Summer Camp Enrollment Application


Enrollment for Summer Camp is now open!

Participant Details

Please enter:
 


Home Address
Address Line 1
Address Line 2

City/Town
State/Province
Zip/Postal Code


Parent/Guardian Details

Parent/Guardian Name
First
Last

Relationship to child
Home Phone

Mobile Phone
Email Address

Employer
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