Oakland Chalice Camp 2022 Registration

June 6th - 10th at Lake Temescal in Oakland | Welcome to Chalice Camp 2022 registration! Please fill out the following information about you and your child, click submit and check for a confirmation email!
General Information

 
 
 
 
Please select one option.
 
 
 
 
 
 
 
Please select all that apply.
 
Address

 
 
Emergency Contact

 
 
 
 
 
 
 
 
Medical Information

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Pick Up List

 
Parent/Guardian Authorizations and Permissions

By signing below you agree to:
• In case of medical emergency, I hereby give permission to the Camp Directors to secure proper medical treatment for my child. In emergency cases, it is camp policy to make every reasonable effort to contact the parent/guardian immediately. 

• Be responsible for all medical, hospital or other expenses not covered by my insurance carrier which may incur as the result of securing treatment.

• I assume responsibility for any liability which may arise for damages, loss or injuries which may be caused or contributed to by my child to the person or property of others.


• I understand the medical information must be completed.


• I understand that Chalice Camp is not responsible for my child’s personal property.


• I give permission to use still, slide, or video photographs of my child for public relations.


• I give permission for my child’s phone number and address to be used in a camper group list to be given to other campers.


• I have read and accept the policies and fees printed on the Chalice Camp application and registration forms.  I represent that the statements I make herein are true and accurate.

Chalice Camp will reasonably and to the best of its ability follow state and local guidelines put in place by the CDC, the California Health Department and the County. We will communicate to the best of our ability any changes that arise in the time before and during camp.

By signing below you agree to:


• Take full responsibility for assessing my child for symptoms of COVID-19 each day before they are dropped off at camp.


• Not allow my child to attend camp, and notify the directors, on any day in which they meet the CDC criteria for symptoms of COVID-19 which is having one or more of the following:


▪ Cough


▪ Chills


▪ Sore Throat


▪ Shortness of Breath


▪ Muscle Pain


▪ Loss of taste or smell


▪ Difficulty breathing


▪ Headache


▪ Fever of 100.4 or more


• Not allowing my child to attend camp until I talk to one of the directors if they have been diagnosed with COVID-19 or have symptoms of COVID-19.


• Notifying the directors if my child has come into contact with anyone diagnosed with COVID-19.
 
 
Additional Information

 
 
 
 
Payment

 
 
 
 
 
 

Description

June 6th - 10th at Lake Temescal in Oakland
Welcome to Chalice Camp 2022 registration! Please fill out the following information about you and your child, click submit and check for a confirmation email!