SHIINE SUMMER ADVENTURE CAMP
REGISTRATION FORM

Child #1 Info

First Name*

Middle Name*

Last Name*

Birthdate*

Age*

Gender*

Child #2 Info

First Name

Middle Name

Last Name

Birthdate

Age

Gender

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

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"

SHIINE SUMMER ADVENTURE CAMP
REGISTRATION FORM

Child #1 Info

Child #2 Info

Address

Mailing Address

Mother/Guardian Info

Father/Guardian Info

Summer Camp Options

Contact Us

Affiliations & Associations

SHIINE SUMMER ADVENTURE CAMPREGISTRATION FORM

Child #1 Info

Child #2 Info

Address

Mailing Address

Mother/Guardian Info

Father/Guardian Info

Summer Camp Options

Contact Us

Affiliations & Associations

SHIINE SUMMER ADVENTURE CAMP
REGISTRATION FORM