Summer Camp Registration - 2011

Child
Name:
Date of Birth: (YYYY/MM/DD)
Gender: Male   Female  
Address:
City:
Post Code:
Home Phone:
Allergies:
Action for Allergies:
Parents
Email:
( Note: All camp broadcast information, personal confirmation and tax receipt will be sent to the above email address. )
Mother Name:
Cell Phone:
Work Phone:
Father Name:
Cell Phone:
Work Phone:
Doctor
Name:
Phone:
Camp
Camp Location: Red Maple Public School  
Silver Stream Public School  
Michaelle Jean Public School  
Camp Weeks: July 4 - 8
July 11 - 15
July 18 - 22
July 25 - 29
Aug 2 - 5
Aug 8 - 12
Aug 15 - 19
Extended Time: 7:30-8:00AM
8:00-9:00AM
4:00-5:00PM
5:00-6:00PM
Memo:

Testimonials

 

Memories