Camp Registration Form
1.  Camper's Info

1. Camper's Info

Camper's Last Name

2.

2.

3.

3.

Camper's First Name

4.

4.

Parent/Guardian's Names

5.

5.

(Parent) E-mail Address

6.  Address

6. Address

Street Address

7.

7.

City, Province

8.

8.

Postal Code

9.  Date of Birth

9. Date of Birth

MMM DD, YYYY, (example- Jan 01, 1999)

10.  Phone Numbers

10. Phone Numbers

Day Phone

11.

11.

Evening Phone

12.

12.

Emergancy Contact (Name and Phone Number)

13.  Health Card Number

13. Health Card Number


14.  Camp Requested

14. Camp Requested

Choose the Camp you wish to attend. Please fill out a separate form for each child.
15.  Extended Hours

15. Extended Hours

From 8:30 AM to 5PM Full Day Camps Only $35.00
17.  Waiver

17. Waiver

Waiver: The CAMPER & Parent or Legal Guardian(s) hereby agree and acknowledge that at all times the CAMPER & Parent or Legal Guardian(s) is/are in attendance at the school or location of the event, he/she shall be using the facilities and equipment at his/her own risk and hereby forever releases The FUN SCHOOL OF MUSIC from any responsibility from injuries and/or damages caused by any person or property relating directly or indirectly to the use of the facilities and/or equipment contained herein.
The CAMPER & Parent or Legal Guardian(s), also acknowledge and give permission for any photos or video shot during the Summer Music Camp to be used for promotional purposes.
18.

18.

I Agree
905-309-3886

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info@funschoolofmusic.com