Name of Registrant*

First Last

Summer Camp Weeks

Please select all Sumer Camp weeks you have purchased on behalf of the registrant. Please refer to your email confirmation for registration details.

Order ID #*

This can be found in the top right hand corner of your receipt or in the body of your confirmation email. Example: Order ID # PR123456.

Date of Birth*

Age*

Gender*

Male
Female
Not Listed

Please Specify:

Email*

Does the registrant have any special needs or medical information?*

Yes
No

Please indicate any special needs or medical information.*

Please indicate any special needs or medical information. This information is kept strictly confidential and used only to ensure the best possible experience.

Is an Epi Pen required?*

If an Epi Pen is required, please ensure that it accompanies the child each day of camp.

Yes
No

Name of Emergency Contact*

First Last

Emergency Contact Phone Number*

Emergency Contact Email*

Relationship to Registrant*

Name of Secondary Emergency Contact (Optional)

First Last

Secondary Emergency Contact Phone Number (Optional)

Secondary Emergency Contact Email (Optional)

Relationship to Registrant

Do You Need to Submit an Additional Registration Form?

If you purchased a Summer Camp registration for more than one (1) individual and are required to submit an additional Registration Form, please select "yes." Once selected, an additional form will populate. If you do not need to submit an additional form, simply select "no" and submit your existing form.

Would you like to submit an additional registration form?*

Yes
No

Name of Registrant*

First Last

Summer Camp Weeks

Please select all Sumer Camp weeks you have purchased on behalf of the registrant. Please refer to your email confirmation for registration details.

Order ID #*

This can be found in the top right hand corner of your receipt or in the body of your confirmation email. Example: Order ID # PR123456.

Date of Birth*

Age*

Gender*

Male
Female
Not Listed

Please Specify:

Email*

This must be a PERSONAL Gmail email. *NOTE: Institutional emails (i.e. YCDSB/YRDSB/school board) will NOT work for our Google Classroom as these institutions block outside content.

Does the registrant have any special needs or medical information?*

Yes
No

Please indicate any special needs or medical information.*

Please indicate any special needs or medical information. This information is kept strictly confidential and used only to ensure the best possible experience.

Is an Epi Pen required?*

If an Epi Pen is required, please ensure that it accompanies the child each day of camp.

Yes
No

Name of Emergency Contact*

First Last

Emergency Contact Phone Number*

Emergency Contact Email*

Relationship to Registrant*

Name of Secondary Emergency Contact (Optional)

First Last

Secondary Emergency Contact Phone Number (Optional)

Secondary Emergency Contact Email (Optional)

Relationship to Registrant

Summer Camps Registration Form

Do You Need to Submit an Additional Registration Form?