Summer Camp Registration

Golden Key GO Summer Camp Registration

* Indicates required field

Child's Name *

First

Last

Child's Birthdate (yyyy/mm/dd) *

Parent's Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Known Allergies or Medical Condition *

Health Card Number (OHIP) *

Emergency Contact *

Emergency Contact Number *

Which location are you signing up for? *

Do you need extension (late pick up or early drop off? *

Yes No

How did you hear about this Summer Camp Program *

Internet Search Advertisement Friend Other

Submit