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Sport and Wellness Centre Camper Information

The City of Peterborough undertakes to safeguard your child while participating in the Centre's programs. If you require further information, please contact the Program Coordinator at 705-742-0050.

Completion of this form is mandatory for each child attending camp. For additional children please scroll to bottom of form and 'Add child'.

Pick-up and alternative emergency contact authorization

Please list any alternative caregivers that are authorized to pick up your child(ren) from camp.

Note: children will only be released to those individuals listed below, and contacts will be listed as alternative emergency contacts for your child.

Medical information

If Camper requires medication such as prescription medications, puffers, epi-pens, etc., or additional information is required to assist our staff, please complete an Administration of Medication form.

Assistive support

If Camper requires 1:1 supervision, please provide the name of the adult that will be attending the program with the child, as well as a copy of a current police and vulnerable sector screening.


Please read carefully

By checking "agree" below I/we confirm permission for my/our child to participate in all program activities, including those supervised trips and activities (if trips are a component of your child’s program) not on the Peterborough Sport and Wellness Centre property. I, on behalf of my child, understand the nature of these activities and I/we hereby:

  • Certify that the information in this document is true and correct, and agree to disclose any and all factors which would prevent or limit the participant from full participation or success within the program;
  • Agree to permit Centre staff to act on my behalf in case of an emergency;
  • Confirm that I/we have read, accept and will abide by the conditions of registration and the policies and procedures of the Peterborough Sport and Wellness Centre and the City of Peterborough Recreation Division;
  • Acknowledge that if my child is not collected at or before the end of the scheduled camp day for 5:30 pm, I/we will be required to pay late fees as outlined by the Centre’s day camp late policy;
  • Certify that as an individual parent/guardian signing this agreement, I am acting as an agent of the other parent(s)/guardian(s) and have the authority to execute this agreement on their behalf.

Photo waiver

  • I/we agree that my/our child’s photo or image may be used for promotional purposes
  • I/we agree that my/our child’s photo or image may be used on social media outlets. In the course of program activities, photos may be taken and audio and/or visual recordings may be made and may be used on the Centre’s website or our social media outlets.