She Can Camp!
Camp Details
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Session Id
Dates
Time
Location
Child Information
Child's First Name
Child's Last Name
School Child Currently Attends
Grade
Please select...
3
4
5
6
Birthdate (mm/dd/yy)
Parent/Guardian Information
Parent/Guardian First Name
Parent/Guardian Last Name
Phone Number
Email Address
Street Address
Town/City
Postal Code
Participant Medical Information
Does your participant have any medical conditions, allergies or medications we should know about?
Yes
No
Specify here:
Emergency Contact First Name:
Who should we call if we can't reach you?
Emergency Contact Last Name:
Emergency Contact Phone Number:
I understand that the She Can! Girls Empowerment Programs are for girls (inclusive of cisgender and transgender girls and nonbinary youth).
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! Email Mailing list. (Optional)
Payment Information
Total Amount Due ($ CAD)
Name on Card
Card Number
MM
YY
Code
Billing Email
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