Weekend Program 2024-2025 Detailed Registration Form

Weekends on the Trail: Program Registration

2024-2025
I would like to register my participant for

Session 1 (September 14th - December 14th)Session 2 (January 4th - March 22nd)Session 3 (March 29th - June 14th)Sessions 1, 2, 3 (September 14th - June 14th)

Participant's Information
Participants Name

First NameLast Name
Birth Date

MonthDayYear
Sex

MaleFemaleOther
Address

Street Address

CityState / Province

Postal / Zip Code

Parent/Guardian Information
Mother's Name

First NameLast Name
Mother's Profession
Mother's Cell Phone Number
Mother's e-mail
example@example.com
Father's

First NameLast Name
Father's Profession
Father's Cell Phone Number
Father's e-mail
example@example.com
Home Phone Number
Parental Marital Status

MarriedDivorcedWidowedRemarriedOther
Name of Step Parent

First NameLast Name
Step Parent Phone Number
Name of Guardians if camper is in Foster Care

First NameLast Name
Guardians Phone Number
Guardians e-mail
example@example.com

Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Alt. Phone Number
Campers Medicare card number and expiration date*
Allergies, chronic illness, or medical conditions? If yes, please describe.*
**A separate camper health form must be filled out prior to the start of camp****Please notify the camp if there are any changes to the camper’s medical history after completing these forms**

Participant Information
What are your participant's interests, special skills (does he or she like sports, art related activities, music, games, what are their fears, dislikes, ect...)
Please explain in as much detail as possible about your participant's emotional and intellectual development and specific difficulties. The clearer understanding we have of your child, the better we can adapt a wonderful summer program to meet his/her specific needs.
Please include a picture of your participant's

Cancelof

Conditions of Enrollment Weekends 2023

Note: Trails Recreation Center will hereafter be referred to as 7730616 Canada Association(abbreviated 7730616).

All participants above the age of four who are not completely toilet trained may come to the program, but must be accompanied by their own shadow.

1b) The child must be able to communicate in some way that he/she needs the washroom.

Cost Breakdown (13/12 weekends per session)

Session 1 (September 14th - December 14th): $910.00 (parents will pack a lunch, participants will receive snacks, all supplies necessary for activities).

Dates for session 1 (13 weekends)

September 14th, 2024

September 21st, 2024

September 28th, 2024

October 5th, 2024

October 12th, 2024

October 26th, 2024

November 2nd, 2024

November 9th, 2024

November 16th, 2024

November 23rd, 2024

November 30th, 2024

December 7th, 2024

December 14th, 2024

Session 2 (January 4th - March 22nd): $840.00 (parents will pack a lunch, participants will receive snacks, all supplies necessary for activities).

Dates for session 2:

January 4th, 2025

January 11th, 2025

January 18th, 2025

January 25th, 2025

February 1st, 2025

February 8th, 2025

February 15th, 2025

February 22nd, 2025

March 1st, 2025

March 8th, 2025

March 15th, 2025

March 22nd, 2025

Session 3 (March 20th - June 14th): $840 (parents will pack a lunch, participants will receive snacks, all supplies necessary for activities).

Dates for session 3:

March 29th, 2025

April 5th, 2025

April 12th, 2025

April 26th, 2025

May 3rd, 2025

May 10th, 2025

May 17th, 2025

May 24th, 2025

May 24th, 2025

May 31st, 2025

June 7th, 2025

June 14th, 2025

PAYMENT OPTIONS:

You can send a check to Trails Recreation Center

6800 Macdonald Cote St. Luc #303

H3X3Z2

OR send an e-transfer to sheldonpronman@yahoo.com with the security word being camp [ all in small letters].

7730616 (Trails Recreation Center) has the right to terminate a participants stay should they become danger to himself or herself or others.
*This includes if the child requires more care than the director feels the staff is able to provide. No refund will be issued.

By signing this document, parents authorize the use of any photographs or other forms of media taken of the children during their time at the the center for publicity purposes such as brochures. All materials used will remain the property of 7730616.

At Trails Recreation Center, we continue to strive to make each participant stay safe and magical with memories to last a lifetime!

Can’t wait to see ya on the trail!
Date

MonthDayYear
Date
Signature*

Powered by Jotform SignClear

Parents agree to release and indemnify 7730616 Canada Association doing business as Trails Recreation Center, owner, director and all other staff from any and all claims for damages arising as a result of any accident, injury or otherwise sustained by the here in named child arising from participation in activities, wherever they may be, either on or off camp property
Campers Name

First NameLast Name
Parent/Guardian Name

First NameLast Name
All parties agree that the language of this contract is in English.
Date

MonthDayYear
Date
Signature of parent or Guardian*

Powered by Jotform SignClear
Les parents acceptent de ne pas engager de poursuites judiciaires contre 7730616 Canada Association, Trails Recreation Center le propriétaire, le directeur et tous les employés, résultant de dommages survenus lors d'un accident quelconque ou d'une blessure subie par l'enfant participant a l'une ou l'autre des activités, qu'elle soit survenue sur les lieux du camp ou a l'extérieur de ceux-ci.
Nom de l'enfant

First NameLast Name
Nom du parent our tutuer

First NameLast Name
Toutes les personnes acceptent que la langue de ce contrat soit en anglais.
Date

MonthDayYear
Date
Signature du parent ou tuteur*

Powered by Jotform SignClear
Should be Empty:

Weekends on the Trail: Program Registration