Contact information

Primary Guardian information

First name

Last name

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Camper's Information

First name

Last name

Birthday

Month

Day

Year

Language

French

English

Week(s) of Attendance

Week 1: Jun 22-26

Week 2: Jun 29- Jul 3

Week 3: Jul 6-10

Week 4: Jul 13-17

Week 5: Jul 20-24

Week 6: Jul 27- 31

Week 7: Aug 3-7

Week 8: Aug 10-14

Week 9: Aug 17-21

*Note that you will be expected to attend the weeks you have selected.

Emergency Information

Camper's medical card number

Card expiration date

Month

Day

Year

Allergies

None

Yes

Epipen

Other health/medical issues we should know about

Add a camper

Created with

Contact information

Primary Guardian information

First name

Last name

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Camper's Information

First name

Last name

Birthday

Month

Day

Year

Language

French

English

Week(s) of Attendance

Week 1: Jun 22-26

Week 2: Jun 29- Jul 3

Week 3: Jul 6-10

Week 4: Jul 13-17

Week 5: Jul 20-24

Week 6: Jul 27- 31

Week 7: Aug 3-7

Week 8: Aug 10-14

Week 9: Aug 17-21

*Note that you will be expected to attend the weeks you have selected.

Emergency Information

Camper's medical card number

Card expiration date

Month

Day

Year

Allergies

None

Yes

Epipen

Other health/medical issues we should know about

Add a camper

Created with

Summer Camp form