Summer Academic Enrichment Program
CAMP REGISTER
Camp Registration Form
Student Information
Full Name
Age
Date of Birth (yyyy-mm-dd)
Gender
Day School Name
Current Grade
Family Information
Parent's Name 1
Phone
Email
Parent's Name 2
Phone
Email
Address
Camp Information
Do you need lunch?
I will bring my own lunch and nut-free snacks.
I need lunch (+$40 including one hot lunch and 2 nut-free snacks/fruits)
Which camp you want to join?
Academic Camp
Piano Camp
Optional Information
Ontario Health Card (OHIP)
Medical Conditions (e.g. asthma)
Medications
Allergies (e.g. food, bees, medications, etc)
Emergency Contact (name & tel.no)
Sessions
Sessions Full Week
Session Single Days
Message
Message
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