Captain Altitude Aviation Summer Camp Registration Form

Captain Altitude Aviation Summer Camp Registration

Join us at Captain Altitude Aviation Summer Camp and embark on an unforgettable journey of exploration, discovery, and inspiration in the fascinating world of aviation and STEM. Welcome aboard!
Camper's Information
Last Name*
First Name*
Middle Name*
Gender*

MaleFemale
Address*
Parish*
Postal Code*
Birth Date*

MonthDayYear
Please select a camp week

Week 1: July 7-11Week 2: July 14-18Week 3: July 21-25All 3 Weeks: July 7-25
Parent or Legal Guardian Information
Parent/Legal Guardian*
Relation*
Work Phone*
Cell Phone
Parent /Legal Guardian 2*
Relation 2*
Work Phone 2*
Cell Phone 2
Home Phone*
Emergency Contact Info
Emergency Contact Name(if parent or guardian is not avaliable)*
Emergency Number*
Emergency Number #2*
Email Confirmation
Parents Email
example@example.com
Other Information
How did you hear about Captain Altitude Aviation Summer Camp?
First Time Camper?*

YesNo
Health Information

A health officer is on site at all times.
Any activity the camper should be restricted from?
Any other condition that would require special attention or medication while at camp?
List any allergies (ex: bees,peanuts, dairy)
Any dietary needs that we should know about?
Camper Photo Release
I agree that photos of my child can be taken on used on for camp social media purposes

YesNo
Payment Information

$10000 Registration Fee Due. (The registration fee in full will be credited towards the summer camp. The remainder of the cost will be due on or before the first day of camp.)
Method of payment

CashBank Transfer (BNS, Savings, Constant Spring Branch,Transit#21725 Accn#54560 Blackline Trading Ltd)
- Be certain to enter your email address correctly on the registration form to receive confirmation via email with in 2 weeks
By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. In case of medical emergency or general medical care, I give consent for medical teatment for the aboved named camper by authorized personnel. The camp carries secondary insurance. I understand that the above named camper will only be released to the names listed above, an update may be done at registration. I certify that my child has my permission to attend camp and participate in all activites.
Electronic signature, please initials*
Signature

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Captain Altitude Aviation Summer Camp Registration

Camper's Information

Parent or Legal Guardian Information

Emergency Contact Info

Email Confirmation

Other Information

Health Information

Camper Photo Release

Payment Information