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March Break VARIETY Camp 2024

*For ages 4 to 11 years old

Monday, March 11th to Friday, March 15th, 2024
8:30am to 4:30pm

École Secondaire Catholique L'Escale, 1535 Avenue Du Parc, Rockland, ON

Registration Form

Child's Full Name:

Age:

Date of Birth:

Parent Full Name

Email:

Telephone:

FULL Address with postal code:

Back up contact in case of emergency

Back up contact relationship to child:

Back up contact Telephone:

Allergies and Medical Conditions

Please share with us any and all medical, behavioural, social, or cognitive differences your child may have at the time of registration. This may include social anxieties, communication barriers, the tendency to run or wander away from the group, or simply requiring additional down time or extra attention.

PLEASE NOTE - if your child requires a specialist or extra staffing support in order to safely integrate into a group, this program may not be able to meet their needs. Please contact acheff@clarence-rockland.com BEFORE completing this registration and we will be happy to discuss the possibilities with you.

Please list any medical or behavioral items here:

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March Break VARIETY Camp 2024

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