JUNIOR LEADER
First Name
*
Last Name
*
Age at time of camp
*
Email Address
*
Phone Number
*
Health Card Number
*
Allergies/Medical/Behavioural Concerns (if required, please list medications and bring these medication in their original containers to the camp with written instructions on how and when your child should take them):
FINAL DETAILS
Emergency Contact Information (please include Name, Phone Number and email address)
*
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