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RRBC Under the Sea Day Camp - Camper Registration

Camper's First Name *

Camper's Last Name *

Street Address *

Town/City *

Province/Territory *

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Postal Code *

What grade will your child have completed in June 2026? *

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Friend Request

Name of Parent/Guardian 1 *

Relationship of Parent/Guardian 1 to Camper *

Parent/Guardian 1 Phone Number *

Parent/Guardian 1 Email Address *

Name of Parent/Guardian 2

Relationship of Parent/Guardian 2 to Camper

Parent/Guardian 2 Phone Number

Parent/Guardian 2 Email Address

Emergency Contact *

Relationship of Emergency Contact to Camper *

Emergency Contact Phone Number *

Name of Family Doctor *

Family Doctor's Phone Number *

Does your child have any allergies? *

Yes

Please list your child's allergies here

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Does your child have any behavioural or health concerns we should be aware of? *

Yes

Please list the concerns here

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Does your child take any medications that they will be bringing to Day Camp? *

Yes

Please list the medications here and any instructions you'd like us to know about

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Is there anything else you'd like us to know about the camper, including if any accommodations are required? (If not, you may leave this line blank)

Signature of Agreement to Health Waiver *common.clear

Signature of Agreement to Waiver/Release of Liability and Indemnity *common.clear

Photo Permission: I hereby give permission for the reasonable use of photos and videos of my child for any camp-related promotions. *

Yes, I give my permission

No, I do not give my permission

Does your child require before (8-9 a.m.) or aftercare (4-5 p.m.)? Select all that apply. Please note that there is an additional cost of $15 for the week for before/aftercare and an additional $15 if you require both. *

Yes, beforecare (+$15)

Yes, aftercare (+$15)

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