Recreational Camp Pre-Opening Notification

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Printable Recreational Camp Pre-Opening Notification Form

Online Recreational Camp Pre-Opening Notification Form

Ensure that the pre-opening notification is received by the Health Unit at least 14 days before the opening day of camp.

In addition, please email your Waterfront Lifeguard(s) Certificates (must be obtained within last 2 years), along with your Camp Safety Plan and Camp Name to [email protected]. Thank you.

Name of Camp * Required
Date of Notification * Required
MM slash DD slash YYYY
Camp Address * Required
Street Address Address Line 2 City Province Postal Code
Municipality * Required
Camp Phone * Required
Email
Website
CAMP CONTACTS
Owner of Camp * Required
Owner's Mailing Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Owner's Telephone Number * Required
Owner's Email * Required
Onsite Supervisor/Camp Contact * Required
First Last
Onsite Supervisor/Camp Contact Telephone Number * Required
Onsite Supervisor/Camp Contact Email * Required
Camp Session Information
Duration of Camping Season: Opening Date * Required
MM slash DD slash YYYY
Closing Date * Required
MM slash DD slash YYYY
Maximum Expected Attendance Per Camping Session * Required
Session Date Number of Staff Number of Campers Under 13 Years or with Special Needs Number of Campers 13 Years or Older Maximum Ratio of Staff to Campers
Waterfront Lifeguard(s)
Please email certificates (must be obtained within last 2 years) to [email protected] along with your Camp Name.
Waterfront Lifeguard(s) Names * Required
Physician, Registered Nurse, or a person holding a current first aid certificate present during camp * Required
First Name Last Name Certificate Number (if applicable)
OR If Physician is not in residence
Physician/Hospital Name on Call: Phone Number
Drinking Water System
Drinking Water Source * Required
Water Works Number * Required
Treatment Type (if applicable) * Required
Camp Safety Plan
Please review included Safety Plan Requirements

Please email your Camp Safety Plan along with your Camp Name to [email protected].
Personal Health Information
Personal information on this form is collected under the authority of the Health Protection and Promotion Act S.O. 1983, C10, and will be used for the provision of recording information for the Community Health Protection Department. Questions concerning the collection of this information should be directed to the Director of Community Health Protection Department of the Health Unit, 458 Laurier Boulevard, Brockville, Ontario K6V 7A3 (613) 345-5685.
CAPTCHA

Session Date	Number of Staff	Number of Campers Under 13 Years or with Special Needs	Number of Campers 13 Years or Older	Maximum Ratio of Staff to Campers

Online Recreational Camp Pre-Opening Notification Form

CAMP CONTACTS

Camp Session Information

Waterfront Lifeguard(s)

Drinking Water System

Camp Safety Plan

Personal Health Information