Summer
Kids Computer Day Camp 2008
The QUEST Centre Registration Form: Registration deadline: One week before session starts
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Session 1 July
7-11
Anything Goes Week
Session 2 July 14 -
18 5 Countries In 5 Days
Session 3 July 21 -
25
Go Back In Time (Time Traveller)
Session 4 July 28 - August 1 Arts Week
Session 5 August
5-8
Take A Walk On The Weird Side!
Session 1, 2, 3, & 4: $140/ wk/child $115/wk/each
additional child
Session 5: $115/wk/child $90/wk/each
additional child
Children are required to
bring a lunch and a drink.
The Summer Kid’s Camp will provide light snacks and indoor/outdoor activities with a focus on computer fun.
Mother/Guardian’s Name:_____________________Phone
#: Home___________________ Work______________________
______________________________________________________________________________________________________________
Address
City/Town Postal Code
Father/Guardian’s Name:______________________Phone
#: Home_______________________Work__________________
______________________________________________________________________________________________________________Address City/Town Postal Code
If parents cannot be reached, additional people your child(ren) may be released to:
1. Name_________________________________________________ Phone #
________________________________
2. Name_________________________________________________ Phone #
________________________________
In case of emergency, if parents cannot be reached, who can we contact?
1. Name_________________________________________________ Phone # ________________________________
2. Name_________________________________________________ Phone #
_______________________________
Name of Family Doctor
_______________________ Phone # ___________________ OHIP # ______________________
Does your child
have any allergies? Yes / No If yes, please
list___________________________________________
Are there any
medical/physical conditions? Yes / No If yes, please
explain_____________________________________
Are there any
special requirements? Yes / No If yes, please eplain______________________________________
I hereby give my permission for my child(ren) to be treated by a physician or hospital staff member
should there be an accident, sudden illness or emergency. Yes / No
Parent/Guardian Signature: ________________________________________ Date:________________________
* To ensure safety and fun for all, the director of the program reserves
the right to withdraw anyone from the program who destroys public property,
injures another participant, or refuses to cooperate with the camp leader.