* Required

Participant Information

Hilltop Summer Discovery Program Camp for campers in Kindergarten to Grade 5 *campers must be 4 years of age at the time of their camp week

Week 5: Mathtasia Summer Camp Program for campers in Grades 6-8

Parent / Guardian Information
If applicable​
Name, number and relationship to child​


In consideration of my child participating in the Hilltop Summer Discovery Program, I/we release and forever discharge, waive, and agree to save harmless and fully indemnify Pickering College (referred to as the “Camp” hereafter), its employees, agents, independent contractors, directors and representatives (the “Releasees”) from any and all claims, demands, damages, actions, liability, or causes of action, howsoever caused, which arise out of or is in any way connected to my child’s participation in this camp, except to the extent that such loss, injury or damages arises from the negligence of the Releasees.

I, the child's parent/legal guardian, consent to the Program's use of photographs/film footage of the campers for lawful promotional purposes for in-school or external media publications, websites, multimedia and social media should such an opportunity arise. In keeping with privacy legislation, it is entirely reasonable for a parent or legal guardian to request that photographs/film footage not be taken or used without consent. I/we agree it is my/our responsibility to speak to the Program Development Coordinator if I/we do NOT consent to the use of my/our child's likeness.

I agree that the Program can collect, use and disclose to other departments at the School, personal information about us/me and my/our family for use in the operation and support of the School. I/We may at any time inquire how my/our information is being collected, secured and used.

Registration and Refund Policy

Once payment is received, your spot is reserved therefore limiting space to other campers. We do not issue refunds for sessions. Pickering College reserves the right to cancel any camps due to low enrolment. In this case, full refund will be provided.

Please provide an email address where we can send a link to your current form.

Email Address :