Submit this form at least 14 days prior to proposed opening. If you have questions, contact Public Health at 1-800-265-7293 ext. 4753. If you operate a Recreational Camp please provide the following information and indicate how you will be operating this season: * Overnight Recreational Camp Day Camp Camp Name: * Address: * Owner Name: * Owner Phone Number: * Owner Email Address: * Opening Date: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202420252026 Operational Start Date: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202420252026 Operational End Date: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202420252026 Please indicate what is applicable to your camp and what you are opening this season. Do you have a kitchen/cafeteria? * Yes No Do you have overnight sleeping quarters? * Yes No Do you have a pool? * Yes No Do you have a waterfront within the recreational camp? * Yes No Your Recreation Camp Safety Plan must be submitted to phi.intake@wdgpublichealth.ca prior to opening inspection. Have you emailed your Recreation Camp Safety Plan to phi.intake@wdgpublichealth.ca? * Yes No Does your plan include Outbreak Management? * Yes No Does your plan include hand and respiratory hygiene education? * Yes No Does your plan outline how to handle symptomatic or ill staff and campers? * Yes No If you have a pool or a waterfront, do you have qualified lifeguard supervision? * Yes No Not Applicable Do you have a communication device readily accessible from the waterfront? * Yes No Not Applicable Drinking Water System Have you completed opening seasonal drinking water maintenance? * Yes No Have you completed your pre-opening drinking water samples? * Yes No Have you submitted the drinking water sample report by email to phi.intake@wdgpublichealth.ca? * Yes No Name of Operator contact: * Operator Phone Number: * Operator Email Address: * The information on this form is collected under the authority of the Health Protection and Promotion Act in accordance with the Municipal Freedom of Information and Protection of Privacy Act and the Personal Health Information Protection Act. This information will be used for the delivery of public health programs and services; the administration of the agency; and the maintenance of healthcare databases, registries and related research, in compliance with legal and regulatory requirements. Any questions about the collection of this information should be addressed to the Chief Privacy Officer at 1-800-265-7293 ext 2975.
