Afterburn Summer Camp Registration
Welcome to Afterburn!

To register for Afterburn's summer camp, please complete this registration form. For more information, please see our full camp guide here. 

If you have any questions, please reach out to us at info@afterburnfitness.ca.

We look forward to hearing from you!
Sign in to Google to save your progress. Learn more
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent E-Mail *
Parent/Guardian Phone Number *
Emergency Contact First and Last Name *
Emergency Contact Phone Number *
Emergency Contact Relationship To The Child *
How did you hear about this program? *
PARTICIPANT PICKUP INFORMATION
Photo identification of the caregiver picking up your child will be cross-referenced before your child is picked up
What is the first and last name of the caregiver who will be picking up and dropping off your child? *
What is the phone number of the caregiver who will be picking up and dropping off your child? *
PARTICIPANT INFORMATION
Participants First Name: *
Participants Last Name: *
Participants Date of Birth: *
MM
/
DD
/
YYYY
Age of participant: *
Gender: *
Please indicate swimming ability (most recent swimming certification):
Clear selection
Swimming Ability: If "Other", please describe
Please list any of the participants allergies:
Is the participant on any medications? Please list the medication and frequency:
Does the participant have any past medical history we should be aware of? Or any risk factors/ behavioural issues that we should be aware of?
PROGRAM REGISTRATION
Billing Address (Number Street, City, Province, Postal Code) *
Please select which week you would like to enroll your child:
Yes
Week 1: Home Sweet Home (July 8-12) $285
Week 2: Transportation Station (July 15-19) $285
Week 3: Summer Olympics (July 22-26) $285
Week 4: The Space Race (July 29 - Aug 2) $285
Clear selection
Will you require Before Care? (Before care drop-off hours start at 8am and is an additional $30 for the week) *
Will you require After Care? (After Care hours end at 4pm and is an additional $30 for the week) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Afterburn Performance Fitness Inc..

Does this form look suspicious? Report

Google Forms