Form
Boswin Summer Camp
Western Mississauga Location
Student Information
Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
F
M
Home Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
School
*
Guardian 1 Information
Name
*
First Name
Last Name
Relationship to student
*
Home Phone
Please enter a valid phone number.
Cell Phone
*
Please enter a valid phone number.
Email
*
example@example.com
Guardian 2 Information
Name
First Name
Last Name
Relationship to student
Home Phone
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Email
example@example.com
Primary Emergency Contact
Name
*
First Name
Last Name
Home Phone
Please enter a valid phone number.
Cell Phone
*
Please enter a valid phone number.
Email
*
example@example.com
Secondary Emergency Contact
Name
*
First Name
Last Name
Home Phone
Please enter a valid phone number.
Cell Phone
*
Please enter a valid phone number.
Email
example@example.com
Back
Next
Does the student have any other medical conditions that we need to be aware of? If yes, please specify.
*
Does the student have any allergies that we need to be aware of? If yes, please specify.
*
My Products
*
prev
next
( X )
Academic Camp
Enter description
$
155.00
CAD
Quantity
Price
july 2
1
$
155.00
CAD
july 8
1
$
194.00
CAD
july 15
1
$
194.00
CAD
july 22
1
$
194.00
CAD
july 29
1
$
194.00
CAD
august 6
1
$
155.00
CAD
august 12
1
$
194.00
CAD
august 19
1
$
194.00
CAD
august 26
1
$
194.00
CAD
French Camp
$
155.00
CAD
Quantity
Price
july 2
1
$
155.00
CAD
july 8
1
$
194.00
CAD
july 15
1
$
194.00
CAD
july 22
1
$
194.00
CAD
july 29
1
$
194.00
CAD
august 6
1
$
155.00
CAD
august 12
1
$
194.00
CAD
august 19
1
$
194.00
CAD
august 26
1
$
194.00
CAD
Junior Robotics Camp
$
184.00
CAD
Quantity
Price
july 2
1
$
184.00
CAD
july 8
1
$
230.00
CAD
july 15
1
$
230.00
CAD
july 22
1
$
230.00
CAD
july 29
1
$
230.00
CAD
august 6
1
$
184.00
CAD
august 12
1
$
230.00
CAD
august 19
1
$
230.00
CAD
august 26
1
$
230.00
CAD
Primary Robotics Camp
$
184.00
CAD
Quantity
Price
july 2
1
$
184.00
CAD
july 8
1
$
230.00
CAD
july 15
1
$
230.00
CAD
july 22
1
$
230.00
CAD
july 29
1
$
230.00
CAD
august 6
1
$
184.00
CAD
august 12
1
$
230.00
CAD
august 19
1
$
230.00
CAD
august 26
1
$
230.00
CAD
Minecraft Education Camp
$
184.00
CAD
Quantity
Price
july 2
1
$
184.00
CAD
july 8
1
$
230.00
CAD
july 15
1
$
230.00
CAD
july 22
1
$
230.00
CAD
july 29
1
$
230.00
CAD
august 6
1
$
184.00
CAD
august 12
1
$
230.00
CAD
august 19
1
$
230.00
CAD
august 26
1
$
230.00
CAD
Half-Day Academic Camp
$
120.00
CAD
Quantity
Price
july 2
1
$
120.00
CAD
july 8
1
$
150.00
CAD
july 15
1
$
150.00
CAD
july 22
1
$
150.00
CAD
july 29
1
$
150.00
CAD
august 6
1
$
120.00
CAD
august 12
1
$
150.00
CAD
august 19
1
$
150.00
CAD
august 26
1
$
150.00
CAD
Half-Day French Camp
$
120.00
CAD
Quantity
Price
july 2
1
$
120.00
CAD
july 8
1
$
150.00
CAD
july 15
1
$
150.00
CAD
july 22
1
$
150.00
CAD
july 29
1
$
150.00
CAD
august 6
1
$
120.00
CAD
august 12
1
$
150.00
CAD
august 19
1
$
150.00
CAD
august 26
1
$
150.00
CAD
Half-Day Junior Robotics Camp
$
144.00
CAD
Quantity
Price
july 2
1
$
144.00
CAD
july 8
1
$
180.00
CAD
july 15
1
$
180.00
CAD
july 22
1
$
180.00
CAD
july 29
1
$
180.00
CAD
august 6
1
$
144.00
CAD
august 12
1
$
180.00
CAD
august 19
1
$
180.00
CAD
august 26
1
$
180.00
CAD
Half-Day Primary Robotics Camp
$
144.00
CAD
Quantity
Price
july 2
1
$
144.00
CAD
july 8
1
$
180.00
CAD
july 15
1
$
180.00
CAD
july 22
1
$
180.00
CAD
july 29
1
$
180.00
CAD
august 6
1
$
144.00
CAD
august 12
1
$
180.00
CAD
august 19
1
$
180.00
CAD
august 26
1
$
180.00
CAD
Half-Day Minecraft Education Camp
$
144.00
CAD
Quantity
Price
july 2
1
$
144.00
CAD
july 8
1
$
180.00
CAD
july 15
1
$
180.00
CAD
july 22
1
$
180.00
CAD
july 29
1
$
180.00
CAD
august 6
1
$
144.00
CAD
august 12
1
$
180.00
CAD
august 19
1
$
180.00
CAD
august 26
1
$
180.00
CAD
Competitive Lego Robotics Program
Week of July 22
$
269.00
CAD
Quantity
1
Extended Hours
$
55.00
CAD
Quantity
Price
july 2
1
$
55.00
CAD
july 8
1
$
69.00
CAD
july 15
1
$
69.00
CAD
july 22
1
$
69.00
CAD
july 29
1
$
69.00
CAD
august 6
1
$
55.00
CAD
august 12
1
$
69.00
CAD
august 19
1
$
69.00
CAD
august 26
1
$
69.00
CAD
Extended Hours Mornings
$
27.00
CAD
Quantity
Price
july 2
1
$
27.00
CAD
july 8
1
$
33.00
CAD
july 15
1
$
33.00
CAD
july 22
1
$
33.00
CAD
july 29
1
$
33.00
CAD
august 6
1
$
27.00
CAD
august 12
1
$
33.00
CAD
august 19
1
$
33.00
CAD
august 26
1
$
33.00
CAD
Extended Hours Afternoons
$
36.00
CAD
Quantity
Price
july 2
1
$
36.00
CAD
july 8
1
$
45.00
CAD
july 15
1
$
45.00
CAD
july 22
1
$
45.00
CAD
july 29
1
$
45.00
CAD
august 6
1
$
36.00
CAD
august 12
1
$
45.00
CAD
august 19
1
$
45.00
CAD
august 26
1
$
45.00
CAD
Pizza
$
7.00
CAD
Quantity
July 2
1
2
3
4
5
6
7
8
9
10
July 8
1
2
3
4
5
6
7
8
9
10
July 15
1
2
3
4
5
6
7
8
9
10
July 22
1
2
3
4
5
6
7
8
9
10
July 29
1
2
3
4
5
6
7
8
9
10
August 6
1
2
3
4
5
6
7
8
9
10
August 12
1
2
3
4
5
6
7
8
9
10
August 19
1
2
3
4
5
6
7
8
9
10
August 26
1
2
3
4
5
6
7
8
9
10
Academic Camp
$
172.00
CAD
Quantity
Price
July 2
1
$
172.00
CAD
July 8
1
$
215.00
CAD
July 15
1
$
215.00
CAD
July 22
1
$
215.00
CAD
July 29
1
$
215.00
CAD
August 6
1
$
172.00
CAD
August 12
1
$
215.00
CAD
August 19
1
$
215.00
CAD
August 26
1
$
215.00
CAD
French Camp
$
172.00
CAD
Quantity
Price
July 2
1
$
172.00
CAD
July 8
1
$
215.00
CAD
July 15
1
$
215.00
CAD
July 22
1
$
215.00
CAD
July 29
1
$
215.00
CAD
August 6
1
$
172.00
CAD
August 12
1
$
215.00
CAD
August 19
1
$
215.00
CAD
August 26
1
$
215.00
CAD
Junior Robotics Camp
$
204.00
CAD
Quantity
Price
July 2
1
$
204.00
CAD
July 8
1
$
255.00
CAD
July 15
1
$
255.00
CAD
July 22
1
$
255.00
CAD
July 29
1
$
255.00
CAD
August 6
1
$
204.00
CAD
August 12
1
$
255.00
CAD
August 19
1
$
255.00
CAD
August 26
1
$
255.00
CAD
Minecraft Education Camp
$
204.00
CAD
Quantity
Price
July 2
1
$
204.00
CAD
July 8
1
$
255.00
CAD
July 15
1
$
255.00
CAD
July 22
1
$
255.00
CAD
July 29
1
$
255.00
CAD
August 6
1
$
204.00
CAD
August 12
1
$
255.00
CAD
August 19
1
$
255.00
CAD
August 26
1
$
255.00
CAD
Primary Robotics Camp
$
204.00
CAD
Quantity
Price
July 2
1
$
204.00
CAD
July 8
1
$
255.00
CAD
July 15
1
$
255.00
CAD
July 22
1
$
255.00
CAD
July 29
1
$
255.00
CAD
August 6
1
$
204.00
CAD
August 12
1
$
255.00
CAD
August 19
1
$
255.00
CAD
August 26
1
$
255.00
CAD
Competitive Lego Robotics Program
Week of July 22
$
299.00
CAD
Quantity
1
Submit
Should be Empty: