Camper Online Registration 2010

Are you going to register more than one child?  If so click here

*indicates a required field

Camper

                     *First name:             *Last name:

Contact Information

     *Parent/Guardian:        Parent/Guardian:

          *Home Phone:              Home Phone:

            Work Phone:               Work Phone: 

              Cell Phone:                 Cell Phone:  

     *Address:                    Apt #:   

           *City:       *Postal Code:

                   *Email:
Please provide your email address to receive camp newsletters, updates etc.
Rainbow Day Camp will not sell or release your information to any third party.

   Alternative Emergency Contact:    

                  Relationship to Child:  

               Day time phone:

About your Camper

               *Gender:  Boy Girl       *Birthday (dd/mm/yy):    

               *School:             *Grade entering:  JK SK 1 2 3 4 5 6 7 8 9 10 11 12      

              *Doctor’s Name:             *Phone number: 

*Does your child have allergies?  Yes No If yes, is the allergy anaphylactic or life threatening?     Please describe:   

 *Will Rainbow staff be required to administer medication to your child?  Yes No  

*Does your child have Special Needs?  Yes No

 If yes, Please describe:   

 *Are there any circumstances to which Rainbow Day Camp staff should be aware?  Yes No

 If yes, Please describe:

Safe Arrival Program

*How will your child come and go from camp?  Drop off/Pick up Other  

 If Other  (walk, taxi etc.). Please explain:      
 

We understand that parents may not always be available to drop off or pick up,

please provide the names and details of people who you trust to transport your child.  Individuals will be required to present identification.

1.      Relationship to child:

2.      Relationship to child:

Should your situation change, please contact the camp directly to notify them of the person coming to meet your child.

Registration

2010 Camp fees are $165 per week . Fees are due upon registration. We accept cash or personal cheque.

Don’t want to worry about arriving late? After camp care is available from 8am to 5pm for a nominal fee of $15 per week.

Children’s Day Camp

Session/Theme                                     Dates                                                    Selected             Extended Care            

1:  The Great Mystery Week     July   5th -  9th                       
2:  Planet Camp                July  12th - 16th                       
3:  Week at the Museum         July  19th - 23rd                       
4:  Wizard Boot Camp           July  26th - 30th                       
5:  Celebrations               Aug.   3rd -  6th                       
6:  Around the World           Aug.   9th - 13th                       

    (in just five days!)
7:  Mad science II             Aug.  16th - 20th                       
8:  Camping Out                Aug.  23rd - 27th                       

Session                                                 Dates                                                    Selected

TC-2:                          July  12th - 16th                        
TC-6:                          Aug  9th - 13th                          

Total Package $

If you have been given a Coupon Code please enter it here:  

Note: that discounts will be applied by Registration Admin and are not shown in the total above

PARENT/GUARDIAN WAIVER