CCC Rocket Camp
We're going to blast off with this fun and educational day camp. Students 3rd grade and up are invited to join us March 16-18th from 10 am-1pm. Participants will need to bring a sack lunch each day. Everyone is invited to come to the launch party March 18th (weather permitting) at 1pm the driving range. The cost is $45 per child. Financial assistance is available.
Camper's Name *
Your answer
Grade *
Shirt size *
Parents Name *
Your answer
Best contact number *
Your answer
Emergency Contact Name *
Your answer
Parent e-mail
Your answer
I understand that I still need to come to The CCC and pay $45 or apply for financial assistance. Payments due by Mar. 13th. All late payment will incur a $15 late fee! (Credit and debit card payments may be made over the phone by calling 323-5254)
I hereby give consent for the Canadian Community Center to secure any and all necessary emergency medical care for my child, in the event that I can not be reached. I hereby for my child waive and release any/or all claims against the Canadian Community Center, staff, and/or volunteers of this program in connection with my child’s participation in this program. I hereby certify that my child is in normal health and capable of participating in this activity. I grant the Canadian Community Center (CCC), the right to take photographs of me and my family in connection with the above-identified event. I agree that the CCC may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content. *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy