Get on Board Calgary Transit Access Travel Training Summer Camp 2019

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Get on Board Calgary Transit Access Travel Training Summer Camp 2019
Get on Board
                                      Calgary Transit Access
                                Travel Training Summer Camp 2019
                           Sponsored by Calgary Transit, Calgary Catholic School
                               District and Calgary Board of Education

The ‘Get on Board’ Travel Training Summer Camp will aim to teach participants
with disabilities how to ride on public transit. It will provide both classroom and
bus/CTrain training. In order to ensure that this camp is right for you and your
child please refer to the qualifications list below which outlines who would benefit
most from this camp:

Preferred Qualifications:
   • Have a mild to moderate disability.
   • Be between the ages of 11 - 18.
   • Be unfamiliar with riding Calgary Transit independently; some exposure is
      acceptable.
   • Be self-sufficient in course work or attend with an aide.
   • Attend the camp to gain sufficient knowledge to take Calgary Transit
      independently upon the conclusion of the program or specific goals should
      be submitted in the application form.
   • Have the ability to recognize some words related to Calgary Transit. For
      example, help button, station, numbers, etc.

Location:
   • Get on Board Travel Training Summer Day Camp 2019 will be held at
      City Hall School - City Hall – Municipal Building, Plaza Level 800
      Macleod Trail SE. (main level beside the escalators)

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Get on Board Calgary Transit Access Travel Training Summer Camp 2019
Get on Board
                               Calgary Transit Access
                           Travel Training Summer Camp
                                     2019 Dates

Each camp session will consist of 12 hours of instruction and activity time,
spread out over four days in 3 hour blocks (morning or afternoon). We will be
offering a ‘Great Transit Race’ to participants at the completion of camp.

 Session One:                             Session Two:
 Monday July 15 through                   Monday July 15 through
 Thursday July 18                         Thursday July 18
 9:00 a.m. to 12:00 Noon                  1:00 p.m. to 4:00 p.m.

 Session Three:                           Session Four:
 Monday July 22 through                   Monday July 22 through
 Thursday July 25                         Thursday July 25
 9:00 a.m. to 12 Noon                     1:00 p.m. to 4:00 p.m.

 Session Five:                            Session Six:
 Monday August 12 through                 Monday August 12 through
 Thursday August 15                       Thursday August 15
 9:00 a.m. to 12 Noon                     1:00 p.m. to 4:00 p.m.

 Session Seven:                           Session Eight:
 Monday August 19 through                 Monday August 19 through
 Thursday August 22                       Thursday August 22
 9:00 a.m. to 12 Noon                     1:00 p.m. to 4:00 p.m.

 Great Transit Race (Please Pick 1)

 Option 1: Friday July 26 10 a.m. to 2:30 p.m.

 Option 2: Friday August 23 10 a.m. to 2:30 p.m.

Please note space is limited to six students per session, Register Early to avoid
disappointment. Any questions please call Trelena at (403) 537-7862 or email
Trelena.Abrahamson@calgary.ca. Applications will not be accepted after
July 3, 2019.

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GET ON BOARD
                             CALGARY TRANSIT ACCESS
                          Travel Training Summer Camp 2019
                       Sponsored by: Calgary Transit, Calgary Board of Education and
                                  Calgary Catholic School Board
                                          REGISTRATION FORM
Family Name: ________________________ First Name: ____________________ Initial: ___

Preferred Name: _____________________________________________________________

Address: ______________________________City: ________________ Postal Code: ___________

Gender: Male _____            Female _____ Age: _______ Birth date: _____________

School: ___________________________ Grade: ________________

School Board: Public_____________Catholic_________________Other__________________

                                       PHOTO RELEASE WAIVER
In the course of activities, pictures may be taken and recordings may be made. Please advise us
if you are willing to have your child’s photograph used for the promotion of The City of Calgary.

I hereby grant The City of Calgary permission to take photographs and/or record audio and video
clips of my child to use in whole or in part, for promotional purposes only.

I give my permission as set out above: _____________________________ Date: ___________
                                   (Signature of custodial parent or guardian)

I do not give my permission: _____________________________________ Date: ____________
                                (Signature of custodial parent or guardian)

                         INFORMED CONSENT FOR PARTICIPATION

Activities during the day camp are organised to set standards and guidelines for activity
management including supervision, training, equipment, and health matters.

During day camp, your child may participate in activities supervised by The City of Calgary Staff,
which may include but not limited to:
        • Classroom training ( introduction to transit, route planning)
        • Bus and CTrain training ( ride on Calgary Transit )
I have read and understood the information provided with this form. I understand that there is a
degree of risk involved in some activities. After carefully considering all the risks involved, and
having full confidence that reasonable precautions will be taken for the safety and well-being of
my child, I authorise my child to participate in the activities at Travel Training Day Camp as
described above.

_______________________________________________________ Date: ________________
(Signature of custodial parent or guardian)

The information on this form will be used at the discretion of the Day Camp leader to ensure care
and attention is given to the health of the participants. All information on this form is considered
PERSONAL AND CONFIDENTIAL.

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Camp Participant Cell Number (If applicable): ______________________________________
This may be helpful if they have a tendency to wander from the group or they are late for camp.

Custodial Parent or Guardian: ___________________________________________________
                                   Surname                                First Name

Phone: Home: ____________ Cell / Alternate: ________________ Email: _______________

If the above are unavailable in an emergency, please notify:

Emergency Contact: __________________________________________________________
                        Surname                                           First Name

Phone: Home: _____________ Cell / Alternate: ________________Email: _______________

How will the participant be travelling to day camp? (i.e. Calgary Transit Access, Parent drop off)

Who is authorized to pick up the participant from this camp?

1. ___________________________________________________________________________
    Name                                                                 Relationship

2. _________________________________________________________________________
    Name                                                                 Relationship

All participants must be independent in self-care (i.e. washroom use, course work). If
participants need more assistance they must bring their own attendant. Attendants have been
beneficial to help some participants focus and are welcome to attend the camp.

Will the participant be bringing an attendant to camp? Yes         No

What is the primary disability that the participant has been diagnosed as having?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

The day camp program will include course work as well as transit riding. Does the participant
have any physical, cognitive, or emotional conditions that would prevent him/her from fully
participating in this program? Yes     No If yes, please explain:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Allergies Yes      No (please include food, environmental, and medications)
If yes, please explain in detail. (please include information for course of treatment e.g. EpiPen)
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Is the participant currently subject to any of the following?
          Seizures / Convulsions              Motion Sickness
          Respiratory Ailments               Other- please Specify __________________________

Are there any behaviour concerns that staff should be aware of? (such as wandering off from the
group or hard to motivate)
_____________________________________________________________________________
_____________________________________________________________________________

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Are there any communication or learning methods that staff should be aware of to better assist
the participant? What is the literacy level (reading & writing) of the participant?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Is there a main goal or outcome that you would like the participant to take away from camp? (i.e.
trip planning, exposure to transit, independence, etc.)
_____________________________________________________________________________
_____________________________________________________________________________

Is there any other information that staff should be aware of to fully assist in the care and attention
of the participant? (i.e. lacks safety awareness when crossing streets, may get lost etc.)
_____________________________________________________________________________
_____________________________________________________________________________

**Please Note**
Behaviour management will be used to deal with dangerous, disruptive or socially unacceptable
behaviour. Parents / Guardians will be contacted if there are any serious or recurring discipline
concerns. We reserve the right to discontinue a participant’s registration in such circumstances.

I, ____________________ hereby authorize The City of Calgary Staff responsible for the event to
secure such medical advice and services as may be deemed necessary for the health and safety
of the participant.
________________________________________________________ Date: _______________
Signature of Parent/Guardian

                                                           FEE
A fee of $25.00 is required for the GET ON BOARD Travel Training Summer Camp. If the
participant attends 100% of the camp the $25.00 will be refunded. This is to ensure those who
have registered attend the camp. If you cancel after the registration deadline your fee will not be
returned. If FAXING the registration form the space will not be confirmed until the cheque has
been received.
 Please make the cheque to: The City of Calgary.

Session Dates are listed at the beginning of this application form.

Session Preference (please circle) 1 2 3 4 5 6 7 8 -                                             max. 6 students per camp

Alternate Choice (please circle) 1 2 3 4 5 6 7 8 -                                          max. 6 students per camp

Great Transit Race Choice (please circle) 1 2
Send Completed Registration Form and Cheque for $25.
GET ON BOARD Travel Training Summer Camp
            Calgary Transit Access WB#170                                Or FAX to: GET ON BOARD
            PO Box 2100 STN M                                            Travel Training Summer Camp
            Calgary, AB Canada T2P 2M5                                   (403) 537-7812
Course information will be made by mail. Registration is conditional upon availability. You will be notified if there are no
spaces available in your chosen preferences. The information collected is intended ONLY for the use of participation in
Travel Training with The City of Calgary as per clause 33 © of the Freedom of Information and Protection of Privacy Act.
For further information on Freedom of Information and Protection of Privacy phone the CT Business Unit Records
Coordinator at (403) 537-7968 or contact the City of Calgary, City Clerks, FOIP Office.

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