Grace Christian School of North York Summer Camp (Children & LIT) 2015
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Registration Form
Child's Last Name *
Child's First Name *
Grade in Sep. 2015 *
Gender *
Birthday *
(Month/Day/Year)
MM
/
DD
/
YYYY
Address *
Postal Code *
Phone Number *
Email *
Health Card Number *
e.g. 123-456-789-AB
Lanuguage spoken at home *
Does the applicant have any allergies? *
If yes, list allergy triggering products.
i.e. pineapple, eggs, lactose intolerant, peanuts, etc.
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This form was created inside of GCGCNY.