Cap-Acadie - Summer camp 2026 registration form

Registration Information

Participants must be residents of Cap-Acadie, aged 5 by December 2025 and no older than 11 in September 2026.
The camp will run for 8 weeks, from July 7 to August 27.
Registration is currently open from May 25th to June 2nd, with a limit of 3 weeks. Additional weeks may become available beginning June 4 and will remain available until they are filled or registration closes on June 19.
To ensure fairness, please avoid selecting the same theme more than once so everyone has a chance to try each experience.
The registration fee is $50 per week.
Camp activities take place Tuesday to Thursday, from 8:30 a.m. to 4:00 p.m.
- Supervision is available from 8:15 a.m. to 4:30 p.m.
All 8 weeks will be held at the Intergenerational Complex, 54 rue de l’Aréna.
- Community Room #3 is located on the second floor, at the end of the hallway on the right.

Primary parent or guardian

You will receive your registration confirmation and receipt by email.

First name *

Last name *

Email *

Mobile *

Address *

City *

Country *

State/Province *

Region *

Zip/Postal code *

Other phone (home or work)

Second parent or guardian

Relationship

First name

Last name

Mobile

Address

City

Country

State/Province

Region

Zip/Postal code

Authorized to pick up the participant

Yes No x Clear

Select your preferred weeks, then click the “Register” button for each desired week to complete the participant’s information.

An autofill option called “Choose a person” is available on the right side of the form, above the name field. Once you have completed the form once, simply click "Choose a person" then the participant’s name and it will automatically fill in the information for additional weeks.

Which week(s) would you like to register the participant to? (maximum of 3 weeks)

Select all Clear all

Which week(s) would you like to register the participant to? (maximum of 3 weeks) Active Living (July 7th to July 9th) - Week 1 Science (July 14th to July 16th) - Week 2 Aquatic (July 21st to July 23rd) - Week 3 Environment (July 28th to July 30th) - Week 4 Exploration (August 4th to August 6th) - Week 5 Science (August 11th to August 13th) - Week 6 Animals (August 18th to August 20th) - Week 7 Art and Culture (August 25th to August 27th) - Week 8

Are the participants allergies severe enough to need a dose of adrenalin (EPI-pen or Ana-kit) *

Yes No x Clear

Medical Information - recent surgeries, serious injuries, chronic or recurring illness:

Health insurance card (Medicare) *

Card number *

Exp. *

Does the participant take medication *

Yes No x Clear

Is the participant able to take them on their own? *

Yes No N/A x Clear

Name of medication, dose and instructions; Please note that only medication in its original packaging will be administered.

Does the participant have any behavior issues? If yes, please elaborate.

Does the participant have any food restrictions or issues with eating? If so, please elaborate.

Does the participant have any prosthetics? if so, please elaborate.

Are there any activities the participant may have difficulty participating in, or that may require modifications to support their participation?

Does the participant have any known phobias we should know about? (dogs, bees...)

Participant's age before September 2026 *

Participant's age before September 2026

Language spoken by participant *

French English both x Clear

Primary emergency contact (non-parent)

Relationship

First name *

Last name *

Mobile *

Other phone

Authorized to pick up the participant *

Yes No x Clear

Second emergency contact (non-parent)

Relationship

First name *

Last name *

Mobile *

Other phone

Authorized to pick up the participant *

Yes No x Clear

Parent or Guardian Authorization

If the participant’s health status changes prior to the start of camp, I agree to inform camp personnel before the participant attends any activities.
By signing this form, I authorize the Cap-Acadie Summer Camp Program to administer first aid to the participant if necessary. I also authorize the transport of the participant to a medical facility by ambulance, at my expense, if deemed required.
Should the participant need to be administered adrenaline (EPI-pen or Ana-kit) I authorize the trained camp personnel to administer the dose.

I have read and accept *

Photos and Videos for Promotional Purposes

Photos and videos may be taken throughout the Cap-Acadie weekly summer camps to capture participants enjoying activities. I authorize the Town of Cap-Acadie to use, in whole or in part, any images or video footage collected for promotional purposes.

All photos and videos remain the property of the Town of Cap-Acadie.

I have read *

I consent to photos and videos being taken of the participant for promotional purposes. *

Yes No x Clear

Refund Policy and Eligibility
A 100% refund of the registration fee will be issued in the following cases:

If the camp is cancelled by the municipality
For medical reasons, with a valid doctor’s note

No Refunds

No refunds will be issued in cases of dismissal for disciplinary reasons

Refund requests must be submitted within thirty (30) days following the camp week in question. Refunds will be reviewed and processed upon receipt.

To submit a refund request, please email: activite@capacadie.ca

Required Information for refund:

Week(s) for which the refund is requested
Reason for the refund (supporting documentation required for medical requests)
Participant’s name
Parent/guardian’s name

I have read and accept *

I agree to collaborate with Cap-Acadie camp personnel to support a positive experience for the participant and to meet with staff if the participant’s behaviour interferes with camp activities.

I have read and accept *

ALL information concerning the participant and their medical health will remain confidential. Access to this information will remain between the camp personnel to ensure the health, safety and proper interventions in the case of a medical emergency.

If you are not comfortable in sharing some information, please reach out to camp supervisor/Community Officer by emailing activite@capacadie.ca or calling (506)577-2030

Electronic signature

Please sign your name inside the box or type your name below.

Type your name

Signature style

Electronic signature Signature pad

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Please accept all conditions.

Connect to fill this form

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Email or mobile

Connection code

Waitlist

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Membership

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