Summer Camp 2020 Application
REGISTRATION DEADLINE: Sunday, June 28, 2020.
Applications received after the due date will be processed on a first come, first serve basis for any remaining camp spots.

Please note that due to limited Summer Camp spots, completing this application is NOT a guarantee of enrollment. Enrollment is currently limited to 2 weeks per camper.

If accepted, you will receive a confirmation email with further camp details, including payment details.

A separate application must be submitted for each individual camper.

Cost: $70.00/week, extended care available for an additional $20.00/week
Ages: 4 - 12 (campers must be the required age at the start of the camp week)
Camp Hours: 9:00 - 4:00 pm, extended care available from 8:00 - 5:30 pm

Payment Options: All payments will be processed through pre-authorized debit the Friday prior to each registered week of camp. Ex. Payments will be withdrawn on Friday, July 3 for campers registered in Week 1 (July 6 - 10).

Subsidy Options: Jumpstart has re-opened the Individual Child Grant application, with some process changes and updates to address the realities of COVID-19. For more information on how to apply, go to the following link:
https://jumpstart.canadiantire.ca/pages/apply-for-individual-child-grants

For more information, please contact Front Desk (frontdesk@kboysandgirlsclub.com).
Participant Information
Please note that a separate survey must be completed for each participant.
Participant Name *
Participant Age *
Membership Number
Special Information (Allergies, Medication etc.)
Is there any information we should know to help make your child's experience a success?
Parent/Guardian Information
Parent/Guardian Name *
Address (Street, City, Postal Code) *
Email *
Phone Number *
Do you require camp in order to return to work? (proof of employment may be required) *
Emergency Contacts
Emergency Contact #1: Name and Relationship to Participant *
Emergency Contact #1: Phone Number *
Emergency Contact #2: Name and Relationship to Participant *
Emergency Contact #2: Phone Number *
Drop Off/Pick Up Information
Early drop off starts no earlier than 8:00 am and late pick up runs no later than 5:30 pm (available for $20.00/week)
Drop Off/Pick Up Times *
Required
Authorized Pick Up Persons (list any names that will be picking up participant from camp, please include full name and relationship to participant) *
Camp Selection
Please choose camp weeks from lists below. You may choose more than 2 weeks from the list below but please note that at this time campers will only be registered for a maximum of 2 weeks from the selected weeks. Registration closes one week prior to each week of camp.

Cost: $70.00 week, extended care available for an additional $20.00/week

Ages: 4 - 5 (only available at Kiwanis Boys & Girls Club and Sanford Boys & Girls Club)
Ages 6 - 12 (all sites, except Sanford Boys & Girls Club)

Camp Dates:
Week 1 (July 6 - 10) Registration closes: Monday, June 29, 2020 *CLOSED*
Week 2 (July 13 - 17) Registration closes: Monday, July 6, 2020 *CLOSED*
Week 3 (July 20 - 24) Registration closes: Monday, July 13, 2020
Week 4 (July 27 -31) Registration closes: Monday, July 20, 2020
Week 5 (August 4 -7, no camp August 3) Registration closes: Monday, July 27, 2020
Week 6 (August 10 - 14) Registration closes: Monday, August 3, 2020
Week 7 (August 17 - 21) Registration closes: Monday, August 10, 2020
Week 8( August 24 - 28) Registration closes: Monday, August 17, 2020
Week 9 (August 31 - September 4) Registration closes: Monday, August 24, 2020

Camp Locations:
Kiwanis Boys & Girls Club - 45 Ellis Ave
Sherman Boys & Girls Club - 705 Main St E
Centre Mall - Formerly Reitmans storefront
Delta United Church - 47 Ottawa St S
Sanford Boys & Girls Club - 71 Sanford Ave
Rymal - 595 Rymal Road East
Please choose preferred location from the list below:
Kiwanis Boys & Girls Club
Sherman Boys & Girls Club
Centre Mall
Delta United Church
Sanford Boys & Girls Club
Rymal
First Choice
Second Choice
Third Choice
Clear selection
Please choose preferred weeks from the list below: *
Required
Comments/Questions/Concerns
Provide your legal name as signature below: *
Submit
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