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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

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:

Session

Program

Fees per week

Select

No. of Children

Fees

Session 1: June 17 - June 23
Program A
$200.00
 
$0.00
Session 2: June 24 - June 30
Program B
$200.00
 
$0.00
Session 3: July 1 - July 7
Program C
$200.00
 
$0.00
Session 4: July 8 - July 14
Program D
$200.00
 
$0.00
Session 5: July 15 - July 21
Program E
$200.00
 
$0.00
Session 6: July 22 - July 28
Program F
$200.00
 
$0.00
Session 7: July 29 - Aug 4
Program G
$200.00
 
$0.00
Session 8: Aug 5 - Aug 11
Program H
$200.00
 
$0.00
Session 9: Aug 12 - Aug 18
Program I
$200.00
 
$0.00
 
 
 
 
Total Fees
$0.00


Parent/Guardian Signature



Total Fees$0.00
Total$0.00
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