Information

summer camp week 6 - Aug 05 - Aug 09

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Player First Name :*

Middle Name:

Last Name:*

Date of Birth:*

Gender:*

Male ($250.00 CAD)

Female ($250.00 CAD)

Parent First and Last name :

Parent Email :*

Home Phone:*

Any other details we should know. Allergies, who will pick up the child :