Form

Little Rippers 2010

Camps start June 21st and run every week until September 3rd!
Level*
First Name of Adventurer*
Last Name of Adventurer*
Age*
E-mail*
First Name of Parent/Guardian*
Last Name of Parent/Guardian*
Telephone*
Emergency Contact #*
Address*
City*
Province*
Country*
Postal Code
Care Card #*
Allergies, Health Concerns
Special Requests
Choose Your Little Rippers Bike Adventure
June 21 - June 25 $225.00 CAD
June 28 - July 2 $225.00 CAD
July 5 - July 9 $225.00 CAD
July 12 - July 16 $225.00 CAD
July 19 - July 23 $225.00 CAD
July 26 - July 30 $225.00 CAD
August 3 - August 6 $180.00 CAD
August 9 - August 13 $225.00 CAD
August 23 - August 27 $225.00 CAD
August 30 - September 3 $225.00 CAD
Are you human? Type in the word in the box.*
Should be Empty:

Little Rippers 2010