Camp Inspire - Registration Form
Camp Address: 101 Symmes Street (Community Hall behind the Church), Gatineau (Old Aylmer sector)
Contact us at (613) 784-9309 or natalie.fraser@campinspire.ca
Email address *
Camper's First and Family Name *
Your answer
Age of Camper *
Parent or Guardian's First and Family Name *
Your answer
Home or Primary Phone Number *
Your answer
Secondary Phone Number
Your answer
Camper's Home Address *
Your answer
Which weeks will you attend? *
Each week has a specific theme. Check off all weeks that you would like to attend.
Required
Dietary restrictions *
Required
What are your child's favourite foods (other than junk food)? *
Your answer
Do you require pre- or after care? *
Required
I accept that photos or video will be taken of my child while at Camp Inspire. *
Required
I understand that Camp Inspire and its employees are not liable for injury to my child or responsible for the loss or theft of my child's property. *
Required
By clicking "I agree" below and submitting this form, I agree to pay a deposit of 25% of the total fee within 24-hours of registration to reserve the indicated dates for my child. I understand that the deposit is non-refundable. The subsequent 75% is to be paid in full before end of day, June 21 (unless otherwise agreed to in writing by Natalie Fraser). *
Required
A copy of your responses will be emailed to the address you provided.
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