/guardian’s responsibility to CLEARLY LABEL all personal items/clothes with the camper’s full name. Do not bring new or expensive items to camp. The BC Lions Society is not responsible for any lost or misplaced items. Any items found at the end of a camp session will be kept at the Vancouver head office until October 1, 2010. Lost items will NO LONGER be mailed back. CAMPER’S NAME (Please Print) _______________________________________________________________

PLEASE ENSURE THAT ALL ITEMS ARE CLEARLY AND COMPLETELY LABELLED ITEM QUANTITY COLOUR OR DESCRIPTION CHECK

(BEDDING NOT PROVIDED) SLEEPING BAG

PILLOW

PYJAMAS

UNDERWEAR

SOCKS

SWIMSUIT

(FOR BATHING AND SWIMMING) TOWELS

FACECLOTH

T-SHIRTS

T-SHIRT FOR TIE DYING

SWEATSHIRTS

PANTS

SHORTS

BANQUET OUTFIT

RAINWEAR

WARM JACKET

RUNNING SHOES

OTHER SHOES

HAT *Important*

C

HECK APPLICABLE ITEMS:

glasses toothbrush comb walker sunglasses toothpaste brush AFO’s hearing aids soap manual wheelchair orthotics sunscreen razor electric wheelchair attends shampoo other (please specify): _________________________________________________

Page 11: Confirmation Package

D ~ ~ I O N S TO EASTER sa c m mDRIGSS: 41015

APPRQACmG F'dCOM VAWCOUVX -Fallow Highway 99 iowardS Iaistler flo&f, -Follow the: Iiighway past Squmish city props- -3k-n LEFT on (hribal* Way -7iuw RPljHT ou Govemcnt Road -Camp Squmish is lscared on fne RIGHT HAPIO SIDE o f C a v e m e n t Road

APPROACmG FROM W S T L E R

-am RIGKf sa GaJibddi Way HGII"T on Govb-a4lcnl~~;dd

p S q ~ i s b is l~eu ted on Lhe mCWT X4NB SIDE of Govcinrnent Road

Page 12: Confirmation Package

Parents, camp staff and children no longer need to puzzle over who owns what, thanks to Mabel’s Labels. They are durable, personalized name

labels in bright colours and cool icons. Our labels will withstand the dishwasher, laundry, microwave, UV rays, tons of use and abuse!

They really will amaze you. Affordable, unique – a must have for camp!

Simply visit: camps. mabel.ca STiCky LABeLS are great for medications, flashlights, toiletries and gadgets

BAg TAgS are metal tags that identify and look cool!

SHOe LABeLS are great for all types of footwear – even water shoes

irON-ONS/TAg-MATeSTM for clothes, hats, bedding – you name it!

let Mabel help keep yourkids organized!

Free Shipping in CanadaOnly $3 shipping charge to the USA!camps.mabel.ca

We also offer 2 combinations that will save you BIG $$. The Big Combo or the Camp Pack will provide you with all the labels you need to send your children and their stuff off to camp!

Not online? No worries! You can use the back of this form to order Camp Packs or Big Combos. 4 weeks for delivery to USA, 1-2 weeks in Canada. express shipping is available for an extra charge. if you have any questions, please email [email protected]

campflyer08.indd 2 1/16/08 8:13:11 PM

Page 13: Confirmation Package

Mail-in FormIf you’ve decided to use this mail-in form versus the camps.mabel.ca website, please note that

delivery is a bit slower. We need to wait for the postal system to get the order to us...and then to you. If you have questions about your order, you can always call our toll-free line at 1-866-30-MABEL.

Your DetailsName Name of Camp

Address

City Prov./State Postal/Zip

Phone ( ) (We will only call you if there is a problem with your order. We will never share your information with anyone.)

Your labels

the math

Our complete line of products are available to order at camps.mabel.ca50 Dundurn St. S., Box 33561, Hamilton, ON L8P 4X4 Canada

combo options these are Your icon choices

these are Your colour choices

camp pack $34 – Pack includes: 15 Stickies, 8 Shoe Labels, 2 Bag Tags and the choice of 40 Iron-Ons or 50 Tag-MatesTM clothing labels

big combo $55 – Pack includes: 45 Stickies, 24 Shoe Labels, 2 Bag Tags and the choice of 50 Iron-Ons or 75 Tag-MateTM clothing labels

standard pack: red, blue and greenprincess packtm: raspberry, pink and lilacocean pack: blue, purple and tealPlease note: Iron-Ons labels are always white with blue print.

1 2 3 4 5 6 7 8 9

10 11 12 13 14 15 16 17 18

19 20 21 22 23 24 25 26 27

28 29 30 31 32 33 34 35 36

37 38 39 40 41 42

Did you choose a camp pack or big combo? camp pack $34.00 big combo $55.00

are you in the usa? if so, add $3 for shipping and skip the tax step! $3.00 $3.00

are you in canada? shipping is free in canada Free! Free!

tax in ontario, ns, nb and pei is 13% ($4.42 camp pack/$7.15 big combo) $4.42 $7.15tax in bc, ab, sK, mb, Qc, nl, Yt, nt and nu is 5% ($1.70 camp pack/$2.75 big combo) $1.70 $2.75 calculate total: $ $

or or

or or

step 1: Indicate exactly how you would like the name to appear. You can order up to 3 sets of labels on this form. For example: “Mabel J. Label” or “M.J. Label” or Mabel Jane 905-226-3838” or just “Mabel”. Whatever you would like, up to a maximum of 20 characters.step 2: Select the icon number you would like. Or leave blank if you prefer no icon. Circle the type of combo you wish to purchase and

which colour choice you prefer. Easy as pie! Then you just do the math and send us a cheque with this form. The combo options are described below.

1 icon #_____ camp pack camp pack big combo big combo princess/ with iron-ons with tag-mates with iron-ons with tag-mates standard/ocean

2 icon #_____ camp pack camp pack big combo big combo princess/ with iron-ons with tag-mates with iron-ons with tag-mates standard/ocean

3 icon #_____ camp pack camp pack big combo big combo princess/ with iron-ons with tag-mates with iron-ons with tag-mates standard/ocean

colour choices

campflyer08.indd 1 1/16/08 8:13:07 PM