Sports Camp 2025 Registration Form

Sports Camp Registration Form

Please complete 1 form per camper
Camp Choices

Please indicate which camp you are signing up for. Select only one option per camper
Select a camp*

PILOTS Multi-Sport Day Camp - AGES 6-9yrs - July 28-August 1 - $225PILOTS Multi-Sport Day Camp - AGES 10-14yrs - July 28-August 1 - $225PILOTS Multi-Sport Day Camp - AGES 6-9yrs - August 5-8 - $180PILOTS Multi-Sport Day Camp - AGES 10-14yrs - August 5-8 - $180
T-Shirt!

Make sure you select a camp above first
T-Shirt Size Junior
(for your Camp T-Shirt based on camp choice above)
T-Shirt Size Adult
(for your Camp T-Shirt based on camp choice above)
Camper Information

Remember: one form per camper please
Name*

First NameLast Name
Email*
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
Date
Gender
(For housing and grouping. Will not affect your acceptance to camp.)
If you have a brother or sister registered for one of these camps, what is their name?
How did you hear about our Camp?
Name of school
Medical Information
Health Insurance Number
Province/Company
Allergies
Other Health Information
(allergies, medical conditions, special dietary needs, etc)
Emergency Contact Information
Primary Phone
Name
Relationship
Secondary Phone
Name
Relationship
Work Phone
Name
Relationship
Payment

Please contact Bob Murray at bob.murray@prairie.edu for payments other than by credit card, or any questions.
Method of Payment*

Pay by Credit Card belowPay by Credit Card at Finance DeskPay by Debit Card

Camp Payment

Boys and Girls PILOTS Multi-Sport Camp - July 28-August 1$225.00CAD

Ages 6-9 Day Camp Price

Boys and Girls PILOTS Multi-Sport Camp - July 28-August 1$225.00CAD

Ages 10-14 Day Camp Price

Boys and Girls PILOTS Multi-Sport Camp - August 5-8$180.00CAD

Ages 6-9 Day Camp Price

Boys and Girls PILOTS Multi-Sport Camp - August 5-8$180.00CAD

Ages 10-14 Day Camp Price

Enter coupon

Subtotal $0.00CADTax $0.00CADTotal $0.00CAD

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

Questions or Comments:
Thank you for taking time to fill out the form!

Please contact Bob Murray at bob.murray@prairie.edu for payments other than by credit card, or any questions.
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Sports Camp Registration Form

Camp Choices

T-Shirt!

Camper Information

Medical Information

Emergency Contact Information

Payment