CAMP LEMIEUX
  • Home
  • Camps
    • Dates & Registration
    • What To Bring
    • Homesickness Policy
    • Camp Life
  • Support
    • Donate
    • Sponsorship
    • Volunteers
  • Rentals
  • Hiring
  • About
    • Our Mission
    • Meet The Board
    • AGM Reports
    • Family Albums
  • Contact Us
  • Home
  • Camps
    • Dates & Registration
    • What To Bring
    • Homesickness Policy
    • Camp Life
  • Support
    • Donate
    • Sponsorship
    • Volunteers
  • Rentals
  • Hiring
  • About
    • Our Mission
    • Meet The Board
    • AGM Reports
    • Family Albums
  • Contact Us
Camp Lemieux
​Celebrating 70 Years!
1950-2020

Youth Camp 3 Registration

Picture

Join Us...Register Before June 1st
For Your FREE T-Shirt!


    A camper may request one cabin-mate, provided the same request appears on the friend's application. Please limit to one request. Your cabin-mate must be within two years of your age.
    FREE Camp Lemieux T-Shirt for All Those Registered By June 1st!

    Medical & Emergency Information
    Province Your Health Card Number Is Issued For
    Required If Providing Health Care Number

    The Following Is To Be Completed By Parents/Guardians If Child Is Under 18

    Liability Release & Parent/Guardian Consent

    I hereby waive, release, and discharge any and all claims for damages regarding personal injury, loss or damage which may hereafter occur to me as a result of participating in activities and transportation for camp programming. This release discharges in advance Camp Lemieux, its officials, officers, employees, volunteers and agents from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above.

    ​I agree to observe safety procedures and practices for camp activities at all times. It is understood that some recreational activities involve an element of risk or danger of accidents, and knowing these risks, I hereby assume these risks.

    It is further understood and agreed that this waiver, release, and assumption of risk is binding on my heirs and assignees. As parent(s)/guardian(s), I give consent for the registered camper above to participate in all camp activities, and I execute this liability release on their behalf, if under 18 years, as indicated by my response below:
    Medical Care Consent
    Camp Lemieux requires parent or guardian consent that gives permission to the official in charge, or his/her deputy, to make arrangements for the child in the event of necessary medical attention, without the parent(s)/guardian(s) prior approval. Parent(s)/Guardian(s) will be notified by the quickest means possible if this authority is exercised. I hereby give consent as legal parent(s)/guardian(s) for necessary medical attention for my child while attending Camp Lemieux as indicated by my response below:

    Photo Release

    I understand that my child's photo may be taken for promotional purposes, including brochures, website and social media, and I waive the right to inspect or approve the photo if used for such purposes. I acknowledge that these photos are the property of the photographer and I hereby give consent as legal parent(s)/guardian(s) for them to be used for Camp Lemieux promotional purposes as indicated by my response below:

    Drop Off & Pick Up Of Campers Under 18

    I hereby declare, as parent(s)/guardian(s) of registered camper above, that the pick up plan will be as indicated by my response below: 
    The following MUST BE COMPLETED if you are not picking up your child personally:

    Methods of Payment

    PayPal accepts all major credit cards from Visa, Mastercard, American Express and Discover. 
    You do not need a personal PayPal account to pay for your camper registration
    ​using PayPal through our online store.

    If you are unable to process your payment through PayPal at our online store,
    mail a cheque payable to Camp Lemieux to:
    Camp Lemieux
    c/o Jim Dietrich 
    Box 68
    Mendham, SK  ​S0N 1P0​
Submit For Payment

Medication Form

All those requiring medication administered while at camp will need to complete an additional Medication Form. All medications, along with completed Medication Forms, must be turned over to the First Aid Personnel on Registration day. 

Office Phone
306-741-1229


Camp Phone
306-627-3418 
(July-August)

Mailing Address
239 4th Ave SE
Swift Current, SK  S9H 3L6

Picture
  • Home
  • Camps
    • Dates & Registration
    • What To Bring
    • Homesickness Policy
    • Camp Life
  • Support
    • Donate
    • Sponsorship
    • Volunteers
  • Rentals
  • Hiring
  • About
    • Our Mission
    • Meet The Board
    • AGM Reports
    • Family Albums
  • Contact Us