Summer Camp Registration 2018

Parent/Guardian Details

First Name
Last Name

Home Address

Address Line 1
Address Line 2

Zip/Postal Code

Phone Number

Participants Details

First Child Details

First Name
Last Name

Date of Birth:

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