Day Camp Registration Form 2008

*Cheques should be made payable to Trafalgar Castle School.

Confirmation of registration will be mailed upon receipt of payment.

Trafalgar Castle School
401 Reynolds St.
Whitby, ON, L1N 3W9

Phone: 905-260-1461
Fax: 905-668-4136

$35.00 Cancellation Fee applicable after June 1, 2008.
NOTE: Post-dated cheques will NOT be accepted.

Your eMail Address
Camper's First Name
Camper's Last Name
Age (at time of camp)
Birthdate
Returning Camper?	Yes   No
Street Address
City
Postal Code
Name of Parent(s)/Guardian(s)
Home Phone #:
Business #
Cellular #
Emergency Contact Name
Emerg. Phone #
Emerg. Business #
Emerg. Cell #
Health Card #
Physician's Name
Physician's Phone #
Medical Concerns / Allergies
Food Allergies / Diet Restrictions
Week 1: July 7 - July 11	Regular Hours - $190.00 Extended Hours - $40.00
Week 4: July 28 - August 1	Regular Hours - $190.00 Extended Hours - $40.00 Private Swimming Lessons - $125.00
Swimming Lesson Time Preference	A.M. (WEEK 4 ONLY!) P.M. (WEEK 4 ONLY!)
Swimming Level
Please group me with:	(Group members must be the same age)