2026 Summer Camp Registration with FIVE RIVERS

Parent / Guardian Name

First NameLast Name

Parent / Guardian Mobile Number

Please enter a valid phone number.Format: (000) 000-0000.

Parent / Guardian E-mail

example@example.com

Home Address (Included Postal Code)

Campers Name

First NameLast Name

Campers Date of Birth

Date

Campers Medicare #

Please upload a photo of the campers Medicare Card.

Please note all medical conditions and medications below.

Select Weeks

PLEASE NOTE YOUR CHILD'S DIETARY RESTRICTIONS / ALLERGIES

Please Confirm Number of Weeks Chosen

Relationship to Camper

Select One

Payment Details

We accept debit, credit, and cash at our Municipality of Five Rivers office. You may also call our office to make a payment over the phone with your credit card.

Please note that the payment deadline is one weeks prior to the start of your weekly summer camp.

-Location : 82 Main St, Rexton, NB (E4W 2B2)

-Office hours : Mon to Thur / 9:00 AM to 4:30 PM / Friday 9:00AM to 12:00PM

*Closed on Statutory Holidays

-Over the phone payment(Credit card) : Please call to 506-523-6921