PD Days & March Break Camp 2025-2026

PD Day & March Break Camp 2025-2026

Program to be ran out of the Katrine Community Centre
Each participant MUST fill out an individual form
Parent / Guardian Name*

First NameLast Name
Participants Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Date of Birth of Participant *

MonthDayYear
Date
Emergency Contact #1 Name*

First NameLast Name
Emergency Contact #1 Phone Number*
Please enter a valid phone number.
Emergency Contact #2 Name*

First NameLast Name
Emergency Contact #2 Phone Number*
Please enter a valid phone number.
Any medical conditions we should be aware of?*
Does your child need medication during the day? (they must be able to administer themselves) Please specify:*
Please upload a picture of your child's health card incase of an emergency

Cancelof
Please choose individual days you would like to register for:

Fri Sept 26, 2025Mon Oct 20, 2025Fri Nov 14, 2025Fri Jan 30, 2026Mon March 16, 2026Tues March 17, 2026Wed March 18, 2026Thurs March 19, 2026Fri March 20, 2026Fri April 17, 2026Thurs June 4, 2026
Total Owing
The amount of your 3 installments if you choose to do installments (this is the amount if you choose Cash, Debit, E-transfer or Chq)
4% Administration Fee for Credit Card
How will you be paying? ($65 per day)*

E-transfer to info@armourtownship.ca * you MUST put the participants name, your name and e-mail address & "PD Day, March Break Camp" in the messageTownship Office (Cash, Debit, or Cheque)Credit Card (+ 4% administration fee)
I understand to hold my spot, I MUST make at least the 1st installment

- If you choose "Credit Card" this will take the FULL amount you owe at time of registration.
- If you choose "Afterpay" - Make the first of 4 payments now. Pay the rest over 6 weeks, interest-free. If you do not use Afterpay currently, you will be required to create an account - there are NO extra fees to use Afterpay!!!
I understand that all payments need to be made on time - Please see the rules and regulations for payment terms.*

Yes
I will be applying for subsidy with the District Of Parry Sound Social Services.*

Yes - please call (705) 746-7777 ext. 5277 or e-mail lmurray@psdssab.orgNo
Please note, that we DO NOT apply for subsidy for you, this is something you must do. Subsidy will then contact you and The Township of Armour IF you are a successful candidate.

IF you choose to use Subsidy, you are still required to pay the 1st installment. We will refund you by cheque if there is any overpayment once we have confirmation from the District of Parry Sound Social Services regarding your application.
This authorization grants permission to use your image (still or moving) and/or your spoken words in perpetuity for educational purposes. By signing this document, you agree: 1.To allow the recording of your image and voice (e.g., photographs, audio, or video).2. To share your image or recording in any medium, be it print or electronic form, which may include the Internet. 3. To grant permission to other entities to reproduce the images or recording for marketing purposes. 4. That there is no reimbursement for the right to take, or to use your photograph or video or recording.*

YesNo
Signature*

Powered by Jotform SignClear
Should be Empty:

PD Day & March Break Camp 2025-2026

Each participant MUST fill out an individual form

Payment Methods