Registration Form
Kids Zone Day Camps 2017 |

To complete registration and ensure your discount and child's spot in camp complete the following 3 things. Registration is NOT complete until
1. Online registration form completed (Below)
2. Waiver - download, print, sign and email to secretary@churchinthevalley
3. Payment received by calling 604-514-8335

Email address
First Camper's Full Name (Last, First)
Your answer
First Camper's Date of birth
What camp(s) are you registering for? (For the first camper)
Will this child require extended care for a flat fee of $50? Extended care is from 8-9am and 4-5:30pm. Camp time is from 9am-4pm, with registration opening at 9am. Late pickups will be charged $1/min according to our clock.
BC Care Card Number (or copy of Medical insurance)
Your answer
Date of last Tetanus Immunization(day/month/year)
Your answer
Please list any illnesses, injuries and/or hospitalizations the camper has had in the past year
Your answer
Are there any activities that your child is restricted from doing for medical reasons?
If yes please explain:
Your answer
Please list any allergies this child has
Your answer
Does your child have any behavioural special needs like ADD, ADHD.... Please explain:
Your answer
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