Summer Camp Registration Form

Summer Camp Registration 2010

There are still spaces available for both kids camps. YOUTH CAMP #1 IS FULL

FIRST NAME
LAST NAME
CAMP DATE:	Youth camps are for 13 to 18 year olds who have completed grade 8. FAMILY RATES - If you are registering two (2) or more kids or youth it is a flat rate of $400 for all that are registered within a family. All registrations must come in at the same time in order to receive the family rate. For families paying for two children only, the regular rates above apply.
DATE OF BIRTH	// (mm/dd/yyyy)
FEMALE / MALE	Male Female
PARENT / GUARDIAN
ADDRESS:
POSTAL CODE
CITY
PROVINCE
HOME PHONE
WORK PHONE
EMAIL
EMERGENCY CONTACT PERSON
EMERGENCY CONTACT DAY AND NIGHT PHONE	Day Night
You must agree to the terms and commit to mailing in your payment and waiver forms.	I commit to fill out and mail in the Liability Waiver and Medical Release page that will appear after I hit submit.