2019 EcoSuperior Summer Program Participant Registration
PLEASE COMPLETE ONE REGISTRATION FORM PER PARTICIPANT.

Payment must be submitted within one week of registration in order to secure your spot. Once both the registration and payment have been received, you will be sent a confirmation letter along with waiver forms and a camper handbook. If payment is NOT received within one week of registration, your registration will be void. You will have to re-register.

How would you prefer to receive your registration confirmation and information package? *
If by email, please provide your email address:
Your answer
Parent/Guardian Information
Name: *
Your answer
Address: *
Your answer
Primary Contact Phone Number *
Your answer
Alternate Contact Phone Number: *
Your answer
Participant Information
PLEASE PROVIDE PARTICIPANT INFORMATION. PLEASE COMPLETE ONE REGISTRATION FORM PER PARTICIPANT.
Name: *
Your answer
Birthday: *
MM
/
DD
/
YYYY
Which week(s) are you registering for? *
Check all that apply. Note that all campers must be in the designated age group by the first day of camp.
Required
Are you registering with a "buddy"? If yes, please include their name below.
By registering with a buddy you both receive a discount on registration! Discount applies after both buddies are registered.
Your answer
Please list any health conditions or concerns we should know about: *
Allergies, abilities of concern, behaviours of concern etc... please be specific.
Your answer
Child's Health Card Number: *
Your answer
Child's t-shirt size
Does the child you are registering have access to a bike and helmet? *
Please check all that apply
Required
Does your child know how to ride a bike *
Please check all that apply
Required
Please check if your child is still on training wheels
How did you hear about our summer camp?
*
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