JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Rock Climbing Camp - Registration
When: June 19-June 22 8:00am-12:00pm each day
Camp leader: Mr. Jean Pruneau
Location:
Speirs Gym
Price: $200
Special instructions or information :
- Campers must bring:
T-Shirt, Shorts, Running Shoes, Water bottle, snack.
* Indicates required question
Email
*
Your email
Name of Parent
*
Your answer
Parent contact info (phone number(s))
*
Your answer
Name of Student
*
Your answer
Student's grade
*
Your answer
SHS students: Is there any new information regarding your son's emergency contact information, allergies, prescription medication or medical alerts that have not yet been disclosed to the school? If so, please include all new information here.
Your answer
Non-SHS students: Please include any pertinent information regarding your child's allergies, prescription medication or medical alerts here.
Your answer
Payment information
-Full cost: $200
-
Cash or Cheque made out to either Jean Pruneau or Anthony Lukca
*
I understand
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Selwyn House School.
Report Abuse
Forms
