Boswin Summer Camp
Central Mississauga Location
Student Information
Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
M
F
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip 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
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Does the student have any allergies that we need to be aware of? If yes, please specify.
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Does the student have any other medical conditions that we need to be aware of? If yes, please specify.
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My Products (Weekly Rate including tax)
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Academic camp (Early Bird Rate)
Enter description
$
87.00
CAD
Quantity
Price
July 2th
1
$
87.00
CAD
July 6th
1
$
219.00
CAD
July 13th
1
$
219.00
CAD
July 20th
1
$
219.00
CAD
July 27th
1
$
219.00
CAD
August 4th
1
$
175.00
CAD
French Camp (Early Bird Rate)
Enter description
$
87.00
CAD
Quantity
Price
July 2th
1
$
87.00
CAD
July 6th
1
$
219.00
CAD
July 13th
1
$
219.00
CAD
July 20th
1
$
219.00
CAD
July 27th
1
$
219.00
CAD
August 4th
1
$
175.00
CAD
Half-day Academic Camp (Afternoon Only)
$
68.00
CAD
Quantity
Price
July 2nd
1
$
68.00
CAD
July 6th
1
$
170.00
CAD
July 13th
1
$
170.00
CAD
July 20th
1
$
170.00
CAD
July 27th
1
$
170.00
CAD
August 4th
1
$
136.00
CAD
Half-day French Camp (Afternoon Only)
$
68.00
CAD
Quantity
Price
July 2nd
1
$
68.00
CAD
July 6th
1
$
170.00
CAD
July 13th
1
$
170.00
CAD
July 20th
1
$
170.00
CAD
July 27th
1
$
170.00
CAD
August 4th
1
$
136.00
CAD
Half-day Junior Coding Camp (Afternoon Only) (10-14 years old)
$
81.00
CAD
Quantity
Price
July 2nd
1
$
81.00
CAD
July 6th
1
$
203.00
CAD
July 13th
1
$
203.00
CAD
July 20th
1
$
203.00
CAD
July 27th
1
$
203.00
CAD
August 4th
1
$
163.00
CAD
Half-day Junior Robotics Camp (Afternoon Only) (10-14 years old)
$
81.00
CAD
Quantity
Price
July 2nd
1
$
81.00
CAD
July 6th
1
$
203.00
CAD
July 13th
1
$
203.00
CAD
July 20th
1
$
203.00
CAD
July 27th
1
$
203.00
CAD
August 4th
1
$
163.00
CAD
Half-day Minecraft Education Camp (Afternoon Only)
$
81.00
CAD
Quantity
Price
July 2nd
1
$
81.00
CAD
July 6th
1
$
203.00
CAD
July 13th
1
$
203.00
CAD
July 20th
1
$
203.00
CAD
July 27th
1
$
203.00
CAD
August 4th
1
$
163.00
CAD
Half-day Primary Coding Camp (Afternoon Only) (6-9 years old)
$
81.00
CAD
Quantity
Price
July 2nd
1
$
81.00
CAD
July 6th
1
$
203.00
CAD
July 13th
1
$
203.00
CAD
July 20th
1
$
203.00
CAD
July 27th
1
$
203.00
CAD
August 4th
1
$
163.00
CAD
Half-day Primary Robotics Camp (Afternoon Only) (6-9 years old)
$
81.00
CAD
Quantity
Price
July 2nd
1
$
81.00
CAD
July 6th
1
$
203.00
CAD
July 13th
1
$
203.00
CAD
July 20th
1
$
203.00
CAD
July 27th
1
$
203.00
CAD
August 4th
1
$
163.00
CAD
Junior Coding & Sports Camp (10-14 years old) (Early Bird Rate)
$
104.00
CAD
Quantity
Price
July 2nd
1
$
104.00
CAD
July 6th
1
$
259.00
CAD
July 13th
1
$
259.00
CAD
July 20th
1
$
259.00
CAD
July 27th
1
$
259.00
CAD
August 4th
1
$
207.00
CAD
Junior Robotics & Sports Camp (10-14 years old) (Early Bird Rate)
$
104.00
CAD
Quantity
Price
July 2nd
1
$
104.00
CAD
July 6th
1
$
259.00
CAD
July 13th
1
$
259.00
CAD
July 20th
1
$
259.00
CAD
July 27th
1
$
259.00
CAD
August 4th
1
$
207.00
CAD
Minecraft Education & Sports Camp (Early Bird Rate)
$
104.00
CAD
Quantity
Price
July 2nd
1
$
104.00
CAD
July 6th
1
$
259.00
CAD
July 13th
1
$
259.00
CAD
July 20th
1
$
259.00
CAD
July 27th
1
$
259.00
CAD
August 4th
1
$
207.00
CAD
Primary Coding & Sports Camp (6-9 years old) (Early Bird Rate)
$
104.00
CAD
Quantity
Price
July 2nd
1
$
104.00
CAD
July 6th
1
$
259.00
CAD
July 13th
1
$
259.00
CAD
July 20th
1
$
259.00
CAD
July 27th
1
$
259.00
CAD
August 4th
1
$
207.00
CAD
Primary Robotics & Sports Camp (6-9 years old) (Early Bird Rate)
$
104.00
CAD
Quantity
Price
July 2nd
1
$
104.00
CAD
July 6th
1
$
259.00
CAD
July 13th
1
$
259.00
CAD
July 20th
1
$
259.00
CAD
July 27th
1
$
259.00
CAD
August 4th
1
$
207.00
CAD
Multi-sports camp (Early Bird Rate)
$
71.00
CAD
Quantity
Price
July 2th
1
$
71.00
CAD
July 6th
1
$
178.00
CAD
July 13th
1
$
178.00
CAD
July 20th
1
$
178.00
CAD
July 27th
1
$
178.00
CAD
August 4th
1
$
142.00
CAD
Half-day Multi-sports camp (Morning Only)
$
54.00
CAD
Quantity
Price
July 2th
1
2
3
4
5
6
7
8
9
10
$
54.00
CAD
July 6th
1
2
3
4
5
6
7
8
9
10
$
136.00
CAD
July 13th
1
2
3
4
5
6
7
8
9
10
$
136.00
CAD
July 20th
1
2
3
4
5
6
7
8
9
10
$
136.00
CAD
July 27th
1
2
3
4
5
6
7
8
9
10
$
136.00
CAD
August 4th
1
2
3
4
5
6
7
8
9
10
$
108.00
CAD
Half-day Multi-sports camp (Afternoon Only)
$
54.00
CAD
Quantity
Price
July 2th
1
$
54.00
CAD
July 6th
1
$
136.00
CAD
July 13th
1
$
136.00
CAD
July 20th
1
$
136.00
CAD
July 27th
1
$
136.00
CAD
August 4th
1
$
108.00
CAD
Pizza Fee
$
8.00
CAD
Quantity
July 2nd
1
2
3
4
5
6
7
8
9
10
July 6th
1
2
3
4
5
6
7
8
9
10
July 13th
1
2
3
4
5
6
7
8
9
10
July 20th
1
2
3
4
5
6
7
8
9
10
July 27th
1
2
3
4
5
6
7
8
9
10
August 4th
1
2
3
4
5
6
7
8
9
10
Extended Hours
$
32.00
CAD
Quantity
Price
July 2nd
1
$
32.00
CAD
July 6th
1
$
78.00
CAD
July 13th
1
$
78.00
CAD
July 20th
1
$
78.00
CAD
July 27th
1
$
78.00
CAD
August 4th
1
$
62.00
CAD
Extended Hours (Mornings only)
$
15.00
CAD
Quantity
Price
July 2nd
1
$
15.00
CAD
July 6th
1
$
37.00
CAD
July 13th
1
$
37.00
CAD
July 20th
1
$
37.00
CAD
July 27th
1
$
37.00
CAD
August 4th
1
$
31.00
CAD
Extended Hours (Afternoon Only)
$
20.00
CAD
Quantity
Price
July 2nd
1
$
20.00
CAD
July 6th
1
$
51.00
CAD
July 13th
1
$
51.00
CAD
July 20th
1
$
51.00
CAD
July 27th
1
$
51.00
CAD
August 4th
1
$
41.00
CAD
Payment Methods
Debit or Credit Card
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