Page 1 of 1

Nourish Camp 2026 — Registration Consents

Nourish Camp 2026 — Registration Consents | hello@nourishcookingcompany.com | 905-320-6255 Please complete all sections below. This form covers authorized pick-up persons, sunscreen and insect repellent consent, and photo/media consent. All fields marked * are required.

Camper's First and Last Name

Parent/Guardian Name

Email Address

Dates/Week Attending

AUTHORIZED PICK-UP PERSONS Campers will only be released to the primary parent/guardian listed above or to the individuals named below. Please list everyone who may pick up your child. Photo ID may be requested at any time. Changes to this list during the camp season must be submitted in writing to hello@nourishcookingcompany.com — verbal changes cannot be accepted.
Authorized Person 1 (required)

Full Name

Relationship To Camper

Phone Number

Authorized Person 2 (optional)

Full Name

Relationship To Camper

Phone Number

SUNSCREEN & INSECT REPELLENT CONSENT

Parents are to send their own sunscreen and insect repellant products to camp with their child. Please apply sunscreen to your child before drop-off each day. Staff will assist with reapplication during outdoor activities if needed with your consent below.

SUNSCREEN & INSECT REPELLENT CONSENTParents are to send their own sunscreen and insect repellant products to camp with their child. Please apply sunscreen to your child before drop-off each day. Staff will assist with reapplication during outdoor activities if needed with your consent below.
A
B

Known skin sensitivities or allergies to sunscreen ingredients (e.g. oxybenzone, fragrance)

Which areas should be avoided if necessary?

Photosensitivity details or any other sun-related medical notes

INSECT REPELLENT CONSENT

INSECT REPELLENT CONSENT
A
B

Known sensitivities or allergies to insect repellent ingredients

PHOTO & MEDIA CONSENT During camp, Nourish Cooking Co. may take photos and videos of campers during activities. These images may be used for our website, social media, and marketing materials. We will never share images that identify your child by full name without your permission. You may withdraw this consent at any time by emailing hello@nourishcookingcompany.com.

PHOTO & MEDIA CONSENT During camp, Nourish Cooking Co. may take photos and videos of campers during activities. These images may be used for our website, social media, and marketing materials. We will never share images that identify your child by full name without your permission. You may withdraw this consent at any time by emailing hello@nourishcookingcompany.com.
A
B

Any notes regarding photo/media consent?

DECLARATION
By submitting this form I confirm that:

* All information provided is accurate and complete
* I am the parent or legal guardian of the camper named above
* I understand that changes to authorized pick-up persons must be submitted in writing
* I understand that sunscreen and insect repellent will be applied according to my selections above
* I have given my photo and media consent decision above
I agree that Nourish Cooking Co. staff will act in accordance with the selections I have made on this form. Typing your name below confirms your agreement to the declaration above
Signature

Full Name

Today's Date