CKUW Radiocamp Online Registration

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Use this form to register campers for our 2023 session of Radio Camp. Radio Camp offers neighbourhood youth aged 10 -13 a chance to learn about radio and media, have fun and make friends. It’s free, it’s fun, and it includes lunch!

If you have any questions, please call our office at 204-786-9782 or email radiocamp@ckuw.ca

Camp spots are very limited. Advance registration does not guarantee a spot for your camper. Registration preference will be given to campers from within the neighbourhoods near the University of Winnipeg.

Adult registering camper. *

Who is filling out this form?

Adult email. *

What is *your* email address?

Campers Name *

First name, initial & last name please

Campers Date of Birth *

YYYY

Campers Sex

Prefer not to answer

Other:

Clear selection

Complete Street Address *

Number, Apartment

Postal Code
*

Postal Code

Telephone *

Which session would you prefer to attend? *

There are two week long sessions. Campers can register for multiple weeks but are only eligible to attend one week of camp. Camp hours are 10am - 4pm Monday to Friday.

July 10 - 14

July 17 - 21

Required

Were you referred to this camp by an organization?
*

There are two week long sessions. Campers can register for multiple weeks but are only eligible to attend one week of camp. Camp hours are 10am - 4pm Monday to Friday.

I found this camp on my own.

SNA - Spence Neighbourhood Association

WBCO - West Broadway Community Organization

DMSMCA - Daniel McIntyre / St. Matthews Community Association

Other:

Emergency Contact Information #1 *

Enter contact name & relationship to child. You must name at least one emergency contact.

Emergency Contact #1 Phone Number *

Emergency Contact Information #2

Enter contact name & relationship to child

Emergency Contact #2 Phone Number

Does your child have any diet restrictions, allergies or health conditions that we should be aware of? *

Yes

If you answered YES, please list diet/allergies/conditions:

Does your child need to take any medications during the daytime when the camp will be taking place? *

Yes

If you answered YES, please list medications:

I give permission to my child to attend the 2023 CKUW Radio Camp. I consent to all field trips and workshops. *

I hereby give permission and consent, including for photos that may be used on social media.

I hereby give permission and consent, I do not want pictures of my child posted online.

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