Clone of Summer camp 2026 registration form

Child's full name*

First NameLast Name

Child's gender*

MaleFemaleOther

Child's date of birth*

Please note that the child MUST be 4 years old on the start date of the camp

Please describe your child in a few words. Feel free to include interests, likes, hobbies, etc.*

We focus on providing a safe and fun environment for all our attendees. Kindly provide any specific considerations or guidelines to guarantee a positive camp experience for your child.*

Parent/guardian name*

First NameLast Name

Email address*

example@example.com

Phone number*

Please enter a valid phone number.

Mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Do you want to add a second parent/guardian's contact info?*

YesNo

Secondary parent/guardian name*

First NameLast Name

Secondary parent email address*

example@example.com

Secondary phone number*

Please enter a valid phone number.

Secondary parent mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Who is the best person to contact during the day?*

Primary parent/guardianSecondary parent/guardian

By default the parent(s)/guardian(s) provided above will added as emergency contacts. Do you wish to add other people as emergency contacts?*

YesNo

Name of additional emergency contact #1*

First NameLast Name

Phone number of additional emergency contact #1*

Please enter a valid phone number.

Relationship of additional emergency contact #1*

Name of additional emergency contact #2

First NameLast Name

Phone number of additional emergency contact #2

Please enter a valid phone number.

Relationship of additional emergency contact #2

Child's Health Card number*

Does your child have any allergies/sensitivities?*

YesNo

List all allergies/sensitivities*

Please list any other important medical information for your child (medications, puffers, learning disabilities, etc.)*

Pick-ups are between 3:45 to 4:00 pm. Please do not be late when picking up your child. We offer post-care from 4:00 pm to 5:30 pm for $40 per week. If you have not signed up for post-care, fee of $2 per minute will apply to pick-ups after 4:30 pm.*

I agree, understand, and acknowledge Little Ladybugs Camp's pickup policy.

By default, your child can only be picked up by the parent/guardian(s) you provided above. Do you want to add additional authorized people to pickup your child? Identification will be required at pickup*

YesNo

Additional pickup person(s). Please include full names and relationships to the child in the field below.*

Choose the weeks your child will attend camp*

	Camp	Pre-care	Post-care
Week 1 (July 13-17)
Week 2 (July 20-24)
Week 3 (July 27-31)
Week 4 (Aug 4-7):
Week 5 (Aug 10-14)
Week 6 (Aug 17-21)
Week 7 (Aug 24-28)

Week 1 total

Week 2 total

Week 3 total

Week 4 total

Week 5 total

Week 6 total

Week 7 total

Total $ for camp

HST

Grand total

I understand that my spot will be held for 3 days after submitting the form. I also understand that my spot will be given to the next person if I do not pay in full within the 3 day period.*

I agree

Refund condition

The request for a refund must be made in writing by emailing us at littleladybugscamp@gmail.com. Last day to request a refund is 3 weeks before the start of the camp week you paid for. A $60 administrative fee applies to all refunds. No refund will be issued after the above mentioned deadline. Camp fees are non transferable. No refunds are available for missed days. Payment must be made in full to attend the camp. We reserve the right to cancel any program, a full refund (including the administrative fee) will be provided if a program is cancelled from our end.*

I agree

I give permission for Little Ladybugs Camp to take my child on walks to nearby areas, picnics, parks, or other suitable places for their age group. I acknowledge that engaging in indoor and outdoor activities carries inherent risks and consequences. I release Little Ladybugs Camp from any responsibility for any harm, injury, or damage to my child or their belongings resulting from their participation in these activities.*

I agree, understand, and acknowledge Little Ladybugs Camp's mandatory release/ waiver of liability.

By registering for Little Ladybugs Camp you acknowledge that you have read, understood, and accepted all our policies. You can find all the policies in the parent handbook linked here

I have access to the parent handbook and will read it prior to my child attending camp*

I agree

My child is potty trained and requires no help in toileting*

I agree

How would you like to pay?*

CreditE-transferCash

E-transfer payments can be made to littleladybugscamp@gmail.com. We will hold your spot for 3 days. If payment is not made within 3 days, your spot will be given to the next person.

We will e-mail you to coordinate cash payment. We will hold your spot for 3 days. If payment is not made within 3 days, your spot will be given to the next person.

Where did you hear about us?

Total payment amount

CAD

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Summer Camp 2026 Registration Form

Child's Information:

Parent/guardian info

Emergency contact information

Medical information

Pick-up information

Select Camp Weeks:

Refund policy

Mandatory release/ waiver of liability