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Please fill out SEPARATE FORMS for each camper. Also, please read the Camper Registration Details on the right of this page for more information about this form. |
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Given Name * |
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Family Name * |
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Birthdate * |
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Age * |
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Gender * |
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Preferred Language * |
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| Parent or Guardian Contact Information |
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Parent/Guardian name * |
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Address * |
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City * |
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Province * |
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Postal Code * |
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Country * |
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Tel: Home * |
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Tel: Emergency * |
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Parent/Guardian E-mail |
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Roomate choice Please give only one name.
SVP seulement un nom.
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I heard about camp from * |
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| Camp Registration |
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All registrations include sales taxes. The cost is $295 if paid before April 30, $310 if paid before May 15, and Regular price of $325. Day Camp is $155 available during each Explorer camp 6+years. |
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Select Camp * |
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Aug 12-18 Crosstalk Senior Camp (13-17 years) |
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Crosstalk is not a CSSM camp. To register, please go to their website.
http://www.crosstalkministries.ca/ |
| Additional Purchase: |
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Orders should be made prior to June 1 to ensure delivery before camp! |
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Caps - $12.00 extra |
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Cap Colour |
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T-shirt - $15.00 extra |
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T-Shirt Size |
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T-shirt Colour |
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Hoodie - $35 for children, and $45 for adults |
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Hoodie Size |
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Hoodie Colour |
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Hoodie Style |
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Hoodie Embroidery - extra $3.00 Text is embroidered on the sleeve.
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Hoodie Embroidery Text |
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These items will be waiting for you at the registration table on the 1st day of camp!
Call us for any questions about these items. |
| A letter of acceptance, medical form, code of conduct, extra information and invoice or proof of payment will be sent to you shortly. |
| Submit Form |
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Reply-to Information |
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Other comments or questions: |
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Sender Name / Nom de la personne remplissant l'inscription * |
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E-mail / Adresse courriel * |
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| Credit Card Number* |
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Expiration Date*
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Card (CVV) Code*
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Card Type*
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Card Holder Name*
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