Registration for two children – Anakkara Summer Camp with Académie de Musique NDG

Extended early care: 8:00am – 8:45am $5 per day

Regular drop off: 8:45am

Regular pick up: 4:00pm

Extended After Care: 4:00pm – 5:00pm $5 per day

Location: Kensington Presbyterian Church

Address: 6225 Ave. Godfrey, Montreal, QC, H4B 1K3

Directions: Google

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Summer Camp 2021 Registration
RM_Stats
Username^*
Password^*
Password must be at least 7 characters long.
Enter password again^*
Password must be at least 7 characters long.
Email^*
Mother's First Name^*
Mother's Last Name^*
Father's First Name
Father's Last Name
Mother's Email^*
Father's Email
Social Insurance Number^*
Please enter the SIN to be used on the Tax Receipt
Mother's phone number(s)^*
Father's phone number(s)
Mother's full address^*
Father's full address
Emergency Contact First Name
Emergency Contact Last Name
Emergency Contact Email
Emergency Contact phone number(s)^*
Emergency Contact's full address
Child's 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
Do your children suffer from allergy, if yes, specify
What actions should we take if your children are in contact with the allergenic agent?
Are your children taking medication? If yes which one ?
Other specific feature (s) on the health of your children ?

2nd Child's Name
2nd Child's Age
2nd Child's Gender
2nd Child's Birth Date
2nd Child's Health Insurance #

Registration For 2 Children
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.

Contact us:

anakkara3@gmail.com

Isabelle Letourneau
514 560-3796

Philippa Woolley
514 963-2256

CAMP STARTS IN……

Contact us:

anakkara3@gmail.com

Isabelle Letourneau 514 560-3796

Philippa Woolley 514 963-2256

CAMP STARTS IN……

Isabelle Letourneau
514 560-3796

Philippa Woolley
514 963-2256