ELM Summer Camp Registration

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ELM Summer Camp Registration - 2022

This is the registration form, for Boys & Girls

From more information please contact us registration@elmyouth.ca

Email *

I would like to receive e-mail updates from ELM Youth Foundation *

Yes

Student (Child) First Name *

Student Last Name *

Student Gender *

Student Date of Birth *

YYYY

Father's/Guardian's Full name *

Father's/Guardian's Phone Number

Mother's/Guardian's Phone Number

Mother's//Guardian's Full name *

Medical information Doctor's Name *

Doctor's Phone Number *

Health Card Number *

Health Issues

Emergency contact *

Emergency contact - Phone number *

Any allergies

Note other- please let us know if there is something we should know.

Week 1 July 4th to 8th

Week 2 July 11th to 15th

Week 3 July 18th to 22nd

Week 4 July 25th to July 29th

Week 5 August 1st to August 5th

Required

After / before care? *

Before $5 per day, paid to the camp leader

After $5 per day, paid to the camp leader

Required

Please read: 1. Both my child and I have read and understood the Student Code of Behavior. I have read the Student's Statement on Photographs Taken at ELM. In permitting my child to attend arabic classes programming operated by the ELM, I the undersigned, in the event of an accident or illness affecting the above class, authorize all procedures, including admission to the hospital and necessary treatment herein, as deemed essential for the care and well-being of the said student. Such action is to be taken only when immediate contact with the undersigned cannot be made. I authorize my child to participate in all programs including those that take part off-site *

I consent to ALL

I don't consent to ALL

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