CLL 2022 - Camper Interest Form Header Image

Camp Lifting Leaves - 2022 Camper Interest Form

Thanks for your interest in Camp Lifting Leaves!

Before you get started, make sure you have access to:

  1. If you are a youth applying as a camper, the contact information for your Indigenous well-being agency worker or CAS worker.

We are thrilled to be able to offer an in-person camp this fall from October 14-17! The intention of Camp Lifting Leaves is to provide a connection to new and old friends and our camp community. Please keep in mind that this is not a registration form. By filling out this form, you are indicating an interest in receiving more information about Camp Lifting Leaves. Once you've submitted this form, we will contact you by email within five business days to let you know if:

  1. There is a spot available for you / the youth you are applying on behalf of, OR
  2. There is not a spot currently available at this time and the youth's position on the waitlist. 

Please note that Camp Lifting Leaves is open to children and youth from 2SLGBTQ+ identities, families, and communities ages at least 12 years old and have an active file with an Indigenous well-being agency or child welfare agency.

Please complete this form to apply for more information. You can click "save and resume later" at any point. If you do so, you will automatically be provided with a link you can save and use within 30 days to complete this form. Please note that until you complete this form and click "submit" at the very end, the Ten Oaks Project does not have a record of the information you've provided.

Once we are able to confirm how camp will operate this Fall, we will contact you by email with more information and the next steps, including registration forms and information regarding payment.

Don't hesitate to reach out with any questions at 613-223-9653 or kymani@tenoaksproject.org.

Please note that both the camper and worker will be notified by email when we receive an application.
How did you hear about Camp Lifting Leaves?*

CAMPER INFORMATION

Name of camper (chosen name if different from legal name):*
Camper's birthdate*
What are the camper's current pronouns? Please select all that apply.*
Camper's address

CAMPER DEMOGRAPHIC INFORMATION

We ask for some demographic information to make sure our programming is reflective of our diverse communities. Our camper list and camper waitlist prioritize youth from marginalized communities, though filling out this information is completely optional.

Member of a 2SLGBTQ+ family
Person with a disability(ies)
Neurodivergent

WORKER INFORMATION

Name of worker (chosen name if different from legal name):*
What are the worker's current pronouns? Please select all that apply.*
ex: Dnaagdawenmag Binnoojiiyag Child & Family Services, Children's Aid Society of Toronto, The Children's Aid Society of Ottawa, etc.
Agency mailing address*
Are you interested in being a chaperone at Camp Lifting Leaves for children and youth from your region?*

Program Fee

The fee covers the costs of camp as well as honouraria for staff leading activities. Although the final total may be less, the maximum fee for an in-person program would be $1,187.50/camper. However, no payment is required at this time. We will send out additional information about all funding options at a later date. Below you will find our general payment policies. 


An invoice will be sent to the worker listed in the application if OCBe funding is available. If OCBe funding is not available then funding will be provided by the OACAS. The Ten Oaks Project will coordinate with the OACAS. It can be paid online with a credit card, or a cheque can be mailed to the Ten Oaks Project at 9004-400 Cooper Street, Ottawa, ON, K2P 2H8. All invoices are due within 30 days of receipt.

All cancellations or refund requests must be submitted to the Ten Oaks Project in writing by email. Refunds for camp fees will be made less a $30 processing fee.

- 100% of the camp fee is refundable until September 1.

- 50% of the camp fee is refundable until September 15.

- 20% of the camp fee is refundable until October 1.


No refunds will be issued after October 1, except in exceptional circumstances.

No refunds are issued if a camper is required to leave camp early for medical reasons or is asked to leave the camp program for behavioural reasons.

Authorization

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Date