Camp Medley

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Camps Fees Registration Drop Off / Pickup What to Bring Activities Location

Registration

This form will register your child for camp but does not guarantee a spot at camp until a payment (minimum of $50) has been received.

Upon receipt of this registration form, you will be contacted by email with details on how to make a payment.

** Please note, we are not currently able to receive online payments.

Camper Information

Campers First Name:
Campers Middle Name:
Campers Last Name:
Address 1:
Address 2:
City:
Province:
Postal/Zip Code:
Phone:
Date of Birth: // (dd/mm/yyyy)
Email:
Religious Affiliation:
Red Cross Swim Level:

Emergency Contact

Parent/Guardian:
Relationship to Camper:
Home Phone:
Work Phone:
Cell Phone:
Emergency Contact 1:
Relationship to Camper:
Home Phone:
Work Phone:
Cell Phone:
Emergency Contact 2:
Relationship to Camper:
Home Phone:
Work Phone:
Cell Phone:

Camp Information

Please select the camp you wish to register for:
Girls and Boys 1 - June 27 to July 2
Boys Adventure - June 27 to July 2
Welcome to Camp - June 27 to 30
Junior Teen 1 - July 4 to 9
Girls and Boys 2 - July 11 to 16
Junior Teen 2 - July 18 to 23
Girls Week - July 25 to 30
Junior Teen 3 - August 1 to 6
Girls and Boys 3 - August 8 to 13
Senior Teen - August 15 to 20
Leader Challenge - August 8 to 13
LIT Program - All Summer
Drama Camp - August 15 to 20
Second choice of camp if first camp is full:
Choice of Cabin Mate:
Mate One:
Mate Two:

Medical Information

To obtain pertinent and detailed medical information, a medical form will be sent with your letter of acceptance or you may download the form.

Please note: Bring completed form and any medications with you on the first day of camp. No camper will be accepted without a completed and signed medical form.

Declaration

The information on this form will be used only as necessary for the normal operation of the camp and may be archive din order to develop an alumnae list.

Photographs taken may be used for camp promotion purposes.

If you have read and understand this declaration please print your name:

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