Camp Form

Primary Contact - Name*

Phone Number*

Area CodePhone Number

Secondary Contact - Name*

2nd Contact Phone Number *

Area CodePhone Number

Pick-Up List (all other persons 16+ authorized to pick up your child. Photo ID required)

First name, last name, relationship to child. Your primary and secondary contacts will be included on your pickup list as well. ID required.

E-mail*

Best Email to receive camp info and updates.

Child's Name*

First NameLast Name

Birth Date*

MonthDayYear

Age at Camp*

Must be between 4 and 11.

Gender (to avoid just one boy or girl in a group)*

boygirlnon-binaryrather not say

Medical / Behavioural notes

eg allergies, adhd, etc Please note: strict behaviour code. no refunds.

Does your child require an EA at school?*

NoYes (if yes, you must arrange for a support worker at camp)

Please note any medications eg epipen, inhaler, etc

We will send out a medication form to complete for any medications taken at camp.

2nd Child's Name if applicable - if none continue down to payment

First NameLast Name

Birth Date

MonthDayYear

Age at Camp

Must be between 4 and 12.

Gender (to avoid just one boy or girl in a group)

boygirlnon-binaryrather not say

Medical / Behavioural notes

eg allergies, adhd, etc Please note: strict behaviour code. no refunds.

Does your child require an EA at school?

NoYes (if yes, you must arrange for a support worker at camp)

Please note any medications eg epipen, inhaler, etc

We will send out a medication form to complete for any medications taken at camp.

3rd Child's Name if applicable if none continue down to payment

First NameLast Name

Birth Date

MonthDayYear

Age at Camp

Must be between 4 and 12.

Gender (to avoid just one boy or girl in a group)

boygirlnon-binaryrather not say

Medical / Behavioural notes

eg allergies, adhd, etc Please note: strict behaviour code. no refunds.

Does your child require an EA at school?

NoYes (if yes, you must arrange for a support worker at camp)

Please note any medications eg epipen, inhaler, etc

We will send out a medication form to complete for any medications taken at camp.

Payment: (Members please enter coupon code "member2025" in the coupon box at the bottom of this section for $20 off each camp). If purchasing for multiple children adjust the Quantity for each camp accordingly.*