GRAND BAY-WESTFIELD 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.

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.


Counselor in Training (CIT) Program (Grade 6-9):

Being a CIT is an opportunity for campers entering grades 6-9 to learn leadership skills and stay connected to the camp they grew up with. Being a CIT has lots of perks. Your own training session (mandatory), canteen (2 Items per day), CIT t-shirt and the opportunity to work with the staff in the planning and organizing of camp. Becoming a CIT is a pretty big deal! Spaces are limited. Max 5 CIT's per week and you need to register for your weeks prior to camp starting.

To register as a CIT please contact jennifer.fulton@sjclub.ca

$100.00 for training and 1 camp week as a CIT.
$100.00 per additional CIT week registered.
Maximum of 5 CITs per week.
Minimum CIT age: entering Grade 6 in the fall of any given camp year.

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
WAIT LIST IF CAMP DATES UNAVAILABLE
Go to https://goo.gl/forms/0tkD7JWAgaPWUdFn1 and fill out the wait list form to be added to the waiting list.
K-5 Camp Dates 2018 (Check Box Next To Date or Dates)
CIT - Grade 6-9 Camp Dates 2018 (Check Box Next To Date or Dates)
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 *
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 GBW Payment link and you will be directed to the payment form. We're looking forward to seeing you/your children at camp!
Submit
Never submit passwords through Google Forms.
This form was created inside of Done4ULocal Marketing. Report Abuse - Terms of Service - Additional Terms