Summer Camp Enrollment Application

Enrollment for Summer Camp is now open!

Participant Details

Please enter:

Home Address
Address Line 1
Address Line 2

Zip/Postal Code

Parent/Guardian Details

Parent/Guardian Name

Relationship to child
Home Phone

Mobile Phone
Email Address

Work Phone

Emergency Contact Details

Please list two emergency contacts who can pick up your child/children other than parent/guardian.

Please enter:

Member get 10% discount!

Please select the program that your child/children want to join:

Are you a member? (If yes, please tick the box)

Total Fees:

I give permission for my child/children to participate in selected activities at camp.
Parent/Guardian Signature