Summer Day Camp Registration Form
Please provide your details to register for the summer camp.
Camper's Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Age
*
T-Shirt Size
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does the camper have any allergies or medical conditions?
Which week will the camper attend?
*
Week (July 13-17)
Additional Comments or Requests
Do you give permission for your child to be photographed or filmed during camp activities, and for those images/videos to be used by Atlantic Ninja for promotional purposes (e.g., social media, website, marketing materials)
*
Yes
No
Signature
Register
Register
My Products
*
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Ninja Camp T-Shirt
$25.00 CAD
$
25.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Ninja Day Camp
$330.00 CAD
$
330.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
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