WBC Summer Camp 2014 :: Family Basics :: Registration Form
Date: July 11 evening - July 13 afternoon, 2014
Venue: Alexandra Neighbourhood House, White Rock, BC
:: Regular Adult (include all meals, lodging and activities) - $119
:: Regular Child (Age 4-10, include all meals, lodging and activities; or Age 0-3 requiring meals and separate bed) - $79
:: Young Child (Age 0-3, no meal and separate bed required) - Free (registration still required)
:: In-&-Out (Include all meals and activities, but no lodging) - $99

Please fill out 1 registration form for each person.
Please have your Care Card and Driver's Licence ready.
Participants under the age of 19 please be ready to have your parent/guardian filling out the online consent form for you and providing his/her personal information.

Registration to the Summer Camp is on a first-come-first-serve basis. We cannot guarantee acceptance of registration after the reserved camp quota is filled. We reserve the right to decline any registration.

Registration Type *
Full-time positions are no longer available.
First Name *
Your answer
Last Name *
Your answer
Gender *
Your answer
Age *
Name(s) of other family member(s) also registering for this camp
Please note that they are each required to fill out a separate registration form
Your answer
Contact Information
Telephone *
eg. xxx-xxx-xxxx
Your answer
E-mail *
Your answer
Address *
Please include Postal Code
Your answer
Emergency Contact
Emergency Contact Name *
Your answer
Emergency Contact Telephone *
Your answer
Your relationship with your Emergency Contact *
Your answer
Name of Family Doctor *
Your answer
BC Care Card Number *
eg. xxxx-xxx-xxx
Your answer
Health Concerns
Do you have any particular health concern or allergy that the camp organizers should know? Please list them here.
Your answer
Other Concerns
Do you have any other concerns that you would like to relate to the camp organizers?
Your answer
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