Funny Bones Summer Enrichment Program Sign-Up Sheet
Our Funny Bones Summer Enrichment Camp will give all youth a chance to explore play in a number important of ways. The daily program will consist of small groups participating in four, 90 minute sessions in the following areas; Active Play (a wide variety of outdoor and indoor play and sports), Arts and Culture (Creative expression, imagineering, crafts,
visual arts, and more), S.T.E.M. (Science Technology, Engineering and Mathematics) and Game Play (this includes choices from our shelves of over 800 games and structured play like Dungeons and Dragons). Our programming will focus around all aspects of play, development and personal growth.
Space is VERY limited!! First come first served.
Relationship to Child
First Name of Child
Last Name of Child
Age of Child
Emergency Contact First Name (if different from above)
Emergency Contact Last Name (if different from above)
Emergency Contact Relationship to child (if different from above)
Address of emergency contact (if different than address provided above)
Email of emergency contact (if different than email provided above)
Phone Number of emergency contact (if different than email provided above)
Medical Concerns/Allergies for Child. Please indicate NONE if the child has no medical concerns or allergies.
How did you hear about our program?
Did someone refer you? and if so, please provide their name as you will both receive a free play card!
Our summer programs have 3 options, either daily, weekly, or 2 week options. Please fill out below which option you like, along with the dates you would like.
Daily Option M T W T F. $79 per day + tax. Includes: Daily programming and supplies, 1 mid-afternoon snack, 1 drink. (Camp T-Shirt for purchase optional but preferred). Please indicate how many days you would like _______, and the exact dates.
Weekly Option. $339 + tax. Includes: Daily programming and supplies, 1 mid-afternoon snack, 1 drink, camp T-Shirt. Please indicate the Monday-Friday week you would like.
July 2nd-5th (only 4 days, this week is only $270)
July 29-August 2nd
August 6th-August 9th (only 4 days, this week is only $270)
August 12th-August 16th
August 19th-August 23rd
2 Week Option. $579 + tax.(Note: Weeks must be back-to-back) Includes: Daily programming and supplies, 1 mid afternoon snack, 1 drink, camp T-Shirt. Please indicate the two Monday-Friday weeks you would like.
July 2nd-5th and July 8th-12th (Short week, this combo is $519)
July 8th-12th and July 15th- July 19th
July 15th-19th and July 22nd- July 26th
July 22nd- July 26th and July 29th- August 2nd
July 29-August 2nd and August 6th-August 9th (Short week, this combo is $519)
August 6th-August 9th and August 12th-August 16th (Short week, this combo is $519)
August 12th-August 16th and August 19th-August 23rd
August 19th-August 23rd and August 26th-30th
$7/ day for a full provided lunch (lunch choices to follow). There will also be breakfast and lunch options available for purchase.
I would be interested in a breakfast program
$20 for camp T- Shirt (weekly campers have a T-shirt included, daily campers have the option).
Which size would the child like?
Child size XS
Child size S
Child size M
Child size L
Child size XL
Adult size XS
Adult size S
Adult size M
Adult size L
Adult size XL
The program runs from 9am-4pm with check-in starting at 8:30am. We also offer $5/day for early drop off starting at 8am and $5/30 minutes for late pick up until 5pm.
Yes I need early drop off every day from 8am-8:30am
Yes I need late pick up every day until 4:30pm
Yes I need late pick up every day until 5:00pm
If you decide to pay in store, you will receive 5% off your total! You can pay all methods including debit and credit. Cheques can be made out to Funny Bones Inc. After submitting your application, a staff member will reach out with your total and give you instructions on how to proceed with payment.
How would you like to pay?
In store (Cash, credit, debit, mobile payments accepted)
Paypal (credit, debit and american express accepted)
Do you have a coupon code?
We will be in touch soon! Thank you!
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service