Camp Discovery/Mosaic Participant Registration | The Ismaili Canada

Camp Discovery/Mosaic Participant Registration

 
1 Start 2 Payment

Thank you for your interest in Camp Discovery (Grades 1-3) or Mosaic (Grades 4-6). Please use the following form to register.

The cost to attend Camp is $20 per participant.

Tax receipts will not be issued for any funds paid.

 

The deadline to submit a completed application is June 13th.

 

If you have any questions or require assistance to complete this form, please contact us at camps@iicanada.net.

 

Participant Information
Participant Mailing Address
Participant Education
Participant Technology
Participant Special Considerations
Participant Summer Program
Parent/Caregiver #1 Information
Parent/Caregiver #2 Information

 

Release and Waiver of Liability

I fully and forever release, discharge and indemnify  His Highness Prince Aga Khan Shia Imami Ismaili Council  for  Canada,  all local  Councils,  boards  and  portfolios, volunteers,  employees,  contractors,  representatives,  committees,  associations,  appointed  officials, successors, assigns, sponsors of the Program, together with all Program directors, volunteers, staff, coaches, partners, training and medical personnel (collectively, the “Released Parties”) jointly and severally, of and from any and all causes of action, lawsuits, losses, damages, injuries, howsoever occurring, whether by negligence or otherwise (including death), claims, demands, sums, costs, expenses (including legal fees and disbursements), and any other liability of any kind, of or to me or any other person, directly or indirectly arising out of or in connection  with  my  participation  in  and  attendance  at  the  Program. 

I AGREE NOT TO initiate any lawsuit, court action or other legal proceeding against the Released Parties, nor join or assist  in  the  prosecution  of  any  claim  for  money  damages  which  anyone  may  have,  on account  of  loss,  damage,  or  injury  sustained  by  me  or  others,  howsoever  occurring,  whether by negligence or otherwise, in connection with my selection of, participation in and attendance at the Program or transportation connected thereto, and I waive any right I may have to do so. This means that I cannot sue to hold the Released Parties responsible for any loss, damage, or injury that I may experience related to the Program. 

 

Authority and Capacity

I have the capacity and legal authority to sign the consents, waivers and releases above and I have read and understood the terms above.  The parents/guardians of the Participant(s), by their electronic signature below, also agree to the foregoing on behalf of themselves and of the Participant(s).

 

 

Please note while you will be able to submit your form, registration for Camp Discovery/Mosaic will not be processed if you have selected "I do not agree" for any of the above consents. However, you will be contacted by a member of the samps team to discuss your registration. 

After you press the 'SUBMIT' button, participant and parent/caregiver #1 and #2 (if applicable) will receive an email confirming that your application has been submitted for review. If you have not received a confirmation email, please email us at camps@iicanada.net.

The Ismaili

Contact Us

His Highness Prince Aga Khan Shia Imami Ismaili Council for Canada

49 Wynford Drive Toronto, Ontario M3C 1K1 CANADA

Tel: +1-416-646-6965

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