Life Gears Academy and KHNG Summer Camp
Please fill out this form for every camper and every camp that you would like to register for. When spots fill up, they will be updated on this form and you will be able to register to be on a waitlist (no payment will be taken).

The following camps will be offered Monday to Friday at the KHNG Community Room at 23 Ptarmigan Dr. Guelph.

**If you do NOT receive a personal email from admin@lifegears.org, please contact us because this means that your registration wasn't completed successfully.**

Camp costs $150 and runs from 9am to 4pm with extended care available from 8am to 5pm.
Email address *
Who would you like to register (first and last name please) *
Your answer
What age is your camper? *
What gender is your camper? *
How many days would you like to request extended care for at $10 a day (supervision 8am to 5pm)? *
Which camp would you like to register your camper for? (camps that aren't listed are FULL) *
What size shirt is your camper? *
Please provide emergency contact names and phone numbers for this camper. *
Your answer
Would you like us to check the ID of anyone picking up your camper from sign-out? If so, please enter the names of everyone authorized to do so. *
Your answer
What city/ town does this camper live in? *
Your answer
Does this camper have any allergies? *
Your answer
Does this camper have any medical concerns that we should be aware of? *
Your answer
Anything else we should know? *
Your answer
How did you find out about this camp? *
Your answer
Would you like to receive emails mentioning events and programs that we will be running in the future? *
How would you like to pay for this camp? A total amount will be included in the email sent to the email provided. *
Who should the receipt be made out to? Please include first and last name. *
Your answer
Do you agree to our policies available at this link? https://www.lifegears.org/programs/policies *
Do you give us permission to use photos of your camper for reporting/advertising? This is referring to photos that would show their face. *
A copy of your responses will be emailed to the address you provided.
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