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 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) 1
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. 2
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. 3
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) _____________________________________________________________________________ _____________________________________________________________________________ 4
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. 5
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