Newfoundland to Broadway: Registration Form

Student Name*
First Last
Age*
Please enter a number from 8 to 19.
Date of Birth*
Email*
Enter Email Confirm Email
School & Grade attending as of Sept 2019*
MCP with Expiry (Year/Month/Day)*
Parent's Name*
First Last
Parent's Cell Phone*
Parent's Home Phone
Other Parent's Name (if applicable)
First Last
Other Parent's Cell Phone
Other Parent's Home Phone
Please select below the camp dates you want.

Once your place in the camp is confirmed, we will contact you by phone to obtain your child's MCP number.No child is accepted into camp until we have that information.
Payment of $275 for each camp can by made through an email to [email protected]
Please select below the camp dates you want.

Once your place in the camp is confirmed, we will contact you by phone to obtain your child's MCP number.No child is accepted into camp until we have that information.
Payment of $275 for each camp can by made through an email to [email protected]
Camp dates*
Please check your preferred camp dates. All camps are $275.
- Camp
  
  Dates
- Camp A
  
  July 8 – 12
- Camp B
  
  July 15 – 19
- Camp C
  
  July 22 – 26
Special Requests
Medical, behavioral, physical, or allergy concerns we should be made aware of.
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