Summer Camp 2019 Submission Form

Kindly click here to access the waiver form.

Camp Rates 2018 : $415.00/week + HST

Please complete the form as much as possible and click on submit when done. A confirmation E-mail will be sent within a couple of days.

Please identify and describe yourself:

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First Name

Last Name

Age

Sex

MaleFemale

Street Address

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City

Postal Code

E-Mail

Work Phone

Home Phone

Choose one of the following options:

Camp Week 1 (July 8th-12th)Camp Week 2 (July 15th-19th)Camp Week 3 (July 22nd-26th)Camp Week 4 (July 29th-August 2nd)Camp Week 5 (August 12th-16th)Camp Week 6 (August 19th-23rd)Camp Week 7 (August 26th-30th)

Check here if you require extended care hours- offered at $15.00/day + HST

Extended care (8:00am drop off 5:30pm pick-up)

Please enter any medical conditions or special precautions necessary.

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Please enter Emergency contact information

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Submit

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