PA Day Children's Camp - Friday, November 22
Our PA Day camp is open to children in Junior Kindergarten to grade 4.
Grade 5 and up can also register; they will be our junior leaders.
Camp runs from 8:30am - 3:00pm

$15 per child is to be paid on arrival - no more than $30/family. (Can be waived or pay as able.)
Location: St. Paul's United Church 454 Rebecca St. Oakville 905-845-3427
Pioneer Days
We’re kicking it old school!
Name of Participant *
First and last name
Your answer
Birth date of participant *
(Open to Junior Kindergarten and up - Those in grade 5 and up will be youth assistants.)
MM
/
DD
/
YYYY
Age of Participant *
At time of event
Your answer
Grade of Participant *
(Those in grade 5 and up will be helpers and will need to be at the church from 8am-3:30pm.)
Your answer
Address of Participant *
Please include city and postal code.
Your answer
Phone Number (Where can we reach you during the day?) *
Your answer
Which phone number is this? *
E-mail Address *
Your answer
Names of Parent(s) or Guardian(s) *
Your answer
Address
(Only enter if different from above)
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Allergies or Helpful Details
(Medications? Behaviour concerns? Food Restrictions? Is there anything we need to know that will help us meet the needs of your child?)
Your answer
My child will be picked up by..... *
(Name)
Your answer
As the parent/guardian of the above named child, I give permission for photos/videos to be taken and used only for church purposes. *
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