OSA Private School SUMMER CAMP Registration Form
*
?
OSA Private School SUMMER CAMP Registration Form
Image
*
?
Image
Registrant
*
?
Registrant
First Name
*
?
First Name
*
Last Name
*
?
Last Name
*
Date of Birth
*
?
Date of Birth
*
Your Gender
*
?
Your Gender
*
Address: (Please include the complete address)
*
?
Address: (Please include the complete address)
*
City
*
?
City
*
Postal / Zip Code
*
?
Postal / Zip Code
*
Country
*
?
Country
*
Allergies
*
?
Allergies
Grade
*
?
Grade
*
1
2
3
4
5
6
7
8
9
10
11
12
Parent(s) Full Name
*
?
Parent(s) Full Name
*
Parent's Phone Number
*
?
Parent's Phone Number
*
Parent's Email Address
*
?
Parent's Email Address
*
Guardians Full Name (if applicable)
*
?
Guardians Full Name (if applicable)
Phone Number (Guardian)
*
?
Phone Number (Guardian)
Home Address (Guardian in Canada)
*
?
Home Address (Guardian in Canada)
City
*
?
City
Postal Code/Zip Code
*
?
Postal Code/Zip Code
Does the child have any health or medical concerns?
*
?
Does the child have any health or medical concerns?
Yes
No
Please give details of any health or medical concerns.
*
?
Please give details of any health or medical concerns.
Summer Camp Selections
*
?
Summer Camp Selections
Choose your camp
*
?
Choose your camp
Age 6-8 Summer Camp
Age 9-12 Summer Camp
Age 11-17 International & Domestic Camp
Age 6-12 Half-Day Enrichment
Would you like to combine our Half-Day Enrichment Camp with one of our Day Camps?
*
?
Would you like to combine our Half-Day Enrichment Camp with one of our Day Camps?
?
Age 6-8 Summer Camp (Half-Day)
Age 9-12 Summer Camp (Half-Day)
Choose Week(s) for Day Camp (Age 6-8 & Age 9-12)
*
?
Choose Week(s) for Day Camp (Age 6-8 & Age 9-12)
Week 1 JUNE 29,30 & JULY 2, 3
Week 2 JULY 6–10
Week 3 JULY 13–17
Week 4 JULY 20–24
Week 5 JULY 27–JULY 31
Week 6 AUG 4–7
Week 7 AUG 10–14
Payment Choices
*
?
Payment Choices
Please choose your method of payment to be included in your invoice:
*
?
Please choose your method of payment to be included in your invoice:
*
Credit card payment with 2.9% convenience fee
e-transfer
Submit