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Parent/Guardian – Contact Information

Parent/Guardian #1


Parent/Guardian #2


Emergency Contact Information – Alternate Pickup/Release

Emergency Contact #1

Emergency Contact #2

Please list those people including in addition to parents/guardians who are permitted to pick up your child:

Medical Information

Please list any medical problems, including any requiring maintenance medication (i.e. Diabetic, Asthma, Seizures allergies).

Is your child presently being treated for an injury or sickness, or taking any form of medication for any reason?

Is your child allergic to any type of food or medication?

Does your child require a special diet?

The purpose of the above-listed information is to ensure that medical personnel have details of any medical problem which may interfere with or alter treatment.


$250 deposit is due at the time of camp registration. This deposit will be put towards camp tuition.


Deposit of 25% of the total cost required to secure camp registration.


Summer camp tuition fee is due on every Monday the week that your child is enrolled, either by cash or credit card. If a camper’s tuition is not paid they will not be able to attend camp. Please note that we do charge for holidays, sick days and any absent days. Payment will be require in full including holidays if any in that week, sick days or absent days.

Please select from the following payment options:
The financially responsible party signing this form understands and agrees to follow the Tuition Payment and Fees Please note for online payment of fees please e-transfer to Policy.


Deposit of 25% of the total cost required to secure camp registration.

Payments are Secured by Stripe

Cancellation Policy.

Cancellations must be done minimum 2 week in advance. There will be a cancellation fee of 25%. A full refund will be given within 48 hours of registration.

Assumption of Risk
Assumption of Risk