Eastridge Sports Camp

When: July 22-26, 2013 | 9:00 am - 3:00 pm

Where: Eastridge EMC, 12485 Tenth Line, Stouffville, ON L4A 7X3

Ages: 7-13

Cost: $90 before June 30, $100 after

Registration: Download Form or register online below.

Camper Health Form: Click here to download. Please complete and bring to camp on Monday

Online Registration

* Required

Title

Parent/Guardian First Name *

Parent/Guardian LastName *

Email Address *

Camper's First Name *

Camper's Last Name *

Camper Date of Birth *

Gender *
Male
Female

T-Shirt Size *

Home Phone Number *

Home Address *

City *

State *

Zipcode/Postcode *

Country *

Emergency Contact Name *

Emergency Phone *

Special Requests *

By checking this box I hereby give permission for the above child to participate in all sports camp activities and to receive emergency medical treatment if necessary. I release SU Canada, the church, and all sports camp staff from liability. *
I agree

I give permission for sports camp leaders to take pictures of my child(ren) during activities to use for future summer promotions *
Yes
No

may we include you in future promotions and mailings? If you do not wish to be contacted, please check this box.
If you do not wish to be contacted please check this box.

Name on Card *

Card Number *

Card Expiry *

Card Type *

CCV Number *

Amount *

Amount: $90 before June 30