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TABLE OF CONTENTS

WHO CAN ATTEND ........................................................................................................................................ 1

WHAT WE OFFER .......................................................................................................................................... 1

CAMP DATES ................................................................................................................................................. 1

CAMP LOCATION ........................................................................................................................................... 1

WEEKLY SCHEDULE ....................................................................................................................................... 1

STAFF ............................................................................................................................................................. 4

GYMNASTICS FACILITY .................................................................................................................................. 4

OUTDOOR ACTIVITIES……………………………………………………………………………………………………………………………..6

ACCOMMODATIONS ..................................................................................................................................... 7

DINING HALL ................................................................................................................................................. 9

MEALS ........................................................................................................................................................... 9

ADMINISTRATION AND GENERAL STORE .................................................................................................... 11

CAMP RATES ............................................................................................................................................... 11

REGISTRATION ............................................................................................................................................ 11

CONTACT INFORMATION ............................................................................................................................ 11

CHECK-IN & CHECK-OUT ............................................................................................................................. 12

RECOMMENDED CAMP PACKING LIST ........................................................................................................ 13

WAIVER FORM ............................................................................................................................................ 14

PICK UP AUTHORIZATION FORM……………………………………………………………………………………………………………16

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PINE VALLEY RESORT AND GYMNASTICS CENTRE SUMMER YOUTH CAMP

WHO CAN ATTEND

Children 8 yrs+ who are comfortable being away from home for 5 days can attend the camp.

WHAT WE OFFER

Recreational indoor and outdoor activities in a safe and inclusive environment Dormitory style accommodations (boys & girls separate) Counsellors on each dormitory floor Meals provided

CAMP DATES

Week 1: Monday July 16 – Friday July 20, 2018

Week 2: Monday July 30 – Friday August 3, 2018

CAMP LOCATION

Pine Valley Resort (PVR) is located in Tawatinaw Valley, 85 km north of Edmonton, Alberta.

The Hamlet of Tawatinaw is located within Westlock County, and at one point was a bustling place when the old railway went through. Before the current Highway 2 was built, the old Highway 2 ran through the town which featured a grain elevator and

railway station. With time, people moved into bigger cities, turning the valley into a quiet, peaceful, and serene place.

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Our facilities include Pine Valley Gymnastics Centre, dining hall, dormitory, and access to adjacent ski hill

with hundreds of acres of recreational areas.

B - Dormitory

A - Dining Hall

E - Ski Hill and Ski Chalet

C – Administration and General Store

F- Hiking and biking trails D - Pine Valley Gym Centre

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WEEKLY SCHEDULE

Our summer youth camp focuses on the indoor and outdoor activities including recreational gymnastics

for children of all physical abilities, healthy meals, balanced social time, rest and relaxation.

In addition, campers who are competitive gymnasts have an option to participate in a more

comprehensive gymnastic training session.

Typical summer camp schedule

DAY TIME ACTIVITY

DAY 1: MON

3:00 pm – 4:00 pm Arrival & Check-in 4:00 pm – 4:30 pm Meeting with Parents and Campers 4:30 pm – 6:00 pm Orientation 6:00 pm – 7:00 pm Dinner 7:00 pm – 9:30 pm Social Activity 9:30 pm – 10:00 pm Quiet Time 10:00 pm Lights Out

DAY 2, 3, 4: TUE, WED, THU

8:00 am – 9:00 am Breakfast 9:30 am – 12:00 Noon Indoor/Outdoor Activity Ia 12:30 pm – 1:30 pm Lunch 1:30 pm – 2:30 pm Free Time 2:30 pm – 5:30 pm Indoor/Outdoor Activity IIa 6:15 pm – 7:15 pm Dinner 7:30 pm – 9:30 pm Evening Programb 9:30 pm – 10:00 pm Quiet Time 10:00 pm Lights Out

DAY 5: FRI 8:00 am – 9:00 am Breakfast 9:00 am – 12:00 Noon Check-out

a Gymnastics, soccer, swimming at a nearby lake, mountain biking at ski hill, nature walk, and local farm visit. b Campfire, movie night, Q/A, games, and campers’ exhibition

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STAFF

DOM KRIANGKUM: CAMP DIRECTOR/COACH

Dom is a professional engineer who has a passion for gymnastics and outdoor sports. Dom was a member

of his high school gymnastics team in Ottawa and a member of the University of Alberta’s Golden Bears

Gymnastics Team. Dom has completed Gymnastics Foundation – Trampoline, Competitive 1 for Women

and Men Gymnastics through the National Coaching Certification Program (NCCP).

Dom was a Head Coach and Head of Delegation for Gymnastics Thailand at the 2012 Pacific Rim

Championships, 2013 and 2015 World Championships. As PVR’s owner, Dom’s vision is to encourage

people to excel in sports and to promote lifelong physical activity. He will work closely with all staff to

ensure that our campers receive the best camp experience.

BOBBY KRIANGKUM: GYMNASTICS COACH

Bobby has completed Gymnastics Foundation – Trampoline and he is certified through the National

Coaching Certification Program (NCCP) for Competitive 1 in men and women gymnastics and completed

NCCP training for Competitive 2 in women gymnastics. Bobby is also a course facilitator of the National

Coaching Certification Program (NCCP)for men gymnastics.

Bobby was an international competitor in Men Artistic Gymnastics and represented Canada as a member of the Junior National Team until 2011. He became a member of Thailand’s Senior National Team and competed in four World Championships (2011, 2013, 2014, and 2015), 2012 Pacific Rim Games in Everett, USA, 2014 Asian Games in South Korea, and 2015 South East Asian Games in Singapore. Bobby holds Bachelor Degree in Commerce and currently is the Program Coordinator and coach at Pine Valley Gym Centre.

GYMNASTICS FACILITY

Our 12,500 sq.ft. gym features world-class gymnastic equipment through our partnership with Spieth America.

Qty Description Qty Description

1 40x40 Spring Floor 2 Uneven Bars

1 Still Rings 5 Balance Beam

2 Parallel Bars 2 Vault Table

2 Pommel Horse 1 Tumbling Track

2 High bars 2 In-Ground Trampoline

1 Adjustable High Bars/Uneven Bars Set 2 Foam Pit

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OUTDOOR ACTIVITIES

We have many outdoors activities to choose from such as mountain biking, hiking, volleyball, archery,

paintball, arts and crafts, and swimming at local lakes.

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ACCOMMODATIONS

Our two-storey building is divided into 6 units. Each unit comprises multiple bedrooms, common area and

common bathroom. Boys and girls will be assigned to separate unit. At least one counselor will be staying

in each unit to ensure the comfort, safety, and enjoyment of our campers.

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The basement in the lodge has a large classroom that can be utilized for group activities. There is also a

theatre as well as a kitchen. A foosball table and shuffle board table are available in our game room.

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DINING HALL

Our dining hall features dining area for 200 guests, a stage and sitting lounge/library with a wood burning

fireplace.

MEALS

To ensure the highest quality, all meals are prepared by our in-house chefs. Typical meal plan is outlined

as follows:

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TYPICAL CAMP MENU – 2018

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Bre

akfa

st

8:0

0 a

m –

9:0

0 a

m

N/A N/A

Fresh Fruits Yogurt Cold Cereal Poached Egg Scrambled Egg Bacon Sausages Waffle/Pancake Toast Water, Milk Juice Tea, Coffee

Fresh Fruits Yogurt Cold Cereal Poached Egg Scrambled Egg Bacon Sausages Waffle/Pancake Toast Water, Milk Juice Tea, Coffee

Fresh Fruits Yogurt Cold Cereal Poached Egg Scrambled Egg Bacon Sausages Waffle/Pancake Toast Water, Milk Juice Tea, Coffee

Fresh Fruits Yogurt Cold Cereal Poached Egg Scrambled Egg Bacon Sausages Waffle/Pancake Toast Water, Milk Juice Tea, Coffee

N/A

Lun

ch

12

:30

pm

– 1

:30

pm

N/A

N/A

Soup Salad Sandwich Grilled Cheese Cinnamon Bun Cookies Squares Fresh Fruits Water, Milk Tea, Coffee

Salad Wraps Stew with Bun Cookies Squares Fresh Fruits Water, Milk, Juice (Outdoor Picnic Lunch)

Soup Salad Hamburger Hotdog Chicken Finger Crispy Fries Cinnamon Bun Cookies Squares Fresh Fruits Water, Milk Tea, Coffee

N/A

N/A

Din

ner

6:0

0 p

m –

7:0

0 p

m

N/A

Soup Salad Baked Ham Roast Turkey Stuffing Mashed Potato Gravy Fresh Fruits Pie, Squares Water, Milk, Tea, Coffee

Soup Salad Spaghetti with Meat Sauce/ Marinara Sauce Garlic Toast Baked Chicken Fresh Fruits Cake, Cookies Water, Milk, Tea, Coffee

Soup Salad Baked Ribs Lasagna Roasted Potato Steamed Vegetables Fresh Fruits Cookies Water, Milk, Tea, Coffee

Soup Salad Sausages, Sauerkraut Perogies Roast Beef Roasted Vegetables Mashed Potato Gravy Fresh Fruits Cake, Cookies Water, Milk, Tea, Coffee

N/A N/A

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ADMINISTRATION AND GENERAL STORE

Camp registration and check-out will take place in the

Administration and General Store.

Merchandise such as apparel, souvenirs, sports wear,

toiletries, food and drink are available at the General Store

for purchase. We accept cash, debit and credit card.

Additionally, an allowance card that can be used throughout

the week is available for campers to purchase online or

during check-in.

CAMP RATE

July 16 – July 20, 2018: $450 per participant + applicable taxes

July 30 – August 3, 2018: $450 per participant + applicable taxes

PLEASE NOTE THAT CAMPERS WILL BRING THEIR OWN BEDDING.

Cancellations must be made at least 4 weeks before the camp dates and will be subject to a $100 fee.

Any cancellations after this date will not be refunded.

REGISTRATION

Registration begins on April 16, 2018. Online registration is available at

WWW.PINEVALLEYGYMCENTRE.COM and requires credit card payment. For other forms of payment,

please contact us at info@pinevalleygymcentre.com.

CONTACT INFORMATION

The best way to contact us is via e-mail at info@pinevalleygymcentre.com.

During Camp Hours:

Administration/General Store: (825) 845-2000

Pine Valley Gym Centre: (825) 845-2001

Pine Valley Lodge: (825) 845-2002

Pine Valley Dining Hall: (780) 698-3982

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CHECK-IN & CHECK-OUT

Check-In: Monday, 3:00 pm - 4:00 pm.

Check-Out: Friday, 9:00 am – 12:00 noon.

The person picking up the camper must be listed on the Pick-Up Authorization Form.

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RECOMMENDED CAMP PACKING LIST

GENERAL

Water bottle (labeled with

name)

Backpack

BEDDING & LINENS

1 Pillow & Pillowcase

1 Sleeping bag

1 Extra blankets

2 Towels

CLOTHING

5 Shirts

5 Pants/Shorts

3 Sweaters/Hoodies

2 Sweatpants

Sleepwear

5 Underwear

6 Pairs of socks

Swim suit

1 Pair of sandals

1 Pair of running shoes

1 Rain jacket

1 Light jacket

1 Hat

TOILETRIES

Toothbrush

Toothpaste

Soap/Shower Gel

Shampoo/Conditioner

Brush/Comb

Hair products and accessories

(hair dryer, hair elastics, clips,

etc.)

Deodorant

Sunscreen

Insect Repellent

DO NOT BRING

Cash or valuables

Electronics

(Tablets, cameras, phones, gaming

devices, etc.)

Chewing gum, candy, food*

*If you have severe food allergies,

please inform us prior to attending

camp.

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NOTIFICATION OF RISK, MEDICAL & EMERGENCY RELEASE AND WAIVER OF LIABILITY

PLEASE READ CAREFULLY

CAMPER FIRST NAME: LAST NAME: GENDER DOB (yyyy-mm-dd):

ADDRESS: CITY PROVINCE POSTAL CODE

PARENT/GUARDIAN NAME: TELEPHONE: E-MAIL:

EMERGENCY CONTACT: EMERGENCY TELEPHONE:

FACILITIES NAME:

PINE VALLEY RESORT CO.LTD. / PINE VALLEY GYM CENTRE / DK CONSULTING SERVICES LTD. – referred to as PVR

ALBERTA FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT. (FOIP) By signing below, I consent to having the information in this document collected PVR. The personal information

requested on this form is collected under the authority of PVR and Section 33 © of the FOIP Act to allow

participation in programs. Certain personal information may be made available to federal and provincial

government departments and agencies under appropriate legislative authority. Personal information is protected

under the Alberta FOIP Act.

PHOTO/VIDEO RELEASE I acknowledge that PVR may take pictures or video of my child during their participation in any program, and that these may be used for advertising purposes. I agree to have my child’s picture and/or video used for advertising purposes (initials).

DESCRIPTION OF RISKS: I am aware that gymnastics, acrobatics, fitness and similar activities involve inherent risks, dangers and hazards that are associated with unique movement patterns and skills, which may, in some circumstances be executed on specialized apparatus. I acknowledge that personal harm or injury may be sustained during my/my child/children involvement in the activity, for example broken bones, head injuries, dislocations, tendon and ligament damage, damage to teeth and dental work, spinal injuries that could result in various degrees of paralysis or death. I acknowledge and assume the potential risks and consent to my/my child/children participation.

CONSENT OF PARTICIPATION: I/my child have/has been informed that I/he/she is to abide by the rules and regulations including directions

and instructions from the administrators, instructors, and supervisors as imposed on me/my child/children while participating in the program.

In the event that I/my child fails to abide by the rules and regulations imposed on me/my child/children while participating in the program, disciplinary action may either require that I/he/she not participate in the program or activity, or that I will leave/be contacted to have my child picked up or transported home at my own expense.

I acknowledge that it is my responsibility to notify the staff of any physical or mental concerns for me/my child which may affect my/my child’s participation in the program.

I acknowledge that the program may require an instructor to perform some manual spotting which involves direct physical contact with my child and designed to assist the participant in the safe performance of the program skills.

Moreover, I understand that part of the camping experience involves group living arrangements and interactions that may be new to my child. This comes with certain psychological, emotional, mental and other physical risks and uncertainties, beyond what my child may be used to dealing with at home. I am aware of

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these risks, and I am assuming them on behalf of my child to the fullest extent permissible by law. I realize that no environment is risk-free, and so I have instructed my child on the importance of abiding by the camp's rules, regulations and policies, and my child and I both agree that he or she is familiar with these rules and obey them.

I understand that my child will participate in a number of sports activities including but not limited to, swimming and miscellaneous water activities, hiking, mountain biking while attending the PVR Camp / Activities program. I understand that these activities will involve physical exertion by the child as well as contact with other children, with many of these activities taking place outdoors

I understand that while attending the PVR Camp / Activities program, my child may be transported by Van or Bus to off site locations on days designated for Off Grounds Excursion. I grant permission for my child to

participate in any scheduled off-site trips.

WAIVER OF LIABILITY: I acknowledge that I have read the above description of risks and accept responsibility for my own actions/my child/children actions. I also acknowledge that I understand, appreciate and accept the physical risks associated with my participation in and/or in the PVR program, and that I have executed this understanding of risk agreement voluntarily.

In consideration of my/my child’s participation in the program with PVR with its inherent risks and hazards, I agree to:

Waive and Release any and all claims against all liability for personal injury, death, property damage, or loss that I/my child may suffer, arising from any cause whatsoever, that I or my child may have now or in the future against PVR, their elected directors and officers, employees, agents, volunteers, and representatives, or any of them in connection or participation within the program.

MEDICAL EMERGENCY: I hereby authorize basic first aid to be delivered to me/my child by the club staff or other authorities. By administering first aid when required or requested, PVR in no way warrants or assumes any liability in relation to the administration of such basic first aid.

I further understand and agree that, in the case of an emergency; PVR assume no responsibility or obligation relative to any cost or expense related to carrying out an emergency procedure and/or emergency transportation for me/my child and I agree to pay for such costs and expenses and shall indemnify and reimburse PVR for any such costs or expenses that it incurs.

I CONFIRM THAT I HAVE READ, COMPLETED AND UNDERSTAND THIS LEGAL AGREEMENT, I AGREE TO BE

BOUND BY ITS TERMS, AND I AM AWARE THAT BY SIGING THIS AGREEMENT I AM WAIVING CERTAIN

LEGAL RIGHTS AGAINST PVR.

Signed this day of , 20 at ______________________________________

Signature of Participant (if over 18 years of age) Signature of Witness

Signature of Parent or Guardian (as named above) Signature of Witness

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PICK UP ATHORIZATION FORM

PINE VALLEY SUMMER CAMP 2018

Participant Name: ________________________________________________________________

The following people are authorized to pick up my child from Pine Valley Summer Camp Program

NAME RELATIONSHIP WITH PARTICIPANT

IF AT ANY TIME YOU NEED TO HAVE A PERSON OTHER THAN THOSE LISTED ABOVE TO PICK UP YOUR

CHILD, WE WILL NEED TO HAVE PARENTAL CONSENT PRIOR TO THE PICK UP.

SIGNATURE OF PARENT OR GUARDIAN: _________________________________

DATE: ________________________