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Summer Camp Aug 4th to 7th, 2020
Coyote Rock Gym Ltd.
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Email
*
Your email
How Many Children are you registering?
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1
2
3
Childs Full Name
*
Your answer
Child's age as of July 1st
*
Your answer
Anaphylactic Allergies
Your answer
Child 2's Full Name
Your answer
Child's age as of July 1st
Your answer
Anaphylactic Allergies
Your answer
Child 3's Full Name
Your answer
Child's age as of July 1st
Your answer
Anaphylactic Allergies
Your answer
Full or Half Days (Half Days have no field trips)
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Half Days
Full Days
If Choosing Half Days, please choose the days of the week we should expect your children.
Monday
Tuesday
Wednesday
Thursday
Friday
Parent 1 Full Name
*
Your answer
Parent 2 Full Name
*
Your answer
Parent Phone Number (daytime)
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Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
Can we administer Children's Tylenol if required?
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Yes
No
Call me first
Can we give your child(ren) Benadryl if required?
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Yes
No
Call me first (unless urgent)
Is there any special information we should know about your child(ren) before they come to camp?
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Your answer
Have you gone online to our website
coyoterockgym.ca/waivers
and filled out a waiver form for your children?
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Yes
Have you filled out a waiver form for Circus School for each of your children?
*
Yes
On file with CRG
Send me one please
Our gym does not have air conditioning, are you able to provide your child(ren) with a nice big water bottle to carry with them?
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Yes
Aerial Silks can get ripped very easily so we ask that your children wear athletic clothing with no zippers, buttons, clips, or jewellery that can damage them. Can you provide your children with athletic clothing for the week of camp?
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Yes
We will be going out for picnic lunches, can you provide sunscreen for the week?
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Yes
We have limited spaces at camp and that is why we do not issue refunds unless approved by the program director. Do you understand that payment is considered a commitment to attend summer camp?
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Yes
Thank you for registering with Coyote Rock Gym Summer Camps. Payment will be the only way to secure your spot at camp, once received you will get a confirmation email. Do you understand that your child is not registered until payment is received? Please call the gym at 613-739-4074 to make payment.
*
Yes.
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