Partial Registration Milton Summer Camp 2025

Summer Camp

July 7th, 2025 - July 31st, 2025 Italian Cultural Centre of Milton, 104 Tremaine Rd, Milton ON L9T 2W9
Welcome!

Thank you for trusting us! We are excited to welcome your children to the SUMMER CAMP 2025. If you would like to register your child for less than 4 weeks of our Summer Camp, please fill out this Partial Registration Form. A minimum of 2 weeks registration is required to participate. The 2 weeks do NOT have to be consecutive. Please note that siblings discount is NOT applicable for partial registrations.
1st Child's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
2nd Child's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
3rd Child's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Parent/Guardian Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please select the weeks that you would like to register your child(ren) for.*

Week 1 (July 7th - July10th) [CAD 75/Child]Week 2 (July 14th - July 17th) (Includes Kelso Trip) [CAD 130/Child]Week 3(July 21st - 24th) (Includes Farm Trip) [CAD 120/Child]Week 4 (July28th - July 31st) [CAD75/Child]
Any allergies or medical conditions?*

YesNo
If yes, please give details.
I, undersigned, agree with the following statements:*

I am the parent/guardian of the child(ren) indicated above.If emergency medical care is needed and I am unavailable, I authorize the supervising teacher to seek medical treatment for my child.
By clicking the submit button, I agree to the following terms and conditions:
In consideration for being allowed to participate in this Activity/Program, I release from liability and waive my right to sue Global Islamic Centre, their employees, officers, volunteers and agents (collectively “Global Islamic Centre”) from any and all claims, including claims of the Global Islamic Centre’s negligence, resulting in any physical injury, illness (including death) or economic loss that my child/children may suffer or which may result from their participation in this program, travel to and from the program, or any events incidental to this program. I agree that Global Islamic Centre may use photographs of my children for any lawful purpose, including publicity, illustration, advertising, and Web content.
Date

MonthDayYear
Date
Signature

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Date of Birth*

MonthDayYear
Date
Should be Empty:

Summer Camp

Welcome!