Camp Korea 2022 - Registration Please enable JavaScript in your browser to complete this form.1Guardian information2Collect Child Information3Waivers4PaymentParent Name / 보호자 성함 *FirstLastPhone / 보호자 전화번호 *Email *Emergency Contact / 비상 연락처 *FirstLastEmergency Phone *How did you hear about us? / 어떻게 알게 되셨나요?Direct email from C3FacebookFriendGoogle SearchInstagramJoy Vancouver NewspaperJoongAng NewspaperVanChosun NewspaperOtherIf other, please explainNextNumber of children going to Camp Korea 2022 / 캠프코리아2022 참여하는 인원수 *Select number1234First ChildChild Name / 아이 이름 *FirstLastChild Date of Birth / 아이 출생의 날짜 *Child Care Card number / Health number / 아이 건강식별번호 *Gender / 성별 *MaleFemaleSpecial Instructions / 추가사항Dietary Concerns / 참고 해야 할 음식 알러지Require special medical attention? / 주의해야할 의료 처치?Allergies? / 알레르기?Allergy Severity / 알레르기 정도Please select severityMild - Goes away in a few hoursMedium - Requires medicine / Epi penSevere - Requires hospital attentionTicket Type - First Child / 티켓 종류 - 첫 아이 *Camper - $0Counsellor in Training - $0 Campers = Age 7 to incoming Grade 8 Counselor In Training (CIT) = Incoming Grades 9 to 12캠퍼 = 만 7세 – 8학년 입학 전 예비 카운슬러 (CIT) = 9학년 입학 전 – 12학년 입학 전Transportation - First Child / 교통 - 첫 아이 *No bus ride (교통 필요없음)Bus Both Ways (버스 왕복)Bus Vancouver to Squamish only (버스 밴쿠버->스콰미시 편도)Bus Squamish to Vancouver only (버스 스콰미시->밴쿠버 편도)T-Shirt size / 티셔츠 사이즈 *Please select sizeChild SmallChild MediumChild LargeAdult SmallAdult MediumAdult LargeSecond ChildChild Name / 아이 이름 *FirstLastChild Date of Birth / 아이 출생의 날짜 *Child Care Card number / Health number / 아이 건강식별번호 *Gender / 성별 *MaleFemaleSpecial Instructions / 추가사항Dietary Concerns / 참고 해야 할 음식 알러지Require special medical attention? / 주의해야할 의료 처치?Allergies? / 알레르기?Allergy Severity / 알레르기 정도Please select severityMild - Goes away in a few hoursMedium - Requires medicine / Epi penSevere - Requires hospital attentionTicket Type - Second Child *Camper - $0Counsellor in Training - $0 Campers = Age 7 to incoming Grade 8 Counselor In Training (CIT) = Incoming Grades 9 to 12캠퍼 = 만 7세 – 8학년 입학 전 예비 카운슬러 (CIT) = 9학년 입학 전 – 12학년 입학 전Transportation - Second Child *No bus ride (교통 필요없음)Bus Both Ways (버스 왕복)Bus Vancouver to Squamish only (버스 밴쿠버->스콰미시 편도)Bus Squamish to Vancouver only (버스 스콰미시->밴쿠버 편도)T-Shirt size / 티셔츠 사이즈 *Please select sizeChild SmallChild MediumChild LargeAdult SmallAdult MediumAdult LargeThird ChildChild Name / 아이 이름 *FirstLastChild Date of Birth / 아이 출생의 날짜 *Child Care Card number / Health number / 아이 건강식별번호 *Gender / 성별 *MaleFemaleSpecial Instructions / 추가사항Dietary Concerns / 참고 해야 할 음식 알러지Require special medical attention? / 주의해야할 의료 처치?Allergies? / 알레르기?Allergy Severity / 알레르기 정도Please select severityMild - Goes away in a few hoursMedium - Requires medicine / Epi penSevere - Requires hospital attentionTicket Type - Third Child *Camper - $0Counsellor in Training - $0 Campers = Age 7 to incoming Grade 8 Counselor In Training (CIT) = Incoming Grades 9 to 12캠퍼 = 만 7세 – 8학년 입학 전 예비 카운슬러 (CIT) = 9학년 입학 전 – 12학년 입학 전Transportation - Third Child *No bus ride (교통 필요없음)Bus Both Ways (버스 왕복)Bus Vancouver to Squamish only (버스 밴쿠버->스콰미시 편도)Bus Squamish to Vancouver only (버스 스콰미시->밴쿠버 편도)T-Shirt size / 티셔츠 사이즈 *Please select sizeChild SmallChild MediumChild LargeAdult SmallAdult MediumAdult LargeFourth ChildChild Name / 아이 이름 *FirstLastChild Date of Birth / 아이 출생의 날짜 *Child Care Card number / Health number / 아이 건강식별번호 *Gender / 성별 *MaleFemaleSpecial Instructions / 추가사항Dietary Concerns / 참고 해야 할 음식 알러지Require special medical attention? / 주의해야할 의료 처치?Allergies? / 알레르기?Allergy Severity / 알레르기 정도Please select severityMild - Goes away in a few hoursMedium - Requires medicine / Epi penSevere - Requires hospital attentionTicket Type - Fourth Child *Camper - $0Counsellor in Training - $0 Campers = Age 7 to incoming Grade 8 Counselor In Training (CIT) = Incoming Grades 9 to 12캠퍼 = 만 7세 – 8학년 입학 전 예비 카운슬러 (CIT) = 9학년 입학 전 – 12학년 입학 전Transportation - Fourth Child *No bus ride (교통 필요없음)Bus Both Ways (버스 왕복)Bus Vancouver to Squamish only (버스 밴쿠버->스콰미시 편도)Bus Squamish to Vancouver only (버스 스콰미시->밴쿠버 편도)T-Shirt size / 티셔츠 사이즈 *Please select sizeChild SmallChild MediumChild LargeAdult SmallAdult MediumAdult LargePreviousNextAuthorization and Waivers / 동의사항 *I agreeI hereby acknowledge that participation in Camp Korea and camp-related activities is at the sole discretion and judgment of the parent or guardian and involves an inherent risk of personal injury. I, on behalf of my son/daughter, hereby assume all such risk. I hereby release and agree to hold harmless Camp Korea, C3 Korean Canadian Society (“C3 Society”) and its volunteers from all claims, actions, damages and liabilities for personal injury or damage relating to or arising out of any camp activity except where the injury or damage is caused by the gross negligence of the camp's volunteers. In allowing my child to attend Camp Korea, I, the undersigned, permit my child to participate in the full range of camp activities and authorize the Camp Director or his/her appointee, in the event of a serious accident or illness affecting this above named camper to authorize on my behalf all procedures, including admission to hospital and necessary treatment therein, as he/she may deem essential for the care and well-being of the camper. Such action is only to be taken when immediate contact with the undersigned cannot be made. It is understood that Camp Korea is not responsible for medical care costs. Vaccination Waiver / 백신접종 동의서 *I agreeBy checking this box, I confirm that I am the legal guardian of the registrant and that the registrant has received a full series of COVID-19 vaccines. Proof of vaccination will be provided upon request. 본인은 등록자의 법적 후견인이며 등록자가 COVID-19 백신 접종 필수 횟수를 모두 접종하였고 등록자의 백신 접종 증명서를 요청시 제공할수있음에 동의합니다.Camp Summit waiver / Camp Summit 동의서 *I agreeBy checking this box, I confirm that I am the legal guardian of the registrant and that the registrant does not have known communicable diseases or health concerns (such as fever, chicken pox, lice, viral infections, rashes, athlete's foot, impetigo, symptoms of COVID-19, etc). If the registrant has been exposed to anything communicable within two weeks prior to the program, I will contact Camp Korea committee prior to the registrant's arrival.본인은 등록자의 법적 후견인이며 등록자가 알려진 전염성 질병이나 건강 문제 (예 : 발열, 수두, 이가, 바이러스 감염, 발진, 무좀, 농가진, COVID-19 증상 등)가 없음을 확신합니다. 등록자가 캠프코리아 시작 2주 이내에 이에 노출된 경우, 캠프코리아에 즉시 알릴것을 확인합니다.Photo/Video/Audio Release / 사진/비디오/오디오 허용 *I agreeI disagreeI hereby grant permission to C3 Korean Canadian Society (“C3 Society”) the right to reproduce, use, exhibit, display, broadcast, distribute and create derivative works of the images of me taken through video, audio or photography during Camp Korea (event) for use in connection with the activities of C3 Society or for promoting, publicizing or explaining C3 Society or its activities. This includes, without limitation, the right to publish such images, video and audio on the C3 Society website, for use in PR/promotional materials, such as marketing publications, newsletters, fundraising materials and other C3 Society- related publications. These images may appear in any of the wide variety of formats and media now available to C3 Society and that may be available in the future, including but not limited to print, broadcast, videotape, CD-ROM and electronic/ online media. Individuals over the age of 18 may sign for themselves; individuals under 18 must have this release signed by a parent or guardian. By signing below, I acknowledge that I understand the terms listed above / 아래에 서명함으로써 본인은 위에 나열된 조건을 인정합니다. *FirstLastThis will be emailed to the email address provided in the beginning of registration. 등록 초기에 제공한 이메일 주소로 동의한 윗 사항이 발송될것입니다.PreviousNextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.Sunday Open House for parents is a BBQ. Please select number of people that want BBQ so we know how much food to prepare. *1 person2 people3 peopleI have verified that the information in this form is correct. / 이 양식의 정보가 정확함을 확인합니다. *I agrree.PreviousSubmit