Registration PD Day Camps

Registration Form (PD DAY CAMPS)

* Indicates required field

Student Name *

First

Last

Date of Birth (must be 7 to 12 yrs. old) *

Gender *

Male Female Gender Neutral

Parent /Gardian Name (if under 18 years of age) *

First

Last

Email *

Phone Number *

Address *

City / Province *

Postal Code *

Allergies / Medications *

Emergency Contact Info *

Choose one or multiple *

Thursday, April 8th Thursday, April 22nd Friday, May 21st

*Camps that are FULL do not appear in the list above, but you can put your name on our waiting list HERE

*Participants are required to bring a morning snack, an afternoon snack, a lunch (full days) and a bottle of water.

Where did you hear about Atlantic Cirque? *

* Term & policy (waiver 2020)
(read here)

* Covid-19 preventative measures 2020
(read here)

*Click on the documents above to agree to the terms. *

I have read the policy above and agree to the terms I have read and agree to the Covid-19 preventative measures.