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Camper Registration Form 2020
To register your 8- to 16-year old for All Saints of North America Orthodox Camp, please fill out and submit the information requested below.
Cheques MUST be made payable to "All Saints of North America Orthodox Camp".
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* Indicates required question
Camper Info
Camper's Name
*
Your answer
Gender
*
Choose
male
female
Grade Level (September, 2020)
*
Choose
3
4
5
6
7
8
9
10
11
12
Date of Birth
*
MM
/
DD
/
YYYY
Baptized Orthodox?
*
Choose
yes
no
Home Parish
*
Your answer
T-shirt Size
*
Choose
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Swim Level
*
Choose
Can't Swim
Beginner
Intermediate
Advanced
Family Info
Parent/Guardian's Name
*
Your answer
Parent/Guardian's E-mail Address
*
Your answer
Street Address
*
Your answer
City
*
Your answer
Province/State
*
Your answer
Postal/Zip Code
*
Your answer
Home Phone
*
Your answer
Medical Info
Family Physician
*
Your answer
Physician Phone Number
*
Your answer
BC Health Care Number
*
Your answer
Additional Insurance (type and number)
Your answer
Emergency Contact Info
Emergency Contact Name
*
Your answer
Relationship with Camper
*
Your answer
Home Phone
*
Your answer
Work Phone
*
Your answer
Other Info
Indicate any special circumstances or details you want our staff to know about...
Your answer
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