Summer Camp 2025 Registration for Two ChildrenRM_StatsUsername *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 NameFather's/Parent's Last NameMother's/Parent's Email *Father's/Parent's EmailMother'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 ? 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 ReceiptEmergency Contact First NameEmergency Contact Last NameEmergency Contact EmailEmergency Contact phone number(s) *Emergency Contact's full addressChild's First Name and Last NameChild's AgeChild's GenderChild's Birth DateChild's Health Insurance #Name of your child's family doctorName of the medical clinic of your childDoes 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 really helps us to better attend to the needs of your child.Name of your child's school. 2nd Child's First Name and Last Name2nd Child's Age2nd Child's Gender2nd Child's Birth Date2nd Child's Health Insurance #Name of your child's family doctorName of the medical clinic of your childDoes 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 really helps us to better attend to the needs of your child.Name of your child's school. Registration For 2 ChildrenSelect an option1 Week ($ 499.50)2 Weeks ($ 889.00)3 Weeks ($ 1278.50)4 Weeks ($ 1668.00)5 Weeks ($ 2057.50)6 Weeks ($ 2333.00)Weeks Interested In *Press ctrl or ⌘ (in Mac) while clicking to select multiple options.Week 1: Jun 23 - Jun 27Week 2: Jun 30 - Jul 4Week 3: Jul 7 - Jul 11Week 4: Jul 14 - Jul 18Week 5: Jul 21 - Jul 25Week 6: Jul 28 - Aug 1Waiver *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 termsPhoto Usage WaiverI 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. Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.
Summer Camp 2025 Registration for Two Children