Parent/Guardian Contact Information

*Please fill out one form per child

Child's First Name
Child's Last Name
Child's Birth Date (dd/mm/yyyy)
Country*
Email*
Confirm Email*
Phone*
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.*
Would you like to sign up for the CIT Program? (Summer Camp Counsellors in Training, 13-16yrs)

Virtual Summer Camp Registration

Quantity
Price
Total
Week 2 August 10-14
X
$
60.00=
$
0

Week 3 August 17-21
X
$
60.00=
$
0

Week 4 August 24-28
X
$
60.00=
$
0

Week 5 August 31 - Sept. 4
X
$
60.00=
$
0

Mondays Allies in Action 4 weeks August 10-31
X
$
60.00=
$
0

Tuesdays OPERATION SMART 5 Weeks August 4- September 1
X
$
60.00=
$
0

Wednesday Mind+Body 5 weeks August 5 to Sept. 2
X
$
60.00=
$
0

Thursday Media Literacy August 6 to Sept 3
X
$
60.00=
$
0

Fridays GirlSTART Literacy for girls 6-8. for 5 weeks August 7 to Sept 4
X
$
60.00=
$
0

Fridays Economic Literacy for girls 9-13. for 5 weeks August 7 to Sept
X
$
60.00=
$
0

Single Sessions Please choose the number of sessions. Chooses your sessions from those listed below
X
$
20.00=
$
0

Final Total:
$
0

Individual Activities

(Only select if choosing Single Sessions)

 

Monday Allies in Action (anti-bullying, communication and leadership activites) Allies in Action

 

Tuesday OPERATION SMART (STEM related activites) OPERATION SMART

 

Wednesday Mind+Body (self-esteem, mind, body and spirit) Mind+Body

 

Thursday Media Literacy (media and social media message activites) Media Literacy

 

Friday GirlSTART Literacy girls 6-9 GirlSTART

 

Friday Economic Literacy girls 10-13 (money message activities)

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 Information

Additional Comments
Powered by eTapestry