Age Group 12-16 is Full only Few seats available for 7-11!
Name of Participant
*
First Name
Middle Name
Last Name
Name of Parent
*
First Name
Middle Name
Last Name
Home Phone Number
-
Area Code
Phone Number
Cell Phone Number
*
-
Area Code
Phone Number
E-mail
*
Camp Fee
*
prev
next
( X )
Youth Camp
$
10.00
CAD
Age Group
*
Please Select
Group A: 7-11 years
Full Address:
*
Example: 123 avenue - 00 street, Edmonton, AB, 1N1 2C3
Any medical condition or allergy
*
Emergency Contact Name
*
Emergency Contact Phone
*
Submit
Clear Form
Print Form
Should be Empty: