Wufoo

Parent's Information

Please enter your contact information below
Name * First Last
Primary Phone * ### - ### - ####
This is how we could reach you 80% of the time.
Secondary Phone ### - ### - ####
This is how we could reach you if the primary phone is not working :)
Mailing Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *

Please type carefully - thanks :)
Emergancy Contact Information

We hope we don't have to use this but just in case something happens and we can't find you.
Name * First Last
Emergancy Contact Phone * ### - ### - ####
Family Doctor's Name First Last
Doctor's Phone # ### - ### - ####
How Many Kids Are Your Registering and How would you like to pay?

Tell us a bit about the kids who are coming the camp.
Reach for Goal Sports Camp # of Participants *

Please select the number of children you want to register and the payment option you prefer:
1st Participant's Information
1st Participant's Name * First Last
1st Participant's Age
1st Participant's T-shirt size

Don't stress over this. You can change it on the first day of the camp.
1st Participant's Care Card #

Just in Case :)
1st Participant - Any Allergies or Medical Concerns?
2nd Participant's Information

If you are only registering one child just scroll to the bottom and click submit
2nd Participant's Name First Last
2nd Participant's Age
2nd Participant's T-shirt size

Don't stress over this. You can change it on the first day of the camp.
2nd Participant's Care Card #

Just in Case :)
2nd Participant - Any Allergies or Medical Concerns?
3rd Participant's Information

If you are only registering one child just scroll to the bottom and click submit
3rd Participant's Name First Last
3rd Participant's Age
3rd Participant's T-shirt size

Don't stress over this. You can change it on the first day of the camp.
3rd Participant's Care Card #

Just in Case :)
3rd Participant - Any Allergies or Medical Concerns?
4th Participant's Information

If you are only registering one child just scroll to the bottom and click submit
4th Participant's Name First Last
4th Participant's Age
4th Participant's T-shirt size

Don't stress over this. You can change it on the first day of the camp.
4th Participant's Care Card #

Just in Case :)
4th Participant - Any Allergies or Medical Concerns?
Please Read Before You Click Submit

If you have chosen to pay via credit card, you will be directed to Paypal to submit your payment. If you chose to pay via cheque, you can mail your payment or bring it the first day of the camp. See you in July!
Do Not Fill This Out

Wufoo

Parent's Information

Emergancy Contact Information

How Many Kids Are Your Registering and How would you like to pay?

1st Participant's Information

2nd Participant's Information

3rd Participant's Information

4th Participant's Information

Please Read Before You Click Submit