Camp A’hoy Form

Camp A'Hoy Easter Edition

Child's Name*
First Last
Child's Date of Birth*
YYYY dash MM dash DD
MCP Number*
Child's Name 2 (if applicable)
First Last
Child's Date of Birth
YYYY dash MM dash DD
MCP Number
Child's Name 3 (if applicable)
First Last
Child's Date of Birth
YYYY dash MM dash DD
MCP Number
Caregiver Name*
First Last
Daytime Contact Number*
Caregiver Name
First Last
Daytime Contact Number
Email*
Address*
Street Address Address Line 2 City Province Postal Code
Early Drop-Off Late Pick-Up
Will you be taking advantage of the Early Drop-Off and Late Pick-Up service? This is an extra $10 for the week.
- Yes
- No
Price of Camp
Payment Method*
Authorization*
This registration will not be completed without checking this box. As I am registering my child(ren) to attend Holyrood’s summer program, I the undersigned parent, guardian or other assigned party, hereby agree to the following: a. The Town of Holyrood, staff, and any other participating sponsors in the event of an illness, accident, and injury are hereby given permission to authorize on my behalf all medical procedures including all treatments and possible admission to hospital as it is seen in the best interest of my child. b. I permit the noted camper above to attend all outings and field trips for the registered weeks of camp. c. I will release any pictures taken of the camper listed above to be used by the Town of Holyrood for future promotional material (including social media) for its Summer Program. The Town of Holyrood shall be released from any liabilities that may result from these photos.

Camp A’hoy Form

Camp A'Hoy Easter Edition

Our Town