| Please
indicate only one session (Please submit separate forms for another
child or additional weeks) |
| Golf
- Level I |
Level
2 |
Rock
Climbing - Level 1 |
Junior
Fun Camp |
| (1) q
June 30 - July 4 |
(10) q
June 30 - July 4 |
(13) q
June 30 - July 4 |
(22) q
June 30 - July 4 |
| (2) q
July 7 - 11 |
(11)
q July 21 - 25 |
(14) q
July 7 - 11 |
(23) q
July 7 - 11 |
| (3) q
July 14 - 18 |
(12)
q Aug 11 - 15 |
(15) q
July 14 - 18 |
(24) q
July 14 - 18 |
| (4) q
July 21 - 25 |
|
(16) q
July 21 - 25 |
(25) q
July 21 - 25 |
| (5) q
July 28 - Aug 1 |
|
(17) q
July 28 - Aug 1 |
(26) q
July 28 - Aug 1 |
| (6) q
Aug 4 - 8 |
|
(18) q
Aug 4 - 8 |
(27) q
Aug 4 - 8 |
| (7) q
Aug 11 - 15 |
|
(19) q
Aug 11 - 15 |
(28) q
Aug 11 - 15 |
| (8) q
Aug 18 - 22 |
|
(20) q
Aug 18 - 22 |
(29) q
Aug 18 - 22 |
| (9) q
Aug 25 - 29 |
|
(21) q
Aug 25 - 29 |
(30) q
Aug 25 - 29 |
|
|
NAME:_________________________________________________ |
SEX:____________ |
| AGE:________
ADDRESS:__________________________________________________
CITY: ____________ |
| POSTAL
CODE_____________ q
MORNING ONLY
q FULL DAY |
Need Clubs: |
q
Right |
q
Left |
q
Have Own |
| Early
drop or Late Pickup $ 20/week q
|
Both
Early and Late $30/week q |
| Lunch
Program $30/ week q |
|
|
|
| Classes
limited in size and East Park reserves the right to reschedule sessions
based on registration. |
Release
Form:
My child has permission to participate in the East Park Golf Gardens
Limited Camp Program, and I give permission to East Park personnel
to render medical aid to my child should it be of a necessity.
|
| PARENT
SIGNATURE______________________ PARENT NAME: ______________________
|
| DATE:___________________________________ PARENT PHONE #: ______________________ |
| EMERGENCY
CONTACT NAME:____________________ EMERGENCY PHONE #:____________________
|
| PARENT'S
WORK#:________________________ |
| DOCTOR'S
NAME:_________________________ DOCTOR'S PHONE #:______________________ |
| HEALTH
CARD #:__________________________ |
| ALLERGIES
AND MEDICAL CONDITIONS_____________________________________________________
|
| OTHER
NOTES: __________________________________________________________________________
|
PAYMENT POLICY:
A DEPOSIT OF $100
IS REQUIRED AT THE TIME OF REGISTRATION IN ORDER TO HOLD A SPOT
IN ANY SESSION. BALANCE OF PAYMENT IS DUE BY JUNE 15, 2008
(please include post dated cheque). |
CANCELLATION POLICY:
A FULL REFUND WILL
BE PROVIDED IF CANCELLATION IS AT LEAST TWO (2) WEEKS PRIOR TO THE
REGISTERED SESSION, SUBJECT TO A $15 ADMIN CHARGE. IF CANCELLATION
IS LESS THAN TWO (2) WEEKS PRIOR TO THE REGISTERED SESSION THEN
THE DEPOSIT WILL BE FORFEITED. |
| OFFICE
USE ONLY: |
| DEPOSIT
($100) $________ |
DATE:_______________ |
| Visaq |
M/Cq |
AmExq |
Chqq |
Cashq |
| Processed
by:________________________________ |
| Balance
- $ __________________ |
| Visaq |
M/Cq |
AmExq |
Chqq |
Cashq |
| Processed
by:________________________________ |