Family Camp Registration

Camp Livingstone

Family Camp Registration 2012

Family Contact Information
Family Name *
Address *
City *
Province *
Postal Code *
Country *
Tel: Home *
Tel: Alternate *

Family Camp Registration
Choose Session
The charge is $35 ($40.24 tax included) for each person 2 years old +)
We are a family of:
How many children under 2 years of age in your family?
Children under 2 are free.
Accommodation
Choose site desired: * All rates include taxes.
Meal Plan
Note : In the event you desire not to purchase a meal plan, the accommodation charge will be increased by 50% to permit us to properly cover expenses. All rates include taxes.
How many people from Age 10 – Adult? $155.22 per person
How many people from Age 7 - 9? $109.23 per person
How many people from Age 1 -6? $11.50 per person
Family Member Details
First Family Member Details. (The First name should be the person to contact re: registration and billing)
Given Name 1
Family Name 1
Birthdate 1
Second Family Member Details
Given Name 2
Family Name 2
Birthdate 2
Third Family Member Details
Given Name 3
Family Name 3
Birthdate 3
Fourth Family Member Details
Given Name 4
Family Name / Nom 4
Birthdate 4
Fifth Family Member Details
Given Name 5
Family Name 5
Birthdate 5
More Children? If you have more children, then please write their details here.
Other comments or questions:
Sender Name / Nom de la personne remplissant l'inscription *
E-mail / Adresse courriel *
Credit Card Number*
Expiration Date*	/
Card (CVV) Code*
Card Type*
Card Holder Name*

To register for a Youth Camp (Teen or Explorers) or Day Camp:

Choose either:
1. On-line registration available from January 9, 2012 CLICK HERE
2. Download a registration form. Registration Form
Mail it with your payment to the address indicated
3. Call us and we can register you by phone
(819) 843-2019 E-mail: camplivingstone@cssm.ca

Choose from the following options:
1. Register on-line.
or
2. Download a registration form
Print and mail it with your payment to the address indicated on the form.
or
3. Call us and we can register you by phone
(819) 843-2019 or emaill: camplivingstone@cssm.ca

(Open forms for prices)