Fraser Valley Aboriginal Children and Family Services Society
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Family Spirit Camp Registration 2019

  • Registering Family Member

  • Participant First & Last NameRelationship? (Husband, Wife, Child, Aunt, etc.)CIC? Y or NAgeDietary RestrictionsGender 
    Enter up to 10 family members.
  • Emergency Contact Information:

    Please provide two emergency contact names and phone numbers we can call if there is an emergency:
  • Social Workers: Please note, if there is a supervision order in place for your family you must attend camp with your family all three days.
  • Medical Information

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    Please enter a number from 15 to 15.
  • Family Spirit Camp Code of Conduct

    This contract must be signed and dated by the registering family member. This contract is designed to help participants understand certain expectations of the Family Spirit Camp. Please read, sign and date this form then return with your completed registration package.

    I, , agree to abide by the following:

    1. My family and I will promote a positive, productive, and supportive environment for the group.
    2. My family and I will notify the Camp Leaders or Xyolhemeylh employees of any injury or illness.
    3. My family and I will refrain from using foul and demeaning language, whether in public, within our group or toward any person.
    4. My family and I will be in camp at the times specified and remain there unless otherwise authorized.
    5. My family and I will not use any alcohol or drugs, other than those prescribed by a doctor. I understand that if I or anyone in my registered group use alcohol or drugs, I/they will be sent home immediately, at my/their own expense. I also understand that I will not be reimbursed for any transportation costs.
    6. My family and I understand that it will be the decision of the Camp Leaders or Xyolhemeylh employees that if any item of this contract is broken I/we will be sent home immediately at our own expense. We also understand that I/we will not be reimbursed any transportation costs.

    I, , Family Registrant, have read and understand all of the forms provided. I acknowledge and accept full responsibility for my family as described above.

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  • Home
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    • Organizational Chart
    • Complaint Resolution
    • Donate
  • Our Involvement
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  • News & Events
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    • Events
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