The Coping Centre Adventure Camp Application 2025

The Coping Centre Adventure Camp Application 2025
Join us for another summer filled with adventure here at The Coping Centre

Camp Schedule:

Week 1: June 29th - July 4th, 2025

Ages 10-13 (Up to Grade 8)

Week 2: July 6th - July 11th, 2025

Ages 13 - 17 (Highschool)
Registration

Please complete the following form. We will confirm you spot at camp after submitting the application.
Which week are you applying for?*

Week 1Week 2
Camper Details
Camper Name*
Camper Gender*

MaleFemale
Camper Date of Birth*

MonthDayYear
Camper Grade in Fall of 2025*
Camper Food Allergies
Camper Health Concerns
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact
Name*
Emergency Contact Phone Number*
Parent/Guardian Contact Details
Parent/Guardian Name*
Relationship to Camper*
Parent/Guardian Phone Number*
Parent/Guardian Email*
Payment

Please select a payment intent. Payments will be processed at a later date.
Type a question*

I am accepting a COPING sponsorship for the full amount ($395 CAD)I am able to contribute towards the registration fee of $395 CAD (Please indicate below)
Amount I am contributing towards the registration fee (Optional)
Should be Empty:

Registration