Newfoundland to Broadway Registration Form Newfoundland to Broadway - Registration Form 2022 Student Name* First Last Age*Please enter a number from 8 to 19.Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email* Enter Email Confirm Email School & Grade attending as of Sept 2022* MCP with Expiry (Year/Month/Day)* Parent/Guardian's Name* First Last Parent/Guardian's Cell Phone*Other Parent/Guardian's Name (if applicable) First Last Other Parent/Guardian's Cell PhonePlease 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. A deposit of $90.00 for each camp can by made through an e-transfer to email@example.com.Camp dates*Please check your preferred camp dates. All camps are $290. Camp Dates Camp A July 4-8 Camp B July 11-15 Camp C July 18-22 Special RequestsMedical, behavioral, physical, or allergy concerns we should be made aware of.