Form
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
Back
Next
Does the student have any allergies that we need to be aware of? If yes, please specify.
Does the student have any other medical conditions 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
2
3
4
5
6
7
8
9
10
$
155.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
194.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
194.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
194.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
194.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
155.00
CAD
French Camp
$
155.00
CAD
Quantity
Price
july 2
1
2
3
4
5
6
7
8
9
10
$
155.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
194.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
194.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
194.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
194.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
155.00
CAD
Extended Hours
$
55.00
CAD
Quantity
Price
july 2
1
2
3
4
5
6
7
8
9
10
$
55.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
69.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
69.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
69.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
69.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
55.00
CAD
Extended Hours (Morning only)
$
27.00
CAD
Quantity
Price
july 2
1
2
3
4
5
6
7
8
9
10
$
27.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
33.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
33.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
33.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
33.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
27.00
CAD
Extended Hours (Afternoons only)
$
36.00
CAD
Quantity
Price
july 2
1
2
3
4
5
6
7
8
9
10
$
36.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
45.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
45.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
45.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
45.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
36.00
CAD
Half-day Academic camp
$
120.00
CAD
Quantity
Price
july 2
1
2
3
4
5
6
7
8
9
10
$
120.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
150.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
150.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
150.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
150.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
120.00
CAD
Half-day French camp
$
120.00
CAD
Quantity
Price
july 2
1
2
3
4
5
6
7
8
9
10
$
120.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
150.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
150.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
150.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
150.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
120.00
CAD
Half-day Junior robotics camp
$
144.00
CAD
Quantity
Price
july 2
1
2
3
4
5
6
7
8
9
10
$
144.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
180.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
180.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
180.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
180.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
144.00
CAD
Half-day Minecraft Education camp
$
144.00
CAD
Quantity
Price
july 2
1
2
3
4
5
6
7
8
9
10
$
144.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
180.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
180.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
180.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
180.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
144.00
CAD
Half-day Primary Robotics camp
$
144.00
CAD
Quantity
Price
july 2
1
2
3
4
5
6
7
8
9
10
$
144.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
180.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
180.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
180.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
180.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
144.00
CAD
Junior Robotics camp
$
184.00
CAD
Quantity
Price
july 2
1
2
3
4
5
6
7
8
9
10
$
184.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
230.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
230.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
230.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
230.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
184.00
CAD
Minecraft Education camp
$
184.00
CAD
Quantity
Price
july 2
1
2
3
4
5
6
7
8
9
10
$
184.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
230.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
230.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
230.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
230.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
184.00
CAD
Primary Robotics camp
$
184.00
CAD
Quantity
Price
july 2
1
2
3
4
5
6
7
8
9
10
$
184.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
230.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
230.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
230.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
230.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
184.00
CAD
Multi-sports camp
$
126.00
CAD
Quantity
Price
july 2
1
2
3
4
5
6
7
8
9
10
$
126.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
158.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
158.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
158.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
158.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
126.00
CAD
Half-day Multi-sports camp (afternoons only)
$
96.00
CAD
Quantity
Price
july 2
1
2
3
4
5
6
7
8
9
10
$
96.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
120.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
120.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
120.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
120.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
96.00
CAD
Half-day Multi-sports camp (mornings only)
$
80.00
CAD
Quantity
Price
july 2
1
2
3
4
5
6
7
8
9
10
$
80.00
CAD
july 8
1
2
3
4
5
6
7
8
9
10
$
100.00
CAD
july 15
1
2
3
4
5
6
7
8
9
10
$
100.00
CAD
july 22
1
2
3
4
5
6
7
8
9
10
$
100.00
CAD
july 29
1
2
3
4
5
6
7
8
9
10
$
100.00
CAD
august 6
1
2
3
4
5
6
7
8
9
10
$
80.00
CAD
Pizza Fee
$
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
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
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
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
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
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
Multi-Sports Camp
$
140.00
CAD
Quantity
Price
July 2
1
$
140.00
CAD
July 8
1
$
175.00
CAD
July 15
1
$
175.00
CAD
July 22
1
$
175.00
CAD
July 29
1
$
175.00
CAD
August 6
1
$
140.00
CAD
Submit
Should be Empty: