Date of Birth *
Home Phone *
Mother's Name *
Father's Name *
Emergency Contact (Name and number)*
Health card #*
Please indicate your choice of camp sessions below
Session #1, June 17-21, 2019
Session #2 June 24-28, 2019
Both Sessions (10% off the 2nd week)
Do you require:
Before Care ($60)
After Care ($50)
Before and After Care ($100)
Amount Enclosed - Please make cheque payable to Pickering College and drop off both the form and cheque at Reception to the attention of Jessica Ellis.
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 send a confirmation email to the address below:
Please provide an email address where we can send a link to your current form.
Email Address :