ENGAGE Registration Form
Youth Apologetics Summer Camp
Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Camper's Phone Number *
Your answer
Camper's E-mail *
Your answer
Camper's Birthday
MM
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DD
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YYYY
Camper's School Grade *
Your answer
Camper's OHIP Card Number *
Your answer
Camper's Gender *
Dietary Restrictions & Health Accommodations
Your answer
Parent/Guardian's First Name *
Your answer
Parent/Guardian's Last Name *
Your answer
Parent/Guardian's E-mail *
Your answer
Parent/Guardian's Phone Number *
Your answer
Address *
Your answer
City *
Your answer
Province *
Your answer
Postal Code *
Your answer
Church *
Your answer
Leader Referral
Your answer
As the parent or legal guardian, I certify that the above information is complete and correct. I further authorize the adult leader of the camp to secure medical care, including hospitalization and other medical attention deemed necessary by a licensed physician for my child. I further acknowledge that all costs associated with any medical treatment for illness or accidents while at ENGAGE Summer Camp 2020 are my personal responsibility. My child and I understand that unacceptable behaviour such as cursing, fighting, leaving the site, disrespecting advisors, defacing the property, etc. will not be tolerated and may be grounds for dismissal from the event. *
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