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SHIINE SUMMER ADVENTURE CAMP
REGISTRATION FORM
Child #1 Info
First Name
*
Middle Name
*
Last Name
*
Birthdate
*
Age
*
Gender
*
Select one
Female
Mate
Child #2 Info
First Name
Middle Name
Last Name
Birthdate
Age
Gender
Select one
Female
Mate
Address
Street
*
City
*
Province
*
Postal Code
*
Mailing Address
Only enter if different from Address above.
Street
City
Province
Postal Code
Mother/Guardian Info
Mother's First Name
*
Mother's Last Name
*
Mother's Phone Number
*
Mother's Email Address
*
Father/Guardian Info
Father's First Name
*
Father's Last Name
*
Father's Phone Number
*
Father's Email Address
*
Summer Camp Options
Number of days each week
5 days a week
4 days a week
3 days a week
2 days a week
Select the days your child will attend
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Please note: To finalize your registration please send $35 registration fee by email to:
Email:
pay@sussexchristianschool.ca
Security answer:
payment
Message/Notes:
Name of child and "Registration for Summer Camp 2023"
Submit