Camper Info Form - JUNIOR Summer Day Camp

Day Camp JUNIOR(Ages 4-5) Camper Info Form 2022

This camp is ideal for participants aged 4-5. If your child will be almost or recently turning 6 years old this summer and you are deciding between Junior (ages 4-5) or Senior (ages 6-11) camp, use the following criteria: If your child has the social and reasoning skills to play effectively with older kids up to age 11, is more independent requiring less direct supervision and assistance, and able to physically navigate more challenging terrain, then we would recommend the senior camp.
For Senior Day Camp (Ages 6-11) Registration Form click here.

Location: North Bay Nordic Ski Club, 630 Northshore Rd.

Please only complete AFTER completing payment and week(s) selection. This form does not secure your child's spot.
Please submit a separate form for each child you are registering.

* Indicates required field

Child's Name *

First

Last

Date of Birth (YYYY-MM-DD) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent's Name *

Phone Number *

Additional Parent's Name *

Phone Number *

Email *

Email for additional household *

Does the camper have a medical condition? *

Yes No

Details *

Is the camper on any medication? *

Yes No

Details *

Dietary Concerns/Conditions (ie. Allergies, Dietary Restrictions) *

Is there anything we should know about the camper? *

If at any time emergency medical treatment is necessary for my child, I give consent for treatment to be given. Every effort will be made to contact parent/guardian(s) and/or emergency contacts. *

Yes No

Camper Health Card Number *

Emergency Contact (If parents can not be reached) *

First

Last

Phone Number *

Relationship *

In my/our absence, I authorize the following people to pick up my child *

First

Last

Phone Number *

Relationship *

Additional Comments *

Submit

This form does not secure a spot. Be sure to complete payment and date selection here.