LATIMORE LAKE SURVIVAL CAMP REGISTRATION 2018
Please fill this page out completely and submit, then (& ONLY THEN) click on the link under the registration form for payment. Fill out separate forms for each child attending.

Camp cost:

$160 per camper.
$140 for short week.

Please fill out all of the camp registration information below. You will find an online payment button below the form. You do not need a PayPal account to purchase with credit card.

Campers Full Name *
Your answer
Parent's Name(s) *
Your answer
Parent's Phone #'s *
Your answer
Parent's Email(s) *
Your answer
List any allergies the camper has: *
Type "none" if they have none.
Your answer
List any medical conditions the camper has: *
Type "none" if they have none.
Your answer
T-Shirt Size *
K-5 Camp Dates 2018 (Check Box Next To Date or Dates) *
Required
WAIT LIST IF CAMP DATES UNAVAILABLE
Go to and fill out the wait list form here: https://goo.gl/forms/Pnnh0EIZySauZ2Jb2 to be added to the waiting list.
FILL OUT THIS QUESTION IF AND ONLY IF YOU HAVE BEEN CONTACTED BY US FROM THE WAIT LIST: Enter the camp dates we gave you below:
Your answer
Camper's Date Of Birth (yyyy/mm/dd) *
Your answer
Gender *
Your answer
List of Siblings Attending
Your answer
Street *
Your answer
City/Town *
Your answer
Province *
Your answer
Postal Code *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Medicare # & Expiry Date *
Your answer
** IMPORTANT PAYMENT DETAILS: (Do Not Pay If You Are On The Wait List Unless We Directed You To)
* To confirm your spot, we need to receive payment in full, so please take care of that right away to avoid disappointment should your chosen week be filled before you pay! Submit this form first by hitting submit below, then you will need to go to http://kidssummercamp.ca/payment. You will be directed to a message that contains this link when you hit submit. Once you go to that page, just hit the Latimore Lake Payment link and you will be directed to the payment form. We're looking forward to seeing you/your children at camp!
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