Parent/Guardian Contact Information

*Please fill out one form per child

Relationship to Child
How did you hear about this program?
Country*
Email*
Confirm Email*
Phone*
Child's First Name
Child's Last Name
Child's Birth Date (dd/mm/yyyy)
Current School
Alternate/Emergency Contact Name
Alternate/Emergency Contact Phone Number
Second Alternate/Emergency Contact Phone Number
Media Release: There may be occasions where pictures of your daughter will be taken - these photos will be used for newsletting, videos, brochures, annual reports, radio, television, newspapers and our website*
Please list any medical or allergen information you would like us to be aware of.

Membership Information

To purchase a membership to save 20% off ALL Girls Inc. Programming for one year, please click here

 

If you do not wish to purchase a membership, please scroll down to the "Non-Member" section.

 

If your membership is still active for the year, please select from the "Member" section.

Pickering March Break Camp Registration

Quantity
Price
Total
Member
X
$
145.00=
$
0

Non-Member
X
$
170.00=
$
0

Before and After Care Member (8:30am-9:00am and 4:00pm-4:30pm)
X
$
40.00=
$
0

Before and After Care Non-Member (8:30am-9:00am and 4:00pm-4:30pm)
X
$
50.00=
$
0

Final Total:
$
0
Would you like to sign up for the CIT Program? (March Break Camp Counsellors in Training, 13-16yrs)

Payment Information

Amount*
$
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
Additional Comments
Powered by eTapestry