NometneCamp Sidrabene Registration 2025"*" indicates required fieldsStep 1 of 520%Name of the Parent/Guardian Completing This Form*All camp communications will be sent to the email address provided. Please complete one registration form per camper. First Last Email Address* Camper's InformationChild's Name* First Last Date of Birth*mm / dd / yyyyMMMM123456789101112DDDD12345678910111213141516171819202122232425262728293031YYYYYYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Age at Camp*Sex* M FSwimming Level*Latvian Comprehension*Please selectNoneLimitedFluentLielā nometne (ages 8-16) is available for 4 weeks! Cāļu kalns (ages 4-7) is available for 2 weeks (week 1 & 2) this summer! Day camp is only available to cāļu kalns campers. CITs are expected to attend camp for all 4 weeks!SID Svētki will be on July 27th. To participate, your child must be registered for Week 2.Which child are you registering for camp?* 1st child 2nd child 3rd childAre you registering your child for lielā nometne (ages 8-14) or cāļu kalns (ages 4-7) or CIT (ages 14-16)?* Lielā nometne Cāļu kalns CIT1st child lielā nometneWhich week(s) of lielā nometne will your child be attending?* Week 1 (July 13-20) Week 2 (July 20-27) Week 3 (July 27-Aug 3) Week 4 (Aug 3-10)Select All1st child CKWhich week(s) of cāļu kalns will your child be attending?* Week 1 (overnight) - July 13-20 Week 2 (overnight) -July 20-27 Week 1 (day) - July 13-20 Week 2 (day) - July 20-272nd child lielā nometneWhich week(s) of lielā nometne will your 2nd child be attending?* Week 1 (July 13-20) Week 2 (July 20-27) Week 3 (July 27-Aug 3) Week 4 (Aug 3-10)Select All2nd child CKWhich week(s) of cāļu kalns will your 2nd child be attending?* Week 1 (overnight) - July 13-20 Week 2 (overnight) - July 20-27 Week 1 (day) - July 13-20 Week 2 (day) - July 20-273rd child lielā nometneWhich week(s) of lielā nometne will your 3rd child be attending?* Week 1 (July 13-20) Week 2 (July 20-27) Week 3 (July 27-Aug 3) Week 4 (Aug 3-10)Select All3rd child CKWhich week(s) of cāļu kalns will your 3rd child be attending?* Week 1 (overnight) Week 2 (overnight) Week 1 (day) Week 2 (day)CITIs your child a 1st year or 2nd year CIT?* CIT1 (born in 2011) CIT2 (born in 2010)Talka/Work Bee*A parent/guardian or representative from each family must attend. $200 will be charged in lieu of attending. Talka will be on Saturday June 21st from 9am-4pm at SID. An email with further details will be sent shortly. Attending Not AttendingSID Krekls/T-ShirtCampers must wear their SID t-shirt (white for campers & light blue for CITs) to church each week (Wednesday night & Sunday morning). If your child already has one you don't need to purchase additional t-shirts, but it is always a good idea to have extras! Please select which size your child needs:Please select sizeYouth SmallYouth MediumYouth LargeYouth XLDepositLike last summer, a deposit is required to secure your child's spot at camp. If you require financial assistance please send us an email at sidrabenesnometne@gmail.com. Price: Credit Card*Cardholder Name Card DetailsTotal Camp FeesYour outstanding camp fees are listed below and will be included in your confirmation email. Deposit Paid Outstanding Fees for Summer 2025Outstanding fees for summer 2025 must be paid in full by June 1st, 2025. The email address for e-transfer is sidcamptreasurer@gmail.com. If you wish to pay by cheque or cash please send us an email. If you require financial assistance please send us an email at sidrabenesnometne@gmail.com.Outstanding Fees for Summer 2025Outstanding fees for summer 2025 must be paid in full by June 1st, 2025. The email address for e-transfer is sidcamptreasurer@gmail.com. If you wish to pay by cheque or cash please send us an email. If you require financial assistance please send us an email at sidrabenesnometne@gmail.com.First Parent / Guardian InformationPlease enter name of first parent/guardian* First Last Relationship to camper*E-pasts* Cell Phone #*Address* Street Address City State / Province / Region Postal Code Country United StatesAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRwandaSaint BarthélemySaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandTaiwanTajikistanThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweCabo VerdeCongoCzechiaEswatiniHeard Island and McDonald IslandsKorea, Democratic People's Republic ofKorea, Republic ofMacaoNorth MacedoniaRussian FederationSaint Helena, Ascension and Tristan da CunhaSvalbard and Jan MayenSyria Arab RepublicTanzania, the United Republic ofTürkiyeViet NamSouth Georgia and the South Sandwich IslandsGeorgia Second Parent / Guardian InformationPlease enter name of second parent/guardian First Last Relationship to camperE-pasts Cell Phone #AddressSame as aboveDifferentN/AAddress* Street Address City State / Province / Region Postal Code Country United StatesAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRwandaSaint BarthélemySaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandTaiwanTajikistanThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweCabo VerdeCongoCzechiaEswatiniHeard Island and McDonald IslandsKorea, Democratic People's Republic ofKorea, Republic ofMacaoNorth MacedoniaRussian FederationSaint Helena, Ascension and Tristan da CunhaSvalbard and Jan MayenSyria Arab RepublicTanzania, the United Republic ofTürkiyeViet NamSouth Georgia and the South Sandwich IslandsGeorgia Church AffiliationJoin us for Church service on Sunday morning at 11am. Parents are NOT allowed to attend Wednesday night church service.Are there any other people, in addition to the parents/guardians above, who are authorized to pick-up/sign-out the camper?*Campers must be signed out of camp every Sunday starting after church service until approx. 6pm. Yes NoPlease enter their full names*Consent*I give my child/children permission to participate in day trips and supervised activities outside Camp Sidrabene boundaries during his/her/their attendance at Camp Sidrabene. I consent to my child/children being driven to/from these activities by an adult member of camp Sidrabene, operating under the umbrella of St.Andrew’s Ev.Luth. Latvian Congregation in Toronto. I understand that the St.Andrew’s Ev.Luth. Latvian Congregation, Camp Ministry, will do its best to follow the guidelines set out in ‘Policy to Protect Children,Youth and Other Vulnerable People in the ELCIC’, which is intended for the health, safety and protection of the children, youth, other vulnerable people and the volunteers/staff of St.Andrew’s Ev.Luth.Latvian Congregation. I have read and agree to these terms and conditions.Photo Consent*Images of my child/children, captured during regular and special camp activities through video, photo and digital camera, may be used solely for the purposes of Camp Sidrabene promotional material and publications without any rights of compensation or ownership thereto. I agree to have images of my child/children displayed on Facebook, Instagram, the Camp Sidrabene/St. Andrews Church website, Latvija Amerika Newspaper, Zils un Balts (camp yearbook) including individual child images and group images. I have read and agree to these terms and conditions. I do not consentCamper Health FormOHIP Number (incl. version code)*Physician's Name*Physician's Phone #*1st Emergency Medical Contact Information* First Last Phone #*Relationship to camper*2nd Emergency Medical Contact Information* First Last Phone #*Relationship to camper*Chicken pox immunization* MM slash DD slash YYYY Hepatitis B immunization MM slash DD slash YYYY Meningitis immunization* MM slash DD slash YYYY Diphtheria/Pertussis/Tetanus/Polio immunization* MM slash DD slash YYYY MMR (Measles/Mumps/Rubella) immunization* MM slash DD slash YYYY Date of most recent physical examination* MM slash DD slash YYYY Does the camper have any allergies?* Yes NoIf yes, please explain. Please be specific.*If your child has a serious or potentially life-threatening allergy (bee stings, peanuts, etc.) he/she must come to camp with his/her own personal EPIPEN (or equivalent injectable adrenaline) and camp staff be so notified. Medications are to be turned in to camp administration.Does the camper have asthma?* Yes NoIf yes, please indicate severity.* Mild Moderate Severe Made worse by activityWhat triggers these attacks? Please explain.*Will the camper be taking any medications while at camp? (Prescription and/or over-the-counter)*Medications are to be turned into camp administration. Yes NoIf yes, please explain.*Will the camper require any treatments while at camp?*Medications are to be turned into camp administration. Yes NoIf yes, please explain.*May the following over-the-counter medications be given to your child while at camp, if deemed necessary by the nurse?* Acetaminophen (Tylenol) Ibuprofen (Advil) Antacids Anti-nausea liquid Antihistamines Cough/cold syrup NoneHas your child experienced or is currently experiencing any of the following conditions:* ADD/ADHD Athlete's Foot Back/Neck Pain or Injury Bedwetting Behavioural Issues Blackouts/Fainting Bleeding Disorder Chest Pain Crohns/Colitis/IBS Concussion Constipation/Diarrhea Dental Braces/Caps/Bridges Developmental Delays Diabetes Ear Infections/Hearing Problems Epilepsy/Seizures Fetal Alcohol Syndrome Headaches/Migraines Homesickness Kidney Disease Learning Disabilities Menstrual Difficulties Mental Health Issues Motion Sickness Nightmares/Terrors Nosebleeds Sinus Infections Skin Problems Sleepwalking Speech Problems Stomach Aches Sprains, Strains, Fractures Tonsillitis Urinary Tract Infection Visual Problems/Wears Glasses/Contacts Weight Concerns/Eating Disorder Other Not ApplicablePlease be sure to fully explain any conditions your child is currently experiencing. It is important to include ALL information regarding the camper's history of illness so that our staff are prepared in case of incident or emergency.*Does the camper have any dietary restrictions?* Vegetarian Vegan Lactose Intolerant Gluten Free Other Not ApplicablePlease explain.*Does the camper have any restrictions on activity?*Camp Sidrabene is located on a rugged, wooded site. Most of the activities take place outdoors. Yes NoIf yes, please explain.*If female, has camper menstruated?* Yes No Not ApplicableHas she had menstruation explained to her?* Yes No Not ApplicablePlease list any other medical information the camp should know about your child.Health Consent*I understand that all information collected will be used to diagnose, treat or maintain my child's physical and/or mental health and to assist in preventing disease or injury or to promote health. This information is considered to be confidential and will be shared amongst health care providers as needed; ie Camp Nurse, Camp Physician, Walk-In Clinic or Emergency Health Care Providers. This information will only be shared Camp Director and Camp Staff on a need to know basis to ensure the physical and mental health of my child. To the best of my knowledge, my child is in good health and has not been exposed to any infectious disease in the past 3 weeks and has not been ill and is physically able to participate in all Camp activities, except as previously indicated. I will notify camp in writing prior to arrival if there is any change to my child's health or he/she is exposed to any communicable disease within 3 weeks prior to arrival at camp. I hereby give permission to Camp Sidrabene to secure emergency medical and surgical treatment and to provide routine, non-surgical medical care for the child named above while attending Camp Sidrabene. It is understood that medical care will be secured promptly and that parents/guardians will be notified at the earliest possible opportunity. I will submit any changes to this health form in writing to the camp prior to arrival. In the event of accident, sickness or other medical emergency, St.Andrew’s Ev.Luth. Church, its pastor, staff and volunteers are hereby released from any liability. I have read and agree to these terms and conditions.Head Lice Check*I will do a head lice check on my child regularly and within 3 days before arriving at camp. If my child's head is NOT deemed nit/lice free I will not bring them to camp. Campers found to have head lice on arrival will not be allowed to enter camp until the matter has been resolved. I have read and agree to these terms and conditionsSignature of Parent/Guardian*Please type your full name here to acknowledge consent.Date MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged. + Add to Google Calendar+ iCal / Outlook export DateJūl 13 2025 - Aug 10 2025 Time 12:00 pm - 11:00 am Category Camp Church Social Talka