Summer Boost Camp 2021 Registration
Dear Parent(s),

Please note that our Summer Boost Camp is now full. We are accepting applications to the waitlist, please feel welcome to complete an application. We will be able to inform you on June 22nd if a space has become available for your family.

Warm regards,

Erin Kline
Parent Contact Information
Parent First Name: *
Parent Last Name: *
Address (including postal code): *
Phone Number: *
Email: *
Current School *
Alternate Parent/Guardian/Caregiver - Name, Relationship, and Number: *
Emergency Contact - Name, Relationship, and Number (include cell and work number when relevant): *
How did you hear about this camp?
Camper Details
Child First Name: *
Child Last Name: *
Grade entering in September 2021: *
Camp Dates
Select that camp(s) you'd like to register for: *
Required
Language Skills Development
Select your preference: *
Medical Information
Camper's Date of Birth: *
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DD
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Camper's BC Care Card Number: *
Please indicate any medical information or allergies (if this does not apply, please type "N/A"): *
Parent/Guardian Consent:
*
Required
*
Required
*
Required
*
Required
Signature (type Parent/Guardian Name): *
Relationship to Camper *
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