Summer Camp Detailed Registration Form

Summer Camp Registration
Athlete Information
Athlete's Name*

First NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name*

First NameLast Name
Cell Number*
E-mail*
example@example.com
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship
Phone Number*
Alt. Phone Number*
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.
Select a week:*

Week - July 2- 5 – AdventurelandJuly 15 – 19 – Around the World in 5 daysJuly 29 – Aug 2 – Fun and FitnessWeekAug 19 – 23 - Superheroes
Select type*

Full day - week 1 - 280$ + GSTFull day - 350$ + GSTHalf Day - 8:30 AM - 12:30PM - 200$ + GSTHalf Day - 12:30 PM - 4:30 PM - 200$ + GST
Waiver

Please make sure you have competed the waiver prior to arriving at the gym.

CLICK HERE
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date*

MonthDayYear
Date
Signature*

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A non-refundable $50 deposit is required at time of registration, the remainder will be due 1 month prior to the start of the camp in order to maintain your child’s spot in the camp.
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Deposit
$50.00CAD

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Методи Оплати

Debit or Credit Card

Ім'я

Прізвище

Номер Картки

Код Безпеки Картки

Термін Дії

Please click one of the PayPal options to complete payment and submit the form.

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Summer Camp Registration

Athlete Information