Kid's Kamp
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
Emergency Phone Number
*
CHILD INFORMATION:
Child Name
*
First Name
Last Name
Grade this fall
*
Healthcare #
*
Allergies
CHILD INFORMATION:
Child Name
First Name
Last Name
Grade this fall
Healthcare #
Allergies
CHILD INFORMATION:
Child Name
First Name
Last Name
Grade this fall
Healthcare #
Allergies
CHILD INFORMATION:
Child Name
First Name
Last Name
Grade this fall
Healthcare #
Allergies
Registration Coast: $40/Kamper or $80/Family
ETransfer - donations@balfourcovenant.com
Cheque
Submit Form
Should be Empty: