Camp Registration Form
Name:
*
Address:
*
City:
Postal Code:
Phone Number:
*
Email Address:
*
Date of Birth:
*
Emergency Contact:
*
Select a Camp:
1) summer camp #1 Brockville Ages 8-12
2) summer camp #2 Brockville Grades 7-8
3)summer camp #3 Brockville Grades 9-12
4)March Break Camp BR Boys and Girls in Grades 3-8
5)March Break Camp Holy Cross KNG Boys and Girls in Grades 6 7 & 8
1) summer camp #1 Cornwall- Grades 2 - 5
2) summer camp #2 Cornwall- Grades 6 - 10
*
Medical Conditions:
*
Gender:
Male:
Female:
*
T-Shirt Size:
Small
Medium
Large
Extra Large
*
* indicates a manditory field