GRAND BAY-WESTFIELD SURVIVAL CAMP REGISTRATION 2017
Email address *
Please fill this page out completely and submit, then (& ONLY THEN) click on the link under the registration form for payment. Fill out separate forms for each child attending.

Camp cost:

$160 per camper.

Please fill out all of the camp registration information below. You will find an online payment button below the form. You do not need a PayPal account to purchase with credit card.

Campers Full Name *
Your answer
Parent's Name(s) *
Your answer
Parent's Phone #'s *
Your answer
Parent's Email(s) *
Your answer
List any allergies the camper has: *
Type "none" if they have none.
Your answer
List any medical conditions the camper has: *
Type "none" if they have none.
Your answer
T-Shirt Size
WAIT LIST IF CAMP DATES UNAVAILABLE
Go to https://goo.gl/forms/t7VCNkdEEa8CHXCq1 and fill out the wait list form to be added to the waiting list.
Camp Dates 2017 (Check Box Next To Date)
FILL OUT THIS QUESTION IF AND ONLY IF YOU HAVE BEEN CONTACTED BY US FROM THE WAIT LIST: Enter the camp dates we gave you below:
Your answer
Camper's Date Of Birth (yyyy/mm/dd) *
Your answer
Gender *
List of Siblings Attending
Your answer
Address *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Medicare # & Expiry Date *
Your answer
** IMPORTANT PAYMENT DETAILS: (Do Not Pay If You Are On The Wait List Unless We Directed You To)
* To confirm your spot, we need to receive payment in full, so please take care of that right away to avoid disappointment should your chosen week be filled before you pay! Submit this form first by hitting submit below, then you will need to go to http://kidssummercamp.ca/payment to complete your payment. You will be directed to a page that contains this link when you hit submit. We're looking forward to seeing you/your children at camp!
A copy of your responses will be emailed to the address you provided.
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