Summer Camp Registration 2011
Guardian Information: |
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Last Name: ____________________________ |
Address: |
First Name: ____________________________ |
Street: _____________________ |
Home Phone: __________________________ |
_____________________ |
Work Phone: __________________________ |
City: _____________________ |
Cell Phone: __________________________ |
Province: ___________________ |
Email: ________________________________ |
Postal Code: ________________ |
Camper Information: |
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Last Name: ____________________________ |
Birthday: Y_____M______D_____ |
First Name: ____________________________ |
Gender: M F |
Age at Camp: __________ |
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Check Off Camp
Programme |
Check Off Sessions |
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| Explorers (offered sessions 1,2,4,6,7,8) | 1 |
July 4-8 |
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| Discoverers (offered all sessions) | 2 |
July 11-15 |
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| Discoverers- Tipi girls (offered session 1,6,8) | 3 |
July 18-22 |
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| Discoverers-Tipi boys (offered session 2,5,7) | 3 |
July 18-22 Food Allergy Camp |
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| Sailors- WS1 (offered session 2,3,4,5) | 4 |
July 25-29 |
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| Sailors- WS2 (offered session 2,3,4,5) | 5 |
August 1-5 |
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| Sailors- WS3 (offered session 6) | 6 |
August 8-12 |
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| Prospector Boys (offered session 1,2,3,4,5,6,7) | 7 |
August 15-19 |
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| Prospector Girls (offered session all sessions) | 8 |
August 22-25 |
Leaders in Training and Counsellors in Training have separate application forms and involve a selection and interview
process. Please contact the YWCA YoWoChAs Outdoor Education Centre for more details
| Bussing to Camp | Yes or No | Cabin Mates: Limit 2, within 1 year of age |
| Bussing From Camp | Yes or No | 1. 2. |
| T-shirts: $18.00 | Child: 6-8 10-12 14-16 | Adult: S M L XL |
| Hats: $16.00 one size |
Method of Payment |
Fee Calculation |
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| Cheque: Cash: Visa: Mastercard: | Camp Fee: |
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| Card # | T-shirt: |
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| Expiry date: | Hat: |
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| Name on the card: | Campership Donation: |
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Total: |
**For Office use only** Received: |