CAMPER

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January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

(years) ------------------------------____-----(months)

PARENTS

Mother’s name

LANGUAGES

LAST SUMMER WAS SPENT AT:

Another Camp. Which?

SWIM CAMP INFORMATION:

State level your child is currently working on:

Swim comments:

REGISTRATION:

Please select your total number of weeks desired:
2 weeks
3 weeks
4 weeks
5 weeks
6 weeks
7 weeks
8 weeks

Please select desired corresponding dates:
June 25 - June 29
July 2 - July 6
July 9 - July 13
July 16 - July 20
July 23 - July 27
July 30 - August 3
August 6 - August 10
August 13 - August 17

TRANSPORTATION… SAFELY AND EFFICIENTLY

1) This year, CHAMPIONS again offers convenient door-to-door supervised bus service, Monday through Friday, for all children who require it. Bus transportation is not included in the camp fee.

2) As an added service, CHAMPIONS also offers the option of convenient car pools list free of charge. They’re organized on a block-basis in your neighbourhood, for parents who want service that’s even more quick and economical.

Transport options:

Door-to-Door Bus Service
City Bus alone
City Bus with adult
Walking alone
Walking with adult

Arrival time

Early arrival (7:45am to 8:30am)
Regular arrival (8:30am to 9:00am)

GENERAL INFORMATION

Child’s hobbies and interests:

A camp information handbook, medical form and car pool list will be mailed to you mid may

TERMS AND CONDITIONS

A registration cannot be confirmed unless accompanied by a $200.00 deposit for each camper and a postdated cheque for the balance dated May 1st 2012. Families with two or more children must fill out a separate registration form for each child.

Should your plans change before May 1st 2012, a full refund will be issued less a service charge of $10.00 for each week cancelled. Before May 1st 2012, weeks scheduled may be interchanged free of charge depending on availability.

Should your plans change after May 1st 2012, a full refund will be issued less a service charge of $50.00 for each week cancelled. After May 1st 2012, weeks may be interchanged for a service charge of $10.00 a week, depending on availability.

Cancellations and changes must be brought to the Champions’ office attention no later then 4:00PM on the Thursday before the week that you would like to cancel or interchange.

Since our fee structure is based upon reservation for a specific period, we cannot refund fees for days missed for any reason once camp has begun. It should also be noted that the camp cannot be held responsible for the loss, or theft of the camper’s belongings brought to camp.

I agree to abide by the above conditions of enrolment and enclose a $200.00 deposit accompanied by a postdated cheque, to the order of CHAMPIONS DAY CAMP, for the balance dated May 1st 2012.

It is hereby recognized that as of the date indicated below CHAMPIONS has commenced performance of its obligations.

Given that Champions Day Camp takes pictures of my child during his/her camp activities, I authorize the camp to use this material in full or in part for publicity purposes such as brochures. All material used will remain the property of Champions Day Camp.

I consent to receive commercial electronic messages from Champions Day Camp.

Parent’s Name:

Email:

The parties hereto have agreed that this agreement be prepared and executed in the english language.
À la demande des parties en présence, cette convention est et sera rédigée en anglais.