Camper Registration – North Camper Registration – North Camper Information (Ages 6 to 16) First Name Last Name Date of Birth Age Gender Male Female Text Parent/Guardian #1 Full Name First Name Parent 1 Last Name Last Name Email Address Phone Number Primary Secondary Phone # Secondary Address Address Street Address Street Address Apt./Building/Suite # Apt./Building/Suite # City City Province Province Postal Postal Guardian #2 / Emergency Contact Full Name First Name Last Name Last Name Email Address Phone Number Primary Secondary Phone # Secondary Address is the same as Parent/Guardian #1 Yes No Address Address Street Address Street Address Apt./Building/Suite # Apt./Building/Suite # City City Province Province Postal Postal Medical Information Health Card Number Hospital/Clinic Preference Name of Primary Care Physician Phone Number Allergies/Special Health Considerations Medications and their Use List any Learning and/or Behavioural Disorders Any other information that we need to know about your child to have a successful time at camp: Camp Selection Day Camps $350 per week (Select one week or a combination of weeks) Monday, July 15 to Friday, July 19 Monday, July 22 to Friday, July 26 Monday, July 29 to Friday, August 2 Monday, August 5 to Friday, August 9 Monday, August 12 to Friday, August 16 Monday, August 19 to Friday, August 23 Monday, August 26 to Friday, August 30 Comments Overnight Camps $650 per week (Select one week or a combination of weeks) Sunday , July 14 to Friday, July 19 Sunday , July 21 to Friday, July 26 Sunday , July 28 to Friday, August 2 Sunday , August 4 to Friday, August 9 Sunday , August 11 to Friday, August 16 Sunday , August 18 to Friday, August 23 Sunday , August 25 to Friday, August 30 Comments Summer Games Camp (for siblings of athletes only) Fee Sponsored by Camp Tamarack Overnight – Sunday, July 14 to Friday, July 19 Day – Monday, July 15 to Friday, July 19 Comments Camp Tamarack is pleased to offer an overnight and day camp program for siblings of athletes that are unable to attend the games. In order to be eligible they must have siblings attending the games. The registration fee will be sponsored by Camp Tamarack. Spots are limited. The overnight camp will be from Sunday July 14 to Friday July 19. Drop off at 3:00 pm on Sunday and pickup at 4:30 pm on Friday. The day camp will run daily from Monday July 15 to Friday July 19. Drop off daily at 9:30 am and pickup daily at 4:30 pm. For more information, call Camp Tamarack at (306) 922-1766 or email camp@tamarackfoundation.ca or visit our website at tamarackfoundation.ca Terms and Conditions Terms and conditions I agree to the attached terms and conditions. I hereby give permission to use pictures of my child taken during camp to be used in advertising and promotions of the camp. Yes No Financial assistance required. Jordan’s Principle Band Funding OtherOther Date Signature Submit