Camp Awesome Registration

CHILD INFORMATION

First Name (required)

Last Name (required)

Date of Birth (required)

Grade

OHIP #

Responsible Person(required)

Morning Childcare - 8:30 to 10am (required)

Afternoon Childcare - 3 to 4:30pm (required)

Camp Awesome is committed to meeting the individual needs of each child so that each child may have a great experience. Any information about physical, emotional or family issues that could affect a child's participation would be helpful. Please identify any issues, medical (including allergies) about which Camp Awesome staff should be aware (if none, enter "none"): (required)

PARENT/GUARDIAN INFORMATION

First Name (required)

Last Name (required)

Address (required)

City (required)

Postal Code (required)

Home Phone (required)

Other Phone

Email (required)

Emergency Contact (required)

Emergency Phone (required)

Parental assistance is always appreciated. If you could help with providing healthy snacks for the morning or afternoon break please indicate below:

Important: Please print and complete the waiver form, and bring or mail it to the church along with your payment. The form and fees should arrive at the church office by Tuesday, August 11, 2020. Early completion of your registration is appreciated!