Kids CAN Camp 2026 Registration Form
August 10- 14
Name of Camper
Birth Date
Address:
Does the camper have any allergies, chronic illness, or medical conditions? If yes, please describe.
Name of Parent/Guardian
E-mail
example@example.com
Home Number
Format: (000) 000-0000.
Cell Number
Format: (000) 000-0000.
Alternate Contact/ authorized to pick up child:
Do you Consent for your Child to be in Photos
Yes I consent
No I do not consent
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Registration Fee
1 Child/1 Week
$
275.00
CAD
Credit Card
Submit Form
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