CAMP I-WA-NA-BE and the BIGFOOT MYSTERY March Break Camp REGISTRATION FORM March 11-15, 2024 9:30am-3:30pm
CAMPERS K-8 - Camper Information
Camper's Name
*
First Name
Last Name
Birth Date
*
-
Month
-
Day
Year
Date
GRADE
*
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Phone Number
Please enter a valid phone number.
Parent Information
Parent
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Home Phone
Cell Phone
Work Phone
E-mail
*
If needed, how would you like to be reached?
*
Cell Phone
Work Phone
Home Phone
EMERGENCY CONTACT
*
First Name
Last Name
Phone Number
*
Health and Safety
1. Please list any food or environmental allergies your child may have. If your child attends the rEcess program, uses an inhaler, or takes medication during the day, please let us know
*
2. If your child has any other health or medical condition, please let us know and provide instructions for care.
*
0/150
3. If there is anything else you would like us to know to ensure your child has the best possible experience at CAMP I-WA-NA-BE, please let us know.
*
0/200
CAMP OPTIONS and FEES
OPTION #1 - THE FULL WEEK: $160.00 for one child; $275.00 for two. $350.00 for three. Please send payment by e-Transfer to: donation@kingswaybaptist.ca and indicate in the message box that payment is for March Break Camp 2024; Camp Fees. Thank you.
*
Amount paid
OPTION #2 - BY THE DAY. $40.00/day for one child; $35.00/day per child for more than 1 child. Please send payment by e-Transfer to: donation@kingswaybaptist.ca and indicate in the message box that payment is for March Break Camp 2024; Camp Fees. Thank you.
Amount paid
Please indicate which day(s) you wish your child to attend;
The full week
Monday March 11
Tuesday March 12
Wednesday March 13
Thursday March 14
Friday March 15
Date
-
Month
-
Day
Year
Date
Acknowledgement
1. I understand that every measure is taken to keep my child safe, but that accidents sometimes happen. I agree not to hold responsible, Kingsway Baptist Church, its Church Officers, or individual leaders and volunteers in the Children's Ministry Program for accidental harm or injury that may occur during the program.
*
Type your name
2 I grant permission for my child to be photographed for the purpose of camp promotion and posting on Kingsway Baptist Church website as long as my child's name does not appear.
*
Type your name
3. I understand that by typing my name in the required spaces, I am signing an acknowledgement electronically and I agree that my electronic signature on this document is the legal equivalent of my handwritten signature.
*
Type your name
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