KYMTC Summer Camp 2023: Moana Jr. (4 week) Camp Application

KYMTC Summer Camp 2023: Moana Jr. (4 Week) Camp Application

Please fill in the form below.
This application is for the KYMTC 4 Week Summer Camp:

July 31 to August 25, 2023

Monday to Friday
(except on August 7 - Civic Holiday)

9:00 am to 4:00 pm

(Note: early drop off after 8:00 am and late pick up until 4:30 pm is available)
Camper General Information
Camper's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Note: Campers must be completing grades 2-8 to be eligible to register for KYMTC Summer Camp programs.
Date of Birth*

DayMonthYear
Age *
Grade being completed in June 2023*
Home Phone Number*

Area CodePhone Number
Camper's Cell Phone Number

Area CodePhone Number
Camper's E-mail
Parent/Guardian 1 Name*
Parent/Guardian 1 Phone Number*

Area CodePhone Number
Parent/Guardian 1 E-mail*
example@example.com
Parent/Guardian 2 Name
Parent/Guardian 2 Phone Number

Area CodePhone Number
Parent/Guardian 2 E-mail
example@example.com
Does the Camper have any allergies? If yes, please provide information below:
Does the Camper have any medical conditions and/or are they taking any medications? If yes, please provide information below:
Theatre/Music/Dance Skills and Experience
Does the Camper have any special skills or abilities? (e.g. dancing/singing, playing a musical instrument, member of a debating team, public speaking experience) Please provide us with details:
Please list anything even if you think it may be insignificant.
Does the Camper have any stage experience (e.g. previous plays, musicals)? Please provide us with details:
Please list anything even if you think it may be insignificant.

Please indicate the Camper's level of dance instruction (if they have not received any- please select "None"):*

	Advanced	Intermediate	Beginner	None
Ballet
Jazz
Tap
Contemporary

Reviewing KYMTC Code of Conduct
Be sure that the Camper and their parent(s)/guardians(s) read the KYMTC Code of Conduct before submitting this Camper application form:

http://www.kymtc.org/code-of-conduct/

Note: Parents/Guardians and Campers can focus on the Expectations and Behaviours sections when reviewing the Code of Conduct.
Does the Camper and their parent(s)/guardians(s) understand the KYMTC Code of Conduct?*

Yes
Submitting Your Application
After you submit your Camper application form, and your application has been approved, be sure to pay the camp fees. The Camper registration is not complete until KYMTC has received the Camper application form and the fee payment.
Camper Fees are $900. How will you be paying the fee?*

E-transferMailing/dropping off a personal cheque
Information on paying the fee can be found at:

www.kymtc.org/summer-camp-2023-registration/
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KYMTC Summer Camp 2023: Moana Jr. (4 Week) Camp Application

Camper General Information

Theatre/Music/Dance Skills and Experience

Reviewing KYMTC Code of Conduct

Submitting Your Application