Summer Day Camp Registration Form | St. Matthew's Anglican Church, Islington

Please note: there is a limited number of spots at the camp and they are first come first serve.

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Child #1: First Name / Middle / Last

Name commonly used

Gender

Allergies (please list)

Date of Birth (DD/MM/YYYY)

School graded completed as of June 2023

Friend you would like to be with at camp (first & last name)

Additional children to register? Please scroll down.

Parent/Guardian Information

(Primary Contact) First & Last Name

Address 1

Address 2

City

Zip / Post Code

Phone

(Secondary Contact) First & Last Name

Address same as primary contact

Address (if different)

Phone

Additional Children

Child #2: First Name / Middle / Last

Name commonly used

Gender

Allergies (please list)

Date of Birth (DD/MM/YYYY)

School graded completed as of June 2023

Friend you would like to be with at camp(first & last name)

Child #3: First Name / Middle / Last

Name commonly used

Gender

Allergies (please list)

Date of Birth (DD/MM/YYYY)

School graded completed as of June 2023

Friend you would like to be with at camp (first & last name)

Child #4: First Name / Middle / Last

Name commonly used

Gender

Allergies (please list)

Date of Birth (DD/MM/YYYY)

School graded completed as of June 2023

Friend you would like to be with at camp (first & last name)