Kids Camp 2025

KIDS CAMP - Registration Form 2025

August 10th - 15th
Sign up by July 20th: $265

After July 20th: $285

$285 Late Registration (after July 20) – T-shirt and space limited due to availability

If your child needs financial sponsorship please email lori@paoc.net to apply

* Registration is only submitted after payment is recieved
Students Name*

First NameLast Name
Sex*

MaleFemale
Childs age at the time of camp*
Birth date*

MonthDayYear
Date
My student would like to room with:
(We will do our best to grant your requests, but are limited due to room size and age groups)
Child's T-shirt Size*
After July 15th sign up we cannot guarantee a t-shirt
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Name

First NameLast Name
Parent/Guardian Cell Ph #*
Please enter a valid phone number.
Parent/Guardian Cell Ph #
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com
Parent/Guardian Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact*

First NameLast Name
Emergency Contact Ph #*
Please enter a valid phone number.
Relationship to child*
In the case of custody agreements, please submit the proper form authorizing parental contacts
Provincial Health Insurance Number of Student 9 Digit*
Provincial Health Insurance Number of Student 6 Digit*
Does your student have any allergies*

NoYesPlease explain
Does your student have any physical, emotional, mental, behavioural concerns or limitations that our staff should be aware of?*

NoYesPlease explain
Does your child take any regular medication that will be needed to be taken at Kids Camp*

NoYesProvide Details
Please list any medications you DO NOT want administered to your child
Will you allow photographs of your child to be used for promotional purposes?*

NoYes
I herby released from any liability. In the event that my child requires special medication, x-rays or treatment, the parent/ guardian will be notified immediately. In case of surgical emergency, I hereby give permission to the physician selected by NextGen Kids Camp to hospitalize, secure proper treatment for and to order injection, anesthesia or surgery for my child as named above.
Printed Name*

First NameLast Name
Signature*

Powered by Jotform SignClear
Camper’s Pledge: “I promise to respect myself, other campers, and their property. I promise to try my best when participating in activities. I promise to respect the camp property and environment. I promise to obey the rules of Kids Camp.”
Camper Signature*

Powered by Jotform SignClear
My Products
prevnext( X )
Kids Camp Registration Early bird till July 20th
$265.00CAD Quantity

Total

$0.00CAD
I need financial sponsorship and will pay later

Yes
Pay with PayPal

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

KIDS CAMP - Registration Form 2025