Little Rangers Day Camp
 at Camp Wegesegum

Monday-Friday: 8am-4pm

Cost : $20/ Week

Contact us at Campwegie@gmail.com

Payment can be made via E-transfer to Campwegie@gmail.com or by cash or cheque at Camp Wegesegum.
Sign in to Google to save your progress. Learn more
Email *
Name of Camper *
Email *
Weeks attending *
Required
Gender
Clear selection
Address
Birthday *
MM
/
DD
/
YYYY
Camper Age at the time of Camp *
Parent or Guardian
Phone Number of Parent or Guardian
Medicare Card Number *
Permission is given to provide my child with the following non-prescription medication as necessary during camp: You will be called prior to confirm. If nothing is checked then we will assume it is not allowed.
Clear selection
Does you child have any allergies or take any medication that would be administered at Camp? Please outline any special instructions.
Dietary restrictions *
Photo Release: I hereby give consent to Camp Wegesegum Inc. to photograph and/or record my child through audio or video and to use this material in whole or in part through television, film, web page,multi-media presentation, radio, audiotape, videotape, display or in printed form for the promotion of Camp Wegesegum. I transfer any and all rights, including copyright, which mychild or I may have in this material to Camp Wegesegum. *
This year we are asking a $5 deposit to hold your spot.  (This will be deducted from the total registration fee)   Payments can be made via etransfer to campwegie@gmail.com
*
I understand that I will have to pay $$ upon arrival. $20 per week that is attended.   *
Required
If you cannot make the $20 a week payment and need some assistance, please let us know and we can reach out and make arrangements. You can apply for a Campership to help with the payment.
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy