Summer Camp Registration 2018


Parent/Guardian Details

First Name
Last Name

Home Address

Address Line 1
Address Line 2

City/Town
State/Province
Zip/Postal Code

Phone Number
Email


Participants Details

First Child Details

First Name
Last Name

Date of Birth:
Gender:

Does your child have any dietary requirements or allergies or medical conditions? If yes, please explain:

Add second child




Add third child




Add fourth child




Add fifth child




Add sixth child





Summer Camp Fees

Sibling discounts are available!
Get 20% discount for each additional sibling(s) attending the same sessions.

Please select:
 


Parent/Guardian Signature