2016 Canoe Training Weekend Information Package

Canoe Training
Weekend
Inside this Package:
Welcome!
Thank you for choosing Camp Jubilee
Retreat and Conference Centre.
Nestled away in the coastal mountains
is the hidden jewel of the Lower Mainland – Indian Arm. Just minutes away
from the city, but miles away from city
life, Indian Arm offers a total escape, a
return to the splendor and serenity of
nature.
Camp Jubilee lies halfway up Indian
Arm at Orlomah Beach, between
Deep Cove and the Indian River.
Please take a moment to read through
the following Planning Guide. If you
have any questions or would like more
information, please contact our office
at 604-937-7388 or email
info@ campjubilee.ca
Guest Accommodations
2
Arrival/Departure Info
2
Thank you and we look forward to
working with you!
Sincerely,
Dave Duckworth
General Manager—Camp Jubilee
Canoe Course Information 2
Camp Jubilee is situated on a 128
acre, oceanfront site of unspoiled
evergreen forest at the base of Mt.
Seymour.
This unique facility, accessible only by
boat, is just a short 30-minute ride
from Deep Cove in North Vancouver.
Food Services & Menu
Information
Guest Services
Appendixes
(Directions, Waivers, etc)
©Camp Jubilee Retreat & Conference Centre
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3
7 –12
Guest Accommodations
Camp Jubilee offers the following
accommodations:
Cabins
There are 13 cedar cabins housing 10
guests per cabin. These heated cabins
offer bunk-style beds complete with 2piece bathrooms and great views of the
forest and camp property.
The Wash House is a separate building
located close to all cabins housing shower
facilities for guests staying in cabins.
Lodge Rooms
There are 5 lodge rooms with sweeping
views of Indian Arm or the forest. Each
room offers 2 single beds. Shared
bathroom and shower facilities are
located at the end of the hall. Lodge
rooms are based on double occupancy.
Please be advised that Camp Jubilee
does not provide bedding and all guest
are responsible for bringing their own
bedding (sleeping bag/blankets &
pillow), towels and toiletries.
Yurts
There are 3 Yurts with beds to sleep 10
people. Yurts have bathrooms, heat and
lighting.
Arrival & Departure at Camp Jubilee
Guests are asked to arrive at the Government Dock
in Deep Cove (North Vancouver) at least 30 minutes
prior to departure.
FRIDAY April 29, 2016
Departure time from Deep Cove is 6:00pm
SUNDAY MAY 1, 2016
Departure time from Camp Jubilee is 5:00pm
Canoe Training Information
Pullers Course
Learn the paddle strokes that will help you move your
canoe effectively, and gain the knowledge needed to
progress in the art of canoeing. Course begins
Saturday 9:00am to 4:00pm and continues Sunday
9:00am to 12:00pm
Skippers Course
Friday—minimum of 1 hour in canoe
Other Important Information
Smoking
Smoking is permitted by persons 18 years of age and older by law
at the second campfire area only.
Pets
Due to the public nature of this site, pets are not allowed.
Camp Safety Orientation
Upon arrival at camp, a camp staff member will provide a 20
minute Camp Safety Orientation outlining out-of-bounds areas,
safety policies and a site tour.
Visitors
For the safety and security of our guests and staff, Jubilee is a
closed facility. Please advise us if you expect visitors during your
stay.
Alcohol
Alcohol is not permitted at Camp Jubilee. Please refer to
Appendix A: General Conditions of Use for more details.
Illegal Substances
Camp Jubilee strictly enforces a drug-free environment. Any
persons participating in the use or distribution of illegal drugs or
substances as defined by Canadian law will be asked to vacate the
property immediately. Boat transportation will be provided at the
expense of the group or responsible individual.
Saturday—9am—4pm
Continues Sunday 9:00am to 3:00pm
Please be sure to review the packing list and canoe
gear required on page .
For more information on what is covered in the
lessons, please visit www.ridgewilderness.com
©Camp Jubilee Retreat & Conference Centre
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Food Services & Meals
We pride ourselves on providing nutritious and delicious meals
and snacks at exceptional quality. Your meals will start from
Dinner on your day of arrival continuing through to Lunch on
your day of departure. Each meal will offer a vegetarian option,
however we ask that you provide us with a full list of any special
dietary requirements at least 14 days prior to your stay.
Refreshments between meals consist of coffee, tea, and seasonal fruit to keep all our guests well-nourished throughout their
stay. There is also a Saturday evening snack included.
Meal times are 8:00am for breakfast, 12:30pm for lunch and
5:30pm for dinner.
Please note: No outdoor shoes are allowed in Jubilee Lodge
or Dining Hall. We suggest guests bring a separate pair of
indoor shoes for use inside the lodge, dining hall, and cabins.
**All food and drinks must be consumed in the Dining Hall,
Fordham Hall or other designated eating areas. No food or
drinks are to be stored, cooked or consumed in any accommodation space so as not to attract any unwanted wildlife**
Nut Policy
DO NOT BRING
NUTS!
Camp Jubilee has been
identified as a “nut managed” camp. We
regularly encounter campers/guests who
have life threatening allergies to nuts. In an
effort to ensure their personal safety during
their stay at Camp Jubilee, we prepare and
serve meals which are free of nuts and nut
products. We also request that all visitors
and staff DO NOT bring nuts or products
containing nuts to camp. Items brought to
camp containing either of these will be
confiscated and removed.
Guest Services
Staff Support
A Camp Jubilee host or senior instructor will be available to answer any questions or concerns you may have. As well, staff members
are available on site 24 hours a day to respond to any emergency needs.
Emergency Phone Use
An emergency phone is available for local calls only.
Cell Phones
Most cell phone networks have adequate reception coverage at the camp with best reception received from the dock area.
Audio/Visual Equipment
Complimentary A/V equipment is available including:
 Flipcharts (please bring your own paper)
 DVD/TV




Stereo
Screen
Whiteboard/Chalkboard
Wireless Internet Access (must bring own laptop/computer)
**If you have additional guest needs, please call our office**
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APPENDIX A
General Conditions of Use
Accommodations – Groups are housed in cabins or lodge rooms. Pric- Group Cleaning Responsibilities – Please leave camp as you found it.
es quoted are based on 10 persons per cabin. When extra cabins are
Grounds, facilities and equipment should be left clean and tidy.
available, groups may utilize additional cabins to reduce the number
Guaranteed # of Guests – Group #’s must be confirmed 14 days prior
of people per cabin, however, additional cleaning charges apply.
to arrival. This is the minimum # you will be charged for.
Alcohol - Alcohol is not permitted, except when, in advance of your
Informed Consent Forms (AKA Waiver Forms) – Signed Camp Jubilee
stay, written permission has been obtained from Camp Jubilee manconsent forms must be received 14 days prior to arrival for all guests
agement. A Special Occasion Permit must be obtained by group and
participating in program activities. Guests will not be allowed to
posted. The group leader must assume responsibility for supervising
participate in activities without a signed waiver form.
and limiting excessive consumption, behaviour or other activities.
Alcohol must be consumed in the Dining Hall or Fordham Hall, barMedia Relations - Groups may not have media relations on site withtenders must be designated and alcohol service must close before
out the prior written consent of Camp Jubilee Retreat and Conference
12:00am.
Centre.
Bathrooms – Camp bathrooms operate on a septic system. Please do Multiple Bookings – Groups confirming a minimum of 90 guests can
not throw anything in toilets other than the toilet paper provided.
request Exclusive Use of the site. If there is less than 90 persons, there
Garbage cans are available in all bathrooms for other disposable items. may be a 2nd group on site.
Bedding – Please provide your own sleeping bag, pillows, bedding and
towels.
Out of Bounds Areas – For safety reasons some areas of camp are out
of bounds (i.e. River Bank, Workshop areas). A Jubilee staff member
will provide details on these areas upon your arrival.
Check Out Time – Check out will be done one hour prior to the group’s
departure. We ask that your group vacate all cabins and lodge rooms Personal Boat Moorage – Personal watercrafts are welcome for use by
by 9:30 am on the day of departure. Check out time is no later than
your group, however, dock space is limited. Please consult with our
1pm.
staff if you plan to have personal boats on site.
Damages- Damage at camp by groups is rare, however, when damage Pets – Due to the public nature of the site, pets are not allowed.
does occur to facilities, equipment or the environment, the group will
be assessed a fee based on replacement value which will be charged in
Programming/Activities – Programming such as canoeing, kayaking,
addition to the camp rental fee.
swimming, archery, ropes course/rappelling must be pre-arranged and
Dining Hall – No outdoor shoes are allowed in the Dining Hall. We
supervised by a qualified Jubilee Instructor.
suggest you bring a pair of indoor shoes.
Emergency Phone – A telephone is located in the main dining hall,.
Please limit your phone calls to important or emergency calls.
Quiet Times – Quiet times are strictly enforced during the hours of
11:00 p.m. – 7:00 a.m.
Final Payment – Any outstanding payment is due 14 days prior to
arrival. In the event additional charges are incurred, payment is due
prior to departure.
Smoking – Smoking is only permitted by persons 18 years or older in
the second campfire pit area.
First Aid – Groups are required to supply their own basic First Aid kit.
The group leader, or his/ her designate, is primarily responsible for
providing first aid treatment. A Jubilee staff member is available to
provide back-up assistance.
Supervision – Supervision of youth at all times is the responsibility of
group/organization. A minimum of 1 adult must accompany each
activity rotation group (12 students) to provide supervision of youth.
Swimming – A Camp Jubilee lifeguard (certified NLS) must be present
for all swimming activities involving children under the age of 19.
Food/Drinks – All food and drinks must be consumed and stored in the Adult only groups may swim without a lifeguard, at their own risk.
Dining Hall, Fordham Hall or other designated eating areas. No food or
drinks in cabins.
Visitors – For the safety of our guests, Jubilee is a closed facility.
Please advise us if you expect visitors during your stay.
Garbage – Place all garbage in trashcans located in buildings and
throughout the grounds.
Water Transportation – Groups are required to arrive at the dock 30
minutes prior to the scheduled departure time to allow time to load.
Graffiti and Vandalism – Like many facilities of this nature, we
Late charges are applied in the amount of $30.00 per ¼ hour or
occasionally experience graffiti and vandalism, especially in cabins. If
portion thereof.
this happens, the offending guest will be asked to leave camp
immediately. The group is also responsible for the cost of any repairs.
©Camp Jubilee Retreat & Conference Centre
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APPENDIX B
Directions to Deep Cove
 Go North over the Ironworkers Memorial Bridge.
 Take the first exit, Eastbound, off the bridge and onto the Dollarton Highway (if you end up on the
Mount Seymour Parkway, don’t worry, it goes the same way).
 Continue East until Dollarton Highway becomes Deep Cove Road and finally turns into Gallant
Ave.
 The Government Dock is right between Deep Cove Canoe & Kayak and Panorama Park.
 Please be aware of any posted parking signs.
Government Dock in
Deep Cove
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APPENDIX C
Packing List
Packing List Information
**Please note that this list is not comprehensive and is the MINIMUM to be packed for a 3 day stay.
Pack clothes that are appropriate for all types of weather including rain, sun, or wind. Please bring water shoes (or
old shoes that can get wet) if you are participating in canoe/water activities.
If possible, mark your name on all items as Camp Jubilee will not be responsible for lost items.
Item Description
Packed
1 Complete change of clothing per day, plus extra as you may get wet!

3 Pairs of shoes:
[1] Closed-toe, outdoor shoes (i.e. running shoes)
[2] Indoor shoes or slippers for use in the Dining Hall, Jubilee Lodge, and cabins
[3] Water shoes/sandals/neoprene socks or old shoes that can be worn in the water



Rain jacket / Rain Pants (Gore-Tex or ‘waterproof’ fabrics)

Warm jacket / pants (Fleece, Wool , NO COTTON!) Recommend a ‘wicking layer’

Warm hat and gloves

Flashlight

Personal toiletries (towel, cloth, toothbrush, toothpaste, shampoo, soap, brush, etc.)

Sleeping bag (or blankets/quilt) and pillow

Sun hat, swim suit, extra towel and sunscreen

Water bottle

2 Large garbage bags (for wet and/or dirty clothes)

Wet Suit or Dry Suit (wet suits for rent $10-$25, please let us know prior if you would like to rent a wetsuit)

Paddles & PFD’s are supplied but bring your own if you have them

Signed waiver forms (See Appendix D, E & F) please complete forms prior to arrival
And mail/fax/email to Camp Jubilee office—bring originals with you.

There is always the possibility of rain or ‘splash’ in the canoes so please:
 Keep electronic equipment in a waterproof container (Ziploc Bag)
 Make sure that gear is in a waterproof container or bag. (Backpacks lined on the inside with
plastic garbage bags will work.)
©Camp Jubilee Retreat & Conference Centre
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APPENDIX D
Waiver Form—Camp Jubilee
Camp Jubilee Retreat & Conference Centre
PLEAST READ CAREFULLY!
This form must be filled out by all guests attending camp
Release of liability, waiver of claims and assumption of risks agreement (hereinafter referred to as the “Release Agreement”).
By signing this document you will waive certain legal rights, including the right to sue or claim compensation following an accident.
Activities involved in this trip may include (but are not limited to) hiking, orienteering, canoeing, rock climbing, rappelling, ropes courses, sports and games, swimming, archery, kayaking as well as various leadership activities and team building challenges and initiatives.
I understand that outdoor activities present to the participant a wide variety of risks, hazards and conditions, not all of them easily foreseeable, which could result
in any type of physical or emotional injury. These conditions may include, but are not limited to uneven terrain, changeable weather conditions, animal and plant
life, and use of assorted vehicles, gear and equipment including various types of safety gear. I understand that such risks simply cannot be eliminated without
jeopardizing the essential qualities of the activity.
I understand that the school/organization is not always equipped with the skills, training, equipment and insurance necessary to undertake these types of
educational activities, and will at need to enlist the aid of outside agencies that embody and abide by high professional standards within their
industry.
I acknowledge that the outside agencies involved in this particular educational trip at Camp Jubilee Retreat and Conference Centre include the Children’s Jubilee
Summer Camp Association and Indian Arm Management Services Ltd. and that they have both read and sanctioned this agreement.
I expressly agree and promise to accept and assume all of the risks existing in this activity that are in my control. I do not have to participate in the activities if I do
not feel comfortable or confident in doing so. I certify that I have no medical or physical conditions that could interfere with safety, or else I am willing to assume
– and bear the costs of – all risks that may be created, directly or indirectly, by any such condition.
I understand that both the school/organization and above-mentioned outside agency or agencies will approach this trip with both care and planning. While the
trip is underway, they will endeavor to instruct, protect and care for my well being, including making decisions regarding my medical care. I also understand that,
following all trip activities, they will continue to maintain professional standards of behavior.
I understand that I will be expected to uphold the standards of behavior expected of the school/organization. I will be expected to listen to and honor any request, suggestion, advice or rule given by the staff, employees of the outside agencies selected by the school/organization and other supervising adults on the
trip, with the understanding that this is in the best interest of all participants. I will be expected to act with responsibility and care for myself and for others on
the trip.
I understand that school/organization and camp staff will take reasonable steps to prevent injuries to participants. Some degree of risk is inherent in the nature
of this activity and may occur without fault on the part of the participant, organization or Camp Jubilee Retreat and Conference Centre including the Camp Jubilee Society and Indian Arm Management Services Ltd. By allowing your child to participate in this activity, you are agreeing that the activity described above is
suitable for your child, and that there is a risk of injury associated with the activity.
I am aware that there are risks involved in this program, and have decided that I am prepared to participate in the program and all activities involved in the program. I am content to proceed on the trip as I wish. Photo Release: I give permission to use my photo and/or video image in any Camp Jubilee promotional
material (i.e. newsletter, social media or other related publication).
Participant
Name of School/Organization (if applicable):
Signed this ______
Signature:
day of _______________, 20____.
Street:
Age:
Last
Name:
City:
Sex:
First
Name:
Prov/State:
Email
Address:
Postal/Zip Code:
Phone
Number: (
)
-
Yes, please send me special offers and Camp Jubilee news by email!
Emergency Contact:
Relationship:
Phone #:
©Camp Jubilee Retreat & Conference Centre
For Participants
under the age of
19
Parent/Guardian
Name:
Parent/Guardian
Signature:
Please list any health conditions or medical issues that we ought to be aware of (previous injuries,
medications, allergies, dietary needs etc.)
7
APPENDIX E
Ridge Wilderness Adventures Ltd. —Waiver
RELEASE OF LIABILITY, WAIVER OF CLAIMS, AND
ASSUMPTION OF RISKS AGREEMENT
BY SIGNING THIS DOCUMENT YOU WILL WAIVE OR GIVE UP CERTAIN
LEGAL RIGHTS INCLUDING THE RIGHT TO CLAIM COMPENSATION OR
SUE SHOULD YOU BE INJURED.
TO:
Ridge Wilderness Adventures Ltd. and its directors, managers, officers, employees, volunteers, agents,
representatives, contractors, subcontractors, the owner’s of facilities where Activities are held, successors and
assigns (hereinafter collectively referred to as “THE RELEASEES”).
DEFINITION – This agreement shall apply to all activities, events or services provided, arranged, organized, sponsored or authorized by the Releasees, including but not limited to: canoeing, camping, hiking, meals, swimming, instructional sessions, first aid training, activities and games, day
tours, multi-day trips, transportation or travel by motorized boat, loading and unloading of boats, transportation or travel to and from locations used
for the Activities; (hereinafter referred to as “the Activities”).
ACKNOWLEDGEMENT – SAFETY
I acknowledge that the risk of injury from the Activities is significant, including the potential for permanent paralysis and death, and while particular
rules, equipment, and personal discipline may reduce this risk, the risk of serious injury and death does exist. I acknowledge that I have been advised
to wear a personal flotation device at all times while in a canoe.
ASSUMPTION OF RISKS – I am aware that participation in the Activities involves risks, dangers and hazards including, but not limited to: slips and
falls while boarding or disembarking from the canoe or motorized boat; overturning of the canoe; hypothermia due to exposure to very cold water;
drowning; variation in the water conditions, surfaces and currents, including high waves, tides and river currents; changing and inclement weather
conditions including storms, high wind and lightening; collision with rocks, trees, logs, deadfall, boating equipment and other canoes, or motorized
boats; equipment failure; accidents that occur while hiking and camping including steep slopes in their natural state that may contain many obstacles and hazards, and terrain that may not have been traveled on or climbed before and is not regularly patrolled or inspected; variation in the terrain including holes, depressions, loose gravel, rocks, mud, roots, seaweed, algae, barnacles, forest deadfall, rocks, or other natural or man-made
objects on or adjacent to the trails; integrity of man-made structures including tent platforms, benches, tables, toilets; burns from fire, stove or hot
liquid; minor injuries such as slivers, cuts and bruises; infection from open wounds; inability to obtain emergency medical assistance due to remoteness of locations; encounters with wild and domestic animals, becoming lost or separated from one’s guide/instructor, or party; failure to act safely
or within one’s ability or to stay within designated areas; and negligence of other persons. I AM AWARE THAT ONE OF THE RISKS, DANGERS AND
HAZARDS OF THE ACTIVITIES IS NEGLIGENCE ON THE PART OF THE RELEASEES, INCLUDING THE FAILURE OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE ACTIVITIES, SOME OF WHICH ARE REFERRED TO ABOVE. I FREELY ACCEPT AND FULLY
ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING
THEREFROM.
RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT – In consideration of the Releasees allowing me to
participate in the Activities and permitting my use of their equipment, if any, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows:
2. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any property damage or personal injury to any third party
resulting from my participation in the Activities.
1. TO WAIVE ALL CLAIMS that I have or may in the future have against the Releasees and TO RELEASE THE RELEASEES FROM ANY
AND ALL LIABILITY for any loss, damage, expense or injury including death, that I may suffer, or that my next of kin may suffer as
a result of my participation in the Activities, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT
OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE,INCLUDING ANY DUTY OF CARE OWED UNDER THE OCCUPIERS LIABILITY ACT, R.S.B.C 1996, c.337, ON THEPART OF THE RELEASEES AND INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO
SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS REFERRED TO ABOVE.
3. This Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of
my death or incapacity.
4. This Agreement and any rights, duties and obligations as between the parties to this agreement shall be governed by and interpreted solely in
accordance with the laws of the Province of British Columbia and no other jurisdiction.
5. Any litigation involving the parties to this Agreement shall be brought solely within the Province of British Columbia and shall be within the exclusive jurisdiction of the Courts of the Province of British Columbia.
PLEASE TURN TO NEXT PAGE...
©Camp Jubilee Retreat & Conference Centre
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Page 2 Ridge Wilderness Adventures Ltd. Waiver
6. I am responsible for all costs of rescue or medical attention rendered to me, or for my benefit, arising from the Activities and I indemnify and
hold harmless the Releasees from any and all liability in respect of any and all such costs.
7. I acknowledge that while participating in the Activities the Releasees may capture my image through video or photography or any other technological means (the “Photo”). I agree to allow them to take my Photo and permit them to use it in any form and for any purpose and forever
release and indemnify them from any liability for the use of such Photo. I acknowledge that they will own the copyright and right to reuse such
photo without my right to examine or approve the products and publications that contain the Photo.
MARINE LIABILITY ACT – The Marine Liability Act, S.C. 2001, c. 6, may limit the liability of the Releasees in the event of an accident resulting in
injury or death.
In entering into this Agreement, I am not relying on any oral or written representations or statements made by the Releasees with respect to the
safety of the Activities, other than what is set forth in this Agreement.
I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY
SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS,
ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES.
______________________________________
PARTICIPANT’S SIGNATURE
_______________________________________
WITNESS
______________________________________
PRINT NAME CLEARLY
Date Signed: ___________________________
Address: __________________________________________________________________________________________________________
Street
City
Prov/State
__________________________________________________________________________________________________________
Country
Postal Code
Telephone
Parental Consent Addendum for Minors
This portion is to be filled out for any participant under the age of 19, and is signed in conjunction with the rest
of the Waiver. It serves to indicate that the child and parent/guardian are aware of the risks involved in
participating in this event and agree that the child will be responsible for their own safety.
`The Releasees hereby permit the child to participate in the Activities, on the following terms and conditions:
1.
2.
3.
4.
I, the undersigned give permission for my child/children to participate in the Activities. I recognize the
physical risks and hazards of the Activities. I acknowledge that there is, at all times, a risk of serious injury
and I agree that my child is responsible for any injury or loss which they might receive while participating in
the Activities.
I release and hold harmless the Releasees, of responsibility for any claims, demands, actions and costs which
might arise out of my child’s participation.
If any term herein shall be deemed invalid or unenforceable, the remaining clauses shall not be affected and
shall be valid to the fullest extent permitted by law.
I agree that this Agreement shall in all respects be governed by and interpreted in accordance with the laws of
the Province of British Columbia and other governing bodies in this province.
Signed this
day of
,20
Child’s Name: _________________________________ Age:_________
Child’s Signature:
Parent/Guardian Name:
Parent/Guardian Signature:
Witness Name:
©Camp Jubilee Retreat & Conference Centre
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AP P E NDIX F
ACKNOWLEDGMENT OF RISK FOR PARTICIPANTS OVER THE AGE OF MAJORITY
in the Province or Territory (excluding Quebec) in which the Athletic Activities are provided by the Organization
WARNING: THIS AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS,
READ IT CAREFULLY! Every person MUST Read, Understand, Complete in Full and Sign this Waiver Prior to Participating
in Athletic Activities
REMINDER: THIS IS A LEGAL DOCUMENT. PLEASE PRINT CLEARLY AND COMPLETE ALL REQUIRED* FIELDS.
NOTE: Participants must complete this form using a permanent address, not a temporary residence or business address.
Become part of the largest community of paddling/outdoor enthusiasts in Canada
The following waiver of all claims, release from all liability, assumption of all risks and other terms of this agreement are entered into by me ("the Participant") with
and for the benefit of: Paddle Canada, its directors, officers, employees, volunteers, coaches, officials, business operators, agents and site property owners or Occupiers (the "Organization"). Occupiers is defined in accordance with the definition of Occupiers contained in the Occupiers Liability legislation applicable to the Province or Territory in which the Athletic Activities are provided by the Organization.
1. "Athletic Activities" includes but is not limited to contact and non-contact sports, fitness activities, personal training instruction and activities, use of facilities, and
fitness programs and services provided to the Participant by the Organization.
2. I am aware that there are inherent and significant risks ("Risks") associated with the participation in Athletic Activities. I am aware the those Risks include but are
not limited to the potential for serious personal injury caused by any event or any condition of the facility or equipment where
Athletic Activities are provided by the Organization, and health risks such as transient light headedness, fainting, abnormal blood pressure, chest discomfort, muscle
cramps or soreness, and nausea. I understand the Risks are relative to my own state of fitness and health (physical, mental and emotional), and to the awareness,
care and skill with which I conduct myself while participating in Athletic Activities.
3. I freely accept and fully assume all responsibility for all Risks and possibilities of personal injury, death, property damage or loss resulting from my participation in
Athletic Activities. I agree that although the Organization has taken steps to reduce the Risks and increase safety of the Athletic Activities, it is not possible for the
Organization to make the Athletic Activities completely safe. I accept these Risks and agree to the terms of this waiver even if the Organization is found to be negligent or in breach of any duty of care or any obligation to me in my participation in Athletic Activities.
4. I acknowledge my obligation to immediately inform the nearest employee or others of the Organization if I feel any pain, discomfort, fatigue or other symptoms
that I may suffer during and immediately after my participation in Athletic Activities. I understand that I may stop participation at any time, and I may be requested
to stop by an employee or others of the Organization who observes any symptoms of distress or abnormal response.
5. I confirm that I have reached the age of majority in the province or territory in which I am participating in Athletic Activities.
6. In addition to consideration given to the Organization for my participation in Athletic Activities, I and my heirs, next of kin, executors, administrators and assigns,
(collectively my "Legal Representatives"), agree:
a.
to waive all claims that I may have in the future against the Organization;
b.
to release and forever discharge the Organization from all liability for all personal injury, death, property damage, or loss resulting
from my participation in the Fitness Activities due to any cause, including but not limited to negligence (failure to use such care as
a reasonably prudent and careful person would use under similar circumstances), breach of any duty imposed by law, breach of
contract or mistake
or error of judgment o the Organization; and
c.
to be liable for and to hold harmless and indemnify the Organization from all actions, proceedings, claims, damages, costs de
mands including court costs and costs on a solicitor and own client basis, and liabilities of whatsoever nature or kind arising out of
or in any
way connected with my participation in Athletic Activities.
7. I agree that this waiver and all terms contained within are governed exclusively by the laws of the Province or Territory of Canada in which the Athletics Activities
are provided to me by the Organization. I hereby irrevocably submit to the exclusive jurisdiction of the courts of that Province or Territory. Any litigation to enforce
this waiver must be instituted in the Province or Territory in which the Athletic Activities are provided by the Organization.
8. I
confirm that I have had sufficient time to read and understand each term in this waiver in its entirety, and have agreed to the terms freely and
voluntarily. I understand that this waiver is binding on myself and my Legal Representatives.
Initial:
Participant Name:
Participant Address:
City: ______________________________________________________________ Province: ______________ Postal Code:______________
Telephone: _______________________________ Email Address: _____________________________
__________________
Date of Birth (M/D/Y): ______________________________ Country of Citizenship/Nationality:
Do you have any medical conditions that may effect your participation in this course?
Please specify:
©Camp Jubilee Retreat & Conference Centre
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©Camp Jubilee Retreat & Conference Centre
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APPENDIX G
Special Diet Request Form
Camp Jubilee strives to provide all of our guests with nutritious and delicious meals and snacks, including those with
dietary restrictions. We are sensitive to allergies and dietary restrictions and place the highest priority on ensuring safety. To safeguard this, we ask that this form be fully completed to ensure our food services team can be prepared for
your upcoming visit.
Special Diets Policy and Notes:

For those guests with cross contamination or other significant allergy concerns may be required to bring
prepared meals for the duration of your stay.

Camp Jubilee is a 30 minute boat ride to Deep Cove, North Vancouver. Therefore guests should understand it would take approximately 30 minutes to access medical support in the form of BC Ambulance
Service. Guests who require medicine to treat their allergic reactions must bring their own including EPIPEN and/or Benadryl (or similar product). Further, guests should consult with their doctor to establish
amount of medicine required for the trip, as the effects of the medicine may wear off after 10-20 minutes
and additional medicine (i.e. injections) may be required.

Camp Jubilee is “nut managed” which means that we AVOID the use of nut or nut-related products. We
remind all our guests of our “nut managed” status. However, we cannot guarantee that nuts or nut products are not present as guests may bring a restricted product without our knowledge. Additionally, some
of our food products contain the warning “May contain traces of nuts” or” Produced in a factory in which
contains nut and/or nut products.”
DIETARY RESTRICTIONS
Vegetarian
Vegan
Pork
Free
FOOD SENSITIVITY
(No allergy diagnosed by physician)
Beef
Free
Details/Comments:
Gluten/
Wheat
Dairy
Egg
Details/Comments:
Nut
ALLERGY
(Diagnosed by physician)
Other
(Please list)
Gluten/
Wheat
Dairy
Egg
Nut
Other
(Please List)
Details/Comments:
Guests with Allergies:
We recommend that guests with multiple allergies and/or severe allergies bring their own food for meals in separate precooked
Tupperware containers to minimize the risks and cross contamination. Please provide details below along with any other information regarding your Special Diet needs.
Attending Camp Jubilee with (Name of group) ______________________________________
Camper will be bring own Anaphylaxis Injection Kit: Yes _______
________________________________
Participant Signature:
(If guest is under 19, Parent/Guardian signature)
©Camp Jubilee Retreat & Conference Centre
____________________________
Date:
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