Camp Registration Form

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