St. Andrew's Sports Camp

When: August 19 - 23, 2013

Where: St. Andrew's Church (Ajax, ON)

Ages: 6 - 12 years old

Lunches: Campers are asked to bring a lunch. (Pizza Lunch provided on Wednesday)

Cost: Early Bird $80 per camper if registered before June 30
$90 per camper after June 30

Registration: For registration information please download the brochure here or register
online below.

To visit the church's website, click here.

Once you have registered your child/children please fill out the Camper Health Form which you can download here.

* Required

Title

First Name *

Last Name *

Email Address *

Date of Birth *

Home Address *

City *

Province*

Postal Code*

Country *

Home Phone Number *

Camper's First Name *

Camper's Last Name *

Gender *
Male
Female

T-Shirt Size *

Emergency Contact Name *

Emergency Phone *

Special Requests *

By checking this box I hereby give permission for the above child to participate in all sports camp activities and to receive emergency medical treatment if necessary. I release SU Canada, the church, and all sports camp staff from liability. *
I agree

I give permission for sports camp leaders to take pictures of my child(ren) during activities to use for future summer promotions *
Yes
No

Additional Camper Information (include name, date of birth, and t-shirt size) *

May we include you in future promotions and mailings?
If you do not wish to be contacted please check this box.

Name on Card *

Card Number *

Card Expiry *

Card Type *

CCV Number *

Amount *

Cost: $80 per camper BEFORE June 30

$90 per camper AFTER June 30

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