SON Member STEM Camp Registration

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Event Timing: July 8-12 (Gr. 4-7); July 15-19 (Gr. 1-4)
Event Address: Bluewater Outdoor Education Centre
3092 Bruce Rd 13, South Bruce Peninsula, ON N0H 2T0
(Transport Pick-up / Drop-off | Saugeen, Nawash, and Owen Sound)

For more information contact:
Bob Nickel
Energy Associate | Environment Office
(519) 379-2399 or bnickel.energy@saugeenojibwaynation.ca

Partent/Guardian Name (First and Last) *

Parent/Guardian Email *

Home Address *

Parent/Guardian Phone Number *

Home First Nation *

Nawash

Saugeen

Emergency Contact Name *

Emergency Contact Phone Number *

First/Last Name of Child being registered *

What grade is the child being registerd currently in? *

Grades 4-7 (July 8-12)

Grades 1-4 (July 15-19)

Desired pickup location *

Saugeen (Rec Centre)

Nawash (Community Centre)

Owen Sound (M'Wikwedong IFC)

Dietary restrictions *

None

Vegetarian

Vegan

Kosher

Gluten-free

Other:

Any allergies for your child that we should be aware of? *

Is there any additional information you wish to share? *

Do you agree to allow your child to be photographed/filmed during their activities at the STEM Camp (a full photo/video release will be included in your confirmation package) *

Yes, you may take photos and videos of my child while they participate in activities at STEM Camp

No, you may NOT take photos/Video of my child - please keep them anonymous.

Other:

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