Summer Camp Registration Form

Day Length Day Length Full Half

Full Day Week - Ages 6 to 12 Full Day Week - Ages 6 to 12 July 15 - 19 2019 Aug 12 - 16 2019

Half Day Week - Ages 4 to 6 Morning Half Day Week - Ages 4 to 6 Morning Jul 15 - 19 2019 Aug 12 - 16 2019

Child's Name

Date of Birth

Grade

Parent/Guardian Name

Address

City

Province

Postal Code

Email Address

Phone Number

Alternative Phone Number

Medical Information - Allergies, medications, etc.

Please tell us anything else you think we should know about your child

Please tell us where you heard about the camp?