Camper Info Form - Summer Day Camp

Day Camp Senior (Ages 6-11) Camper Info Form 2022

This camp is ideal for kids aged 6 and older.
For Day Camp JUNIOR (Ages 4-5) 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) *

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.