Summer Camp Registration Form

Summer Camp Registration 2009

FIRST NAME
LAST NAME
CAMP DATE:	Youth camps are for 13 to 18 year olds who have completed grade 8.
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
MEDICAL HISTORY A completed Camp Morice Medical Form will be required on Registration Day. PLEASE DO NOT SEND YOUR CHILD IF HE/SHE IS JUST RECOVERING FROM A COLD OR OTHER ILLNESS.
LIABILITY WAIVER A signed liability waiver will be required on Registration Day.
NOTE: Children attending Camp who must leave Camp early for any reason will only be released to a parent or legal guardian or to another person who has written and signed authorization from the parent or legal guardian.