Summer Camp 2025 Register | Jamaica Association of Northern Alberta

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Summer Camp 2025 Register

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Camp Registration

JANA’s Creative Summer Camp

August 19-21, 9:00 AM-5:00 PM

Join us for a vibrant summer of discovery! Campers will enjoy arts and crafts, swimming, sports, storytelling with a Jamaican Elder, cultural dance, and hands-on art workshops that explore our roots through fun, creativity, and connection.

Camp Registration

Please click the “Camp Registration” tab above and complete the form to register your child for JANA’s Creative Summer Camp.

Summer Camp Form

Thank you for considering registering your child. This is only a registration form. A JANA representative will contact you shortly to confirm your child’s registration..

Summer Camp Registration

Registration Details

This is only a Summer Camp Registration request. A JANA camp representative will contact you shortly to confirm and process your child’s registration. To begin your child’s registration, “Select a Pay by Cash or Cheque” from the Menu below.

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Registration Request Date

Payment Type *

Type of JANA Program *

Campers Details

First Name *

Last Name *

Date of Birth *

Gender

Email Address *

Home Phone # *0 / 10

Street Address *

Apt, Suite, etc *

City *

Province *

Postal Code *

Country

Mother / Guardian Details

First Name *Mother / Guardian First

Last Name *Mother / Guardian Last

Mother Guardian Email *Mother / Guardian

Mother Guardian Phone # *Mother / Guardian0 / 10

Father / Guardian Details

First Name *Father / Guardian First

Last Name *Father / Guardian Last

Father Guardian Email *Father / Guardian

Father Guardian Phone # *Father / Guardian0 / 10

Other Person(s) Details

1st – Other Guardian Name1st – Other Guardian Name

1st – Other Guardian Phone #1st – Other Guardian Ph0 / 10

2nd – Other Guardian Name2nd – Other Guardian Name

2nd – Other Guardian Phone #2nd – Other Guardian Ph0 / 10

Health and Medical Details

Child Health Card *Child Health Card #0 / 30

Medical Conditions. If No, type None. *List Any Medical Conditions0 / 100

Allergies/Food Restrictions. If No, type None. *List Any Allergies/Food Restrictions0 / 100

Medication Accompanying Child. If No, type None. *List Any Medication Accompanying Child0 / 100

Special Instructions for Child. If No, type None. *List Any Special Instructions for Child0 / 100

Emergency Contact Details

Emergency Contact *See Guardian Details above.

Guardian Consent and Risk Acknowledgement

Consent

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Guardian Consent

I hereby agree and acknowledge that with attending the summer day camp, inherent dangers exist, among which physical activity, outdoor play, transportation, and social interaction with other participants are included. I, being the parent/legal guardian of the child named above, willingly assume all such risks and release the organizers, staff, volunteers, and other affiliated companies from any liability, claim, or demand which may result from the participation of my youngster, save for situations of gross negligence or willful misconduct. To sign this form and give your approval of your child’s registration please type your First and Last names in the Signature field.

1st – Guardian Consent Name *1st – Guardian Consent Name

1st Guardian Consent Signature *1st Guardian Consent Signature

2nd – Guardian Consent Name *2nd – Guardian Consent Name

2nd Guardian Consent Signature *2nd Guardian Consent Signature

JANA’s Creative Summer Camp

August 19-21, 9:00 AM-5:00 PM

Camp Registration

Summer Camp Form

Summer Camp Registration

Registration Details

Campers Details

Mother / Guardian Details

Father / Guardian Details

Other Person(s) Details

Health and Medical Details

Emergency Contact Details

Guardian Consent and Risk Acknowledgement

Guardian Consent

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