SunHaven
Registration
 

"It's often been said that love,
happiness and compassion are the best medicines."
 
Privacy Policies and Consents
     
Kids Cancer Care is committed to safeguarding the personal information entrusted to us by our parents and program participants. This privacy statement outlines the practices we follow in protecting personal information.

This privacy statement applies to Kids Cancer Care and to any person providing services on our behalf. A copy of this privacy statement is provided to any client on request.
  
     
Collecting Personal Information:

What is personal information?

Personal information means information about an identifiable individual. This includes an individual’s name, home address and phone number, age, sex, marital or family status, medical information, psychosocial concerns, educational history, etc.

What personal information do we collect?

We collect only the personal information that we need for the purposes of providing camp programs to families with children seven – 17 years of age, including personal information needed to:
  • enroll a child in a camp program
  • send out Kids Cancer Care information
  
     
Please indicate here that you consent to our collecting of information for the purposes listed above.  
* Name: 
* Date: 
     
Sharing of Information:

We normally collect family information directly from our families. We may collect your information from other persons with your consent or as authorized by law. In preparation for camps we may require additional medical information regarding the medical status of the camper and in some circumstances medical information on other family members with medical conditions requiring attention and considerations while participating in camp programs.

At other times it is in the best interest of the participant that Kids Cancer Care employees share medical information stemming from an incident or activity while participating in a Kids Cancer Care camp.  
     
Please indicate here that you consent to Kids Cancer Care employees to share medical and psychosocial information to the medical care team as required to ensure the continuity of care and/or the safety of the participant.  
* Name: 
* Date: 
     
How do we safeguard personal information?

We make every reasonable effort to ensure that personal information is accurate and complete. We rely on individuals (parents) to notify us if there is a change to their personal information or information related to their children that may affect their relationship with our organization or our ability to meet the individual needs of all participants. If you are aware of an error in our information about you and/or your children, please let us know and we will correct it on request wherever possible. In some cases we may ask for a written request for correction. Please contact the Family Liaison, Mary Phillipo at: phillipo@kidscancercare.ab.ca or by calling 403 984 1227 to inform us of any changes.

We protect personal information in a manner appropriate for the sensitivity of the information. We make every reasonable effort to prevent any loss, misuse, disclosure or modification of personal information, as well as any unauthorized access to personal information.

We do not share personal information with any other organization or body other than noted above without the expressed written consent.

Parents may withdraw their consent at any time by contacting the Family Liaison.

Information is only kept for as long and reasonably needed by the organization to provide the programs and services and for as long as we are legally required to maintain records.

We use appropriate security measures when destroying personal information, including shredding paper records and permanently deleting electronic records.  


General Information
  Are you new to Kids Cancer Care? 
  How did you hear about Kids Cancer Care? 
  If Other, Specify 
     
I consent to receive email communication from Kids Cancer Care.  
  Indicate 
     
PLEASE NOTE: If at any time you wish to stop receiving emails from us, please let us know and we will immediately remove you from our distribution list.  


Parent 1 Information
* First Name 
* Last Name 
* Address 
* Email Address 
* City 
* Home Phone 
* Province 
  Business Phone 
* Postal Code
(xxx xxx) 
* Cell Phone 


Parent 2 Information
  First Name   Last Name 
  Address 
(if different than child's) 
  Email Address 
  City   Home Phone 
  Province   Business Phone 
  Postal Code
(xxx xxx) 
  Cell Phone 


 
Emergency Contact Information
  
Please provide contact information for two adults who Kids Cancer Care may reach during camp/programs, in the event that neither parent/guardian can be reached during an emergency situation. Please choose emergency contacts that will be available to
pick up your child, in the event that you are unable.
     
Contact 1  
* Name 
* Relationship 
* Phone 
  Alt. Phone 
     
Contact 2  
  Name   Relationship 
  Phone   Alt. Phone 


Priority System
     
When spaces are limited for camps and programs, Kids Cancer Care gives priority to children and families who are recently diagnosed, recently bereaved, or who have never been to camp before.

Please select the appropriate priority that applies to your family.

Priority 1
  • Parent currently on treatment or recently deceased

    Priority 2
  • Parent off treatment or deceased less than two years

    Priority 3
  • Parent off treatment or deceased two years or more
      
  • * Indicate 


    *CERTIFICATION OF CONSENT AND AUTHORITY, RELEASE OF LIABILITY, WAIVER OF
         
    TO: KIDS CANCER CARE FOUNDATION OF ALBERTA and employees, representatives, volunteers, officers and agents (hereinafter referred to collectively as “Kids Cancer Care Employees”).  
         
    1. I/we acknowledge that KCCFA provides a wide variety of recreational activities and outdoor pursuits programs. In addition, I acknowledge that KCCFA takes all reasonable precautions through compliance with current operating standards and practices to minimize risk involved with participation in activities offered by KCCFA.  
         
    2. I/we acknowledge that certain recreational activities and outdoor pursuits such as rafting, kayaking, hiking, mountain biking, team learning, rock climbing, mountaineering, caving, backpacking, high and low ropes initiatives, climbing wall and related summer camping activities and other Kids Cancer Care activities throughout the year involve INHERENT RISKS that may cause serious injury and possibly death to participants.  
         
    3. As a parent or guardian of a child/children participating in Kids Cancer Care activities I am aware of potential risks and give my/our CONSENT to allow my/our child/children to participate in activities.  
         
    4. I hereby WAIVE ANY AND ALL CLAIMS which I may have against Kids Cancer Care and any or all Kids Cancer Care Employees and RELEASE Kids Cancer Care and the Kids Cancer Care Employees from and against all losses, costs, damages, expenses, liabilities, claims, demands and causes of action of whatever kind including all legal fees and costs (collectively, the “Claims”) regardless of when they arose and howsoever arising for injury, death, property damage or any other loss whatsoever sustained by my/our child/children as a result of my/our child/children’s participation in Kids Cancer Care activities, including, without limitation, while present at a Kids Cancer Care camp, DUE TO ANY CAUSE WHATSOEVER (excluding gross negligence).  
         
    5. I hereby agree to indemnify and save harmless Kids Cancer Care and Kids Cancer Care Employees from and against all Claims regardless of when they arose and howsoever arising, that Kids Cancer Care and/or Kids Cancer Care Employees sustain, incur or may be subject to and which Kids Cancer Care and/or Kids Cancer Care Employees would not have sustained, incurred or be subjected to except as a result of my participation in Kids Cancer Care activities or while present at a Kids Cancer Care camp, DUE TO ANY CAUSE WHATSOEVER (excluding gross negligence).”  
         
    6. Medication administration and Emergency Medical Care - In the event that my/our child/children require emergency medical care I hereby GIVE MY PERMISSION to the authorized persons in charge of the Kids Cancer Care activities to secure treatment for and to AUTHORIZE HOSPITALIZATION, INJECTIONS, ANASTHESIA, or SURGERY as necessary for EMERGENCY CARE.   
         
    I HAVE READ AND UNDERSTAND THIS AGREEMENT. I UNDERSTAND THAT THIS DOCUMENT CONTAINS A PROMISE NOT TO SUE “KIDS CANCER CARE” OR “KIDS CANCER CARE EMPLOYEES” AND A RELEASE AND INDEMNITY FOR ALL CLAIMS.  
    * Signature 
    * Date 


    Registered Campers
    Please click the "Next" button to register a camper.



    ©2018 SofterWare, Inc. v.2018.02.01-B