Clone of May Break Camp 2026

October Camp Registration 2026

The camp will run 8:00am - 4:00pm Monday to Friday. The base rate per day is $52. Your actual rate per day will be dependent on what level of subsidy you qualify for with CCFRI. These fees will be included on your next invoice and payable on receipt. Spaces are limited!
Student Name:

First NameLast Name
Current Grade
Parent/Guardian Info
Parent/Guardian #1

First NameLast Name
Contact Info

Area CodePhone Number
Primary e-mail
Please note: Parent/Guardian listed above assumes primary responsibility for accounts payable.
Do you have any notes to share regarding your child for camp:
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Monday Oct 19th$52.00 CAD

Tuesday Oct 20th$52.00 CAD

Wednesday Oct 21st$52.00 CAD

Thursday Oct 22nd$52.00 CAD

Friday Oct 23rd$52.00 CAD

Total $0.00 CAD
Terms and Conditions
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
By checking 'I Agree' below and submitting this form, you, the Parent or Guardian of the above names student(s), agree to release "Kimberley Independent School", including instructors and assistants from liability for any and all injuries which may occur during activities at the day camp.

You give permission for your child to go on local excursions within walking distance of Kimberley Independent School.

You give permission for emergency medical transportation and treatment of your student(s) at your expense should the need arise.

You also give your permission for the public display of any visual images that your child may appear in.

REGISTRATION FEES ARE NON-REFUNDABLE AFTER Oct 15, 2025
Agreement
Should be Empty:

October Camp Registration 2026

Parent/Guardian Info

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Terms and Conditions