2025 Summer Camp Registration Form

Registration Form

Please fill in the form below
Summer Day Camp 2025

Monday to Friday 9am - 3pm
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Format: (000) 000-0000.
Alternate Phone Number
Format: (000) 000-0000.
E-mail*
example@example.com
Relation to child
Child's Name*

First NameLast Name
Emergency Contact (First contact will always be the Name stated above)

First NameLast Name
Phone Number
Format: (000) 000-0000.
Relation to child
Second Emergency Contact

First NameLast Name
Phone Number
Format: (000) 000-0000.
Relation to child
Child's Birthdate*

MonthDayYear
Date

My Products

Summer Camp July 7-11

$160.00CAD

Summer Camp July 28-Aug 1

$160.00CAD

Summer Camp Aug 11-15

$160.00CAD

Enter coupon

Total

$0.00CAD

I need before care (starts at 7:30) $10/dayI need after care (until 5:30) $10/dayI need before and after care $15/dayI do NOT need before or after care
YesNo
YesNo
YesNo
Should be Empty:

Registration Form