Join the Wait List for
MCRC's PA Day Camp - April 8, 2024
Fill out this form to join the wait list for MCRC's PA Day Camp on April 8 2023.
If a space becomes available, you will be contacted by MCRC staff.
Camp Name
Camp Program Id
Age Group
Parent Information
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian Email
Street Address
Town/City
Postal Code
Home Phone
Mobile Phone
Work Phone
Child's Information
Child's First Name
Child's Last Name
Child's Date of Birth
Child's Age Group
Please select...
Kinder
School Age
Grade
Please select...
JK
SK
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Child's Current School
Please select...
Boyne Public School
Brookville Public School
Bruce Trail Public School
Chris Hadfield Public School
Hawthorne Village Public School
TJ Singh Public School
PL Robertson Public School
St. Scholastica Catholic Elementary Public School
Viola Desmond Public School
Other
Other School
Does your child have any dietary restrictions or allergies?
Yes
No
Details about dietary restrictions or allergies
Does your child have Anaphylaxis
Yes
No
Does your child have Asthma
Yes
No
Does your child have any special needs
Yes
No
Does your child have any other medical conditions?
Yes
No
Please Provide Additional Details
Contact Information