Anakkara Summer Camp with

Académie de Musique NDG

Summer Camp 2024 Registration for One Child
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Username^*
Password^*
Password must be at least 7 characters long.
Enter password again^*
Password must be at least 7 characters long.
Email^*
Mother's/Parent's First Name^*
Mother's/Parent's Last Name^*
Father's/Parent's First Name^*
Father's/Parent's Last Name
Mother's/Parent's Email^*
Father's/Parent's Email^*
Mother's/Parent's phone number(s)
Father's/Parent's phone number(s)
Mother's/Parent's full address (#, street, city and postal code. VERY IMPORTANT TO WRITE YOUR POSTAL CODE))
Father's/Parent's full address (#, street, city and postal code. VERY IMPORTANT TO WRITE YOUR POSTAL CODE))
Do you wish to receive a Relevé 24 for each child? (child care tax receipt) Yes or No? Do you wish to receive a Relevé 24 for each child? (child care tax receipt) Yes or No ? The receipt will be in the name of the mother unless father or mother request 50% for each one.
If yes, please enter your social Insurance number^*
Please enter the SIN to be used on the Tax Receipt
Emergency Contact's First Name
Emergency Contact's Last Name
Emergency Contact's Email
Emergency Contact's phone number(s)^*
Emergency Contact's full address
Child's First Name and Last Name
Child's Age
Child's Gender
Child's Birth Date
Child's Health Insurance #
Name of your child's family doctor
Name of the medical clinic of your child
Does your child suffer from allergies, if yes, specify.
What actions should we take if your child is in contact with the allergenic agent?
Is your child taking medication? If yes which one ?
Other specific information about the health of your child ? For example learning or behavioural challenges. This information really helps us to better attend to the needs of your child.
Name of your child's school.
Registration For 1 Child^*
Weeks Interested In^*Press ctrl or ⌘ (in Mac) while clicking to select multiple options.
Waiver^*
By completing registration to a Anakkara Summer Camp with Académie de Musique NDG, Parents and Legal Guardians hereby agree to the following Terms and Conditions: Summer Camp staff are authorized to take my child or children off the camp premises to local parks and green space for the purpose of outdoor recreation. Camp rules (see Our Programme page) and instructions set forth by the staff must be followed at all times. In the event of an incident or an emergency, camp staff are authorized to seek out and administer proper medical treatment to the best of their ability. Parents will be notified of all major and minor incidents in a timely manner. Children's personal belongings are their own responsibility, but camp staff will do everything we can to ensure that nothing is lost. Expensive and treasured items such as cell phones, gaming devices, jewelry, designer clothes or shoes, etc., must not be brought to the camp. At the end of every week, the children will take all their belongings home with them. I hereby release Anakkara Summer Camp with Académie de Musique NDG and its respective employees, volunteers and supporters from and against all claims, actions, costs, damages and expenses with respect to damage and/or bodily injury to my child or property as a result of his or her participation in Anakkara Summer Camp with Académie de Musique NDG.
I accept the above terms
Photo Usage Waiver
I accept that my child may be pictured/photographed and that such material can be used by Anakkara Summer Camp with Académie de Musique NDG for promotion or marketing purposes.
I accept that My Child/Children's Photos may be taken.

Anakkara Summer Camp with

Académie de Musique NDG

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Anakkara Summer Camp with

Académie de Musique NDG

Interesting links

Pages

Categories

Archive