Registration

Please send this completed form to us by mail or e-mail. You will find this information on our Contact page.

Camper Name ______________________________________________

Address_____________________________________________________

City_________________________________________________________

Postal Code_________________________________________________ 

Phone #____________________________________________________

Date of Birth________________________________________________

Day Contact #_______________________________________________

Relation_____________________________________________________

Health Card #________________________________________________

Any Additional Concerns (Allergies, asthma, ect)

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Please circle the week(s) you wish to attend. See our Summer 2009 schedule for Day Trips and Thursday Theme Days.

• Week 1  July 6-10
• Week 2  July 13-17
• Week 3  July 20-24
• Week 4  July 27-31
• Week 5  August 4-7
• Week 6  August 10-14
• Week 7  August 17-21

• Cottage Camp   August 24-28

Will this camper be a member of the Teen Program?___________________________________________________

Your registration form must include at least one weeks payment per camper. Cheques should be made payable to Kew Beach Day Camp.