Rocky Day Camp Registration 2021

Parent / Guardian Name *

First Name Last Name
Relationship to Day Camper
Parent / Guardian Home Phone Number

Area Code Phone Number
Parent / Guardian Cell Phone Number *

Area Code Phone Number
Parent / Guardian Work / Office Phone

Area Code Phone Number
Parent / Guardian Email Address
example@example.com
Parent / Guardian Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Emergency Contact *

First Name Last Name
Emergency Contact *

Area Code Phone Number
Relationship to Day camper? *
Family Doctor *

First Name Last Name
Family Doctor *

Area Code Phone Number
Alberta Health Care# *
Other Health Care?

Does the camper have any food allergies? Please list any food Allergies and reactions and Treatments *
Does the camper have any other allergies? Please list any other Allergies and reactions and Treatments *
DAY CAMP. Ages 7-12

The Rock Youth Center/Living Branches Community Church

Drop off is at 9am on Monday - Friday July 18-22 2022

Pick up is at 4pm each day.

Due to kitchen restrictions, we are not able to provide lunch for the campers. We have reduced the registration cost since we wont be serving lunch.

Please pack a lunch for your camper for each day.

We do plan do provide a pre-packaged snack each day.

There are a limited amount of spaces available, so payment is required in order to hold your spot. ***NOTE: If day camps are cancelled due to Covid Regulations, you will receive a full refund.***

Rocky Day Camp (All 5 days) $ 50.00 CAD

Rocky Day Camp ($15/day to a maximum of $50/week) $ 15.00 CAD

Quantity

Rocky Day Camp. Pay cash or check at drop off ($15/day maximum $50/week Free

Total $ 0.00 CAD

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Rocky Mt House Day Camp Registration 2022

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