Spring Break 2020 Registration – Karate Camp Montreal

To Register for out Spring Break Camp, please fill in the following form

Parent Name *

First

Last

Email *

Street Address *

Phone Number *

Cell Phone Number *

Camper Name *

First

Last

Age

Medicare Number *

Important Information About Them *

Any allergies, medical conditions, likes and dislikes, etc.

This camper has a sibling attended the camp *

Emergency Contact Name *

First

Last

Relationship with Emergency Contact *

Emergency Contact Phone Number *

Does someone, other than a parent, have permission to pick them up or can they travel home on their own? *

Yes
No
Travel on their own

If yes, please indicate their name, and relationship to the child.

Will the camper require extended hours? ie Childcare outside of camp time (09h00-16h00) *

Yes
No
Unsure

Please note, extended hours are 07h30-18h00. Cost per day is 25$. Before camp, 10$/day. After camp, 15$/day.

Rate *

For siblings, first child pays full price, siblings pay the discounted rate. Early Bird deadline is February 1st. You are not eligible if you register later. For childcare, the amount will be added to your invoice.

Method of Payment *

I give Nicole Ryans, Guided Fitness and V-Fit P.R.O. Solution permission to make decisions for my child during their stay at Spring Day Camp March 2nd - 6th. I do hereby release Nicole Ryans, Guided Fitness, V-Fit P.R.O. Solutions, its staff, instructors and students from any and all claims of liability and negligence in the event I am injured while participating in any activity organized by the above named.I understand that by cancelling, there is a 50% fee which will not be refunded for any reason. I understand that full payment for the Spring Day Camp is required for my child to participate in the camp. I understand that in order to be eligible for the Early Bird registration price, I must register my child(ren) before 00h00 February 1st, 2020. *

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