Camp Registration

CEDAR Camp Registration

CEDAR Camp 2025 Camper Application

Whether you are a returning camper or brand new to the CEDAR program, we would love to hear from you! Please fill out this form and we will get in touch with you shortly. This camp is geared towards Indigenous kids from age 8-12. If you have any inquiries, please email salisha.oldbull@ubc.ca.

Camper Information
Child's Name*
First Last
Child's Birthdate*
Child's Gender*
- Male
- Female
Child's Age (years)*
Please enter a number from 8 to 12.
Preferred Name/Nickname
My child is a:*
- returning CEDAR camper
- first time CEDAR camper
My child can commit to attending all 10 days of CEDAR
*Please note* Due to the costs incurred by UBC associated with running CEDAR summer camp, preference will be given to campers who are able to attend Monday-Friday for the two weeks CEDAR camp operates. The camp will run from July 14th to July 25th, 2025.
- Yes
- No
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Home Phone*
Indigenous Ancestry
T-Shirt Size*
Name of School Attended
Grade (Beginning in September)
School Phone Number
Name of Principal
Primary Guardian
Preferred Name*
First Last
Primary Phone Number*
Email*
Secondary Guardian
If camper will be dropped off and picked up regularly by a relative (i.e. aunt, uncle, grandparent etc.), please provide his or her contact information here.
Preferred Name*
First Last
Primary Phone Number*
Email*
Other Trusted Adults*
Please provide the names and phone numbers of any other adults who may (at any point) be expected to drop off or pick up the camper. Note that any individual who is not on this list will not be permitted to pick up the camper.
Contact 1 Contact 2 Contact 3
In Case of Emergency Information
Preferred Name*
First Last
Relation to child*
Primary Phone Number*
Transportation Information
Will your child(ren) need bus transportation?*
- Yes
- No (I will pick up and drop off at UBC)
If you chose bus transportation, please specify which location your child(ren) will be dropped off and picked up below*
- Britannia Ice Rink
- Musqueam Community Centre
Medical Information
Full name of family doctor*
Phone number of family doctor*
Date of last tetanus shot*
Month
Day
Year
Medical Insurance Number*
Allergies*
If not applicable, enter "N/A"
Chronic conditions or recent illnesses*
If not applicable, enter "N/A"
Special instructions regarding camper's health care
Medication times and situations where treatment willl be required
Declaration of Information*
- I declare this information to be true and correct to the best of my knowledge.
Photo Release*
By checking the box you give The University of British Columbia (“UBC”) permission to use images of your child. Used only for promotional purposes.
- Yes
- No

Contact 1	Contact 2	Contact 3

Camp Registration

CEDAR Camp Registration

CEDAR Camp 2025 Camper Application

Camper Information

Primary Guardian

Secondary Guardian

In Case of Emergency Information

Transportation Information

Medical Information