Two Weeks – July 6th – 10th & August 17th – 21st [EWK MEMBERS ONLY]

$775.00

Overview

First & Last Name of Camper *

DOB (Format: M/D/Y) *

Please enter the camper date of birth.

Health Card Number *

Please type in Child’s Health Card Number

Age *

Does the camper have any emotional, behavioural, physical, dietary, allergies, asthma, or any other medical conditions we should know? *

If “YES” please state very clearly here.

Tell us more

Doctor’s Name *

Doctor Information

Doctor’s Telephone *

Parent #1 *

Parent Information. Enter Full Name

Parent #2

Enter Full Name

Cell Phone Number *

Emergency Contact other than Parents *

Enter Full Name

Emergency Contact Cell Phone Number *

T-Shirt Sizes [Youth]

Please choose one

T-Shirt Sizes [Adult]

Please choose one

Type your full name *

By typing in your name, you agree to the waiver.

Description