All 4 Her: PA Day Camp - October 10th, 2025
Session Details
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Details
Child Information
Child's First Name
Child's Last Name
School Child Currently Attends
Age of Child
Please select...
7
8
9
10
11
Birthdate (mm/dd/yy)
Parent/Guardian Information
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Authorized Pick-Up
Please complete if someone other than the primary or secondary
contact is authorized for pickup.
First Contact
1. First Name
1. Last Name
Secondary Contact
2. First Name
2. Last Name
Participant Medical Information
Does your participant have any medical conditions, allergies or medications we should know about?
Yes
No
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Secondary Contact First Name:
Who should we call if we can't reach you?
Secondary Contact Last Name:
Secondary Contact Phone Number:
I understand that the All 4 Her Programs are for girls (inclusive of cisgender and transgender) and gender-diverse youth.
Late Fee
I understand that if I am late picking up, a $10 fee for every 15 minutes may apply.
I
grant MCRC permission to use photos of my participant on their social media accounts, website, and on promotional materials. (Optional)
I
would like to be added to the She Can! & All 4 Her Email Mailing list. (Optional)
Payment Information
Total Amount Due ($ CAD)
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