Medical Questionnaire

Medical questionnaire (2023)

Camp Ak-O-Mak has an onsite Health Clinic staffed by a full time Medical Doctor who is available on call 24/7. Hospitals are 45 minutes away in Parry Sound and Huntsville.

The following medical history / health forms support the health & safe care of your daughter. All information provided is private and confidential.
CAMPER INFORMATION
Camper Name*
First name Last name
Session*
Date of Birth*
Home Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Home Phone*
Work Phone
Cell Phone
E-mail*
INSURANCE INFORMATION
Consent*
I agree
Camp Ak-O-Mak carries a mandatory Student Emergency Medical Insurance policy in Canada providing coverage up to $100,000. This medical coverage is for non-Canadians & out-of-province campers who must also be students in order to qualify. The cost for non-Canadians is $4.00 per day & out-of-province Canadians is $2.00 per day. This cost is in addition to your daughter’s tuition and will be added to your invoice, calculated according to the length of her stay upon registering. “Personal Medical Items” (including splints, tensors, slings, wound/dressing materials etc.) and non-OHIP covered items will also be invoiced to the camper’s refundable expense account. We strongly suggest all non-Canadians traveling to Camp purchase Travel Insurance for their stay in Canada.
Parent/Guardian Name*
First Last
Date*
Name
This field is for validation purposes and should be left unchanged.

Links

Information

Phone

1-416-427-3171

Email

dianne@campakomak.com

Camp Address

240 Akomak Road, Ahmic Harbour, ON P0A 1A0

Office Address

14-441 Stonehenge Drive, Ancaster, ON L9K 0B1

Join Our Mailing List

Get the latest camp news and program information!

Copyright 2023 © All Right Reserved Camp Ak-O-Mak