2026 Camp Sunflower Registration
Payment is due within 24 hours of registration. Follow the links to pay by credit card, or send an e-transfer to campsunflower@ukrainehelpvi.ca . Please complete one form per child. Information on Jumpstart Grants is also available on page 2 of this form.

Camp cost is $185 per week, or $150 for holiday weeks. 

Please note that we use email for communications about camp. Please ensure that the email address listed on this form is checked daily. 
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Email *
Is this your first time registering for 2026? *
For questions or concerns, including changing weeks, splitting payment by different methods, updating contact information, or adding merchandise purchases, please email campsunflower@ukrainehelpvi.ca
Child's Information
Child's Given Name (First Name) *
Child's Preferred Name *
If different from their legal name
Child's Family Name (Last Name)  *
Emergency Contact
In case of emergency, who do we contact FIRST?
Full name of first emergency contact *
Phone number of first emergency contact *
Format: 778-123-4567
Relationship of first emergency contact *
Child's information
Child's Birthday *
MM
/
DD
/
YYYY
Child's Primary Address *
Child's Postal Code *
Allergies or medical conditions that we should be aware of (if none, write "none").  *
Behavioural or psychological conditions that we should be aware of (if none, write "none").  *
Parents/Guardians Information
Parent/Guardian #1 Name  *
Parent/Guardian #1 Phone Number *
Parent/Guardian #2 Name 
Parent/Guardian #2 Phone Number
Other people who can pick up the child and/or be contacted in the event of an emergency.
Additional Contact #1 Name
Additional Contact #1 Phone Number
Additional Contact #2 Name
Additional Contact #2 Phone Number
Is there a court order or custody issues that we should be aware of? *
If yes, please elaborate
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