Summer Camp 2019 Camper Registration
MONDAY JULY 8 TO FRIDAY JULY 12, 2019
9AM - 12:30 PM AT ST. PAUL'S LEASKDALE
Email address *
REGISTER BY JUNE 30, 2019
Reserve your spot before registration closes Sunday, June 30, 2019.
THROUGH THE WARDROBE Summer Camp
Registration is open to kids entering SK to Grade 6 in the Fall of 2019.
Please note that all personal camper information is kept confidential.
Camper First Name *
Your answer
Camper Last Name *
Your answer
Camper's Date of Birth *
MM
/
DD
/
YYYY
Camper's OHIP Number *
Your answer
Does your child have a serious allergy or medical condition *
Allergy and Medical Alerts
Parent / Guardian First Name *
Your answer
Parent / Guardian Last Name *
Your answer
Parent / Guardian Phone Number *
Home or cell number where we can reach you during camp time
Your answer
Parent / Guardian Email Address *
Your answer
First and Last Name of adult picking up child (if different than parent or guardian). Child will only be released to an adult registered on this form.
Your answer
Cell Phone Number of adult listed above
Your answer
What grade is the camper going into in September 2019? *
Photo and media opt-out
Photos will be taken during camp time to share with our church family. If you would prefer to NOT have your child's photo included in the slide show and/or St. Paul's Leaskdale website, please, check below. By leaving the box blank, permission is granted for use of your child's photo..
A copy of your responses will be emailed to the address you provided.
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