Summer Camp Registration
Parent/Guardian Details
First Name
Last Name
Home Address
Address Line 1
Address Line 2
City/Town
State/Province
Zip/Postal Code
Phone Number
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
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 third child
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 fourth child
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 fifth child
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 sixth child
First Name
Last Name
Date of Birth:
Gender:
Does your child have any dietary requirements or allergies or medical conditions? If yes, please explain:
Summer Camp Fees
Sibling discounts are available!
Get 20% discount for each additional sibling(s) attending the same sessions.
Please select:
Session | Program | Fees per week | Select | No. of Children | Fees | ||
|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | ||
1 | Session 1: June 17 - June 23 | Program A | $200.00 | $0.00 | |||
2 | Session 2: June 24 - June 30 | Program B | $200.00 | $0.00 | |||
3 | Session 3: July 1 - July 7 | Program C | $200.00 | $0.00 | |||
4 | Session 4: July 8 - July 14 | Program D | $200.00 | $0.00 | |||
5 | Session 5: July 15 - July 21 | Program E | $200.00 | $0.00 | |||
6 | Session 6: July 22 - July 28 | Program F | $200.00 | $0.00 | |||
7 | Session 7: July 29 - Aug 4 | Program G | $200.00 | $0.00 | |||
8 | Session 8: Aug 5 - Aug 11 | Program H | $200.00 | $0.00 | |||
9 | Session 9: Aug 12 - Aug 18 | Program I | $200.00 | $0.00 | |||
10 | Total Fees | $0.00 |
Parent/Guardian Signature
To configure an element, select it on the form.