,
Eco-Friends Summer Day Camp Online registration

    Click here to download of copy of the Registration package

Yes  No, I have read and agree to be bound by River Institute policies and procedures including: cancellation, changes, rain or shine, etc. Policies and Procedures (BELOW)

 YOU MUST READ OR PRINT THIS REGISTRATION PACKAGE Policies and Procedures  BEFORE AGREEING (ABOVE ) (This package includes what to bring to camp and what is provided)
Registration package (.pdf 96kb)

Camp program runs from 9:00 am - 4:00 pm at Cooper March Conservation Area

Early bird registration is offered to those who register their child for the month of July before June 16th.  If registering your child in the month of August, the early bird registration ends July 21st.  A late fee of $20.00 will apply if you register after the early bird.

Pre-post child care will be $20 per week.

 

Please fill in the following details. *required fields
Parent Name:  
*Address 2:  
*City  
*Province  
*Postal Code/Zip:  
*Home Phone:  
*Email:  
*Emergency contact:  
*Work Phone:  
Registration
Child 1 name: Age:
Health Concerns Asthma
Autism 
A.D.D   
 
A.D.H.D    Epilepsy

Other
If other please specify
Allergies
Select the weeks your child will attend:
   Fish Week - HOOK LINE AND SINKER
Science Week - SUPER SCIENTISTS
Invasive Species - ALIEN ATTACK
Bug Week - BUGMANIA!
Reptiles and amphibians Week - SCALES SKIN AND SLIME
Earth Week - PLANET PALS
Marsh Week - WHERE THE WILD THINGS ARE
   
Registration  
Child 2 name: Age:

Registration Fee:

 
Health Concerns Asthma
Autism 
A.D.D   

 

A.D.H.D    Epilepsy

Other
If other please specify
Allergies
   Fish Week - HOOK LINE AND SINKER
Science Week - SUPER SCIENTISTS
Invasive Species - ALIEN ATTACK
Bug Week - BUGMANIA!
Reptiles and amphibians Week - SCALES SKIN AND SLIME
Earth Week - PLANET PALS
Marsh Week - WHERE THE WILD THINGS ARE
Do you object to your child / children pictures and / or name appearing in the News paper/ Television
Yes
No
Do you object to your child / children pictures and / or name appearing in the promotional  or the River
Institute our website.
Yes
No
Do your children have swimming experience
Yes
No  Explain

I, the undersigned (if age of majority) or parent or legal guardian of the registrant hereby agree to indemnify and save harmless the St. Lawrence River Institute of Environmental Sciences, their sponsors, employees and agents, from any and all claims arising out of any incident, accident or injury to the registrant while participating in the Eco-Friends Summer Day Camp and agree that the St. Lawrence River Institute of Environmental Sciences will not be held responsible for any such incident, accident or injury.
Yes
No

Total registration (please add)
$140 first child
$128 second child
Pre-Post child care fee: Yes ADD $20 per week per child, please specify
No 
Total :
Payment Payment by cheque (in the mail) Payable to the St. Lawrence River
Institute to secure a spot a credit card number must be given
until payment is received.
 
Credit Card payment Visa
Master Card 
  Name of Credit card holder
  Number of Credit card
Exp
  Your information will be transmitted securely to the River Institute
 

Or print and fax to 613-936-1803.

 

 

 Contact us for more information:
Phone: (613) 936-6620
Fax: (613) 936-1803

jkevan@riverinstitute.ca

Eco-Friends Summer Camp is presented in Cooperation with the
Cooper Marsh Conservators
and the

 

www.rrca.on.ca


 

 

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