Schools out, sports in!
OAC 2019 MARCH BREAK CAMP ONLINE REGISTRATION

MARCH BREAK CAMP RATES
OAC MEMBER NON-MEMBER
$295.00 $325.00



CAMPER INFORMATION
Camper's First Name *  
Camper's Surname *
Age
Birthdate (dd/mm/yyyy) *  
OHIP Number
Parent's First Name *  
Parent's Surname *  
 
Address *  
Apt./ Unit#
City *  
Province *  
Postal Code *  
Phone Number (H)
Phone Number (W)
Email Address *
Emergency Contact Name *  
Emergency Contact Phone Number *  

MEDICAL INFORMATION
If yes, please specify
Allergies: *  
Regular Medications: *  
Medical Disorders: *  
Disabilities: *  
Exercise Limitations: *  
Please list any history of psychological problems (Attention Deficit Hyperactivity Disorder, Tourettes Syndrome, etc.):

SWIMMING SKILLS
Has your child taken swimming lessons? *  
IF YES, please indicate level and which program your child completed:
IF NO, briefly describe child's experience (above/below water, shallow/deep end):
SIGN-OUT INFORMATION
You will need to show photo ID each day when you sign your child out. Please indicate the names of the people including the parents / guardians who have permission to sign out your child at the end of this day. If this information changes, please notify camps at the OAC (613-523-1540).
Name Relationship
*   *  
OPTIONS
Please note that a $20.00 discount is applied if both are selected

COST SUMMARY
 
Amount: $325.00
HST: $42.25
Total: $367.25
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