To Reserve your spot today please fill out the on-line registration form below. Spots are confirmed upon payment received.

Methods of Payments:

E-Transfer us at : ultimatecampinfo@gmail.com

Mail/drop off Cheque at: 187 Moorland Crs, Ancaster, Ontario, L9K 1P1

Please fill out separate registration forms for each child/sibling.

ON-LINE REGISTRATION FORM:

CAMP(s) SELECTION *

Please Check Session(s)

March Break 2017

Summer Camp 2017

Combo - March & Summer Camps 2017

Method of Payment *

E-Transfer

Cheque (mail)

Other - will email/call to co-ordinate

Name of Camper *

Name of Camper

First Name

Last Name

Gender *

Male

Female

Grade *

Current or Finished

School *

Shirt Size *

Can not guarantee shirt size if registering within 2 weeks of camp dates.

Any Allergies, medical conditions, or other concerns

Name (Parent/Guardian) *

Name (Parent/Guardian)

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address *

Emergency Contact Name and Number:

Parent/Guardian Authorization and Release: I/We approve my child's participation to the above activity (Ultimate Camp) and authorize the directors act in their best judgment in any emergency requiring medical attention. I/We understand that our child participate at his/her own risk & fully relieve the camp, its owners, agents, volunteers & representatives from all claims pertaining to loss or damage to the camper's personal property or injuries sustained while at camp. Photographs of campers may be taken at any time and used for future promotional use online or in print. *

Parent/Guardian signature in box below - Type in name to represent signature

E-Transfer Password - Case Sensitive (only if using E-Transfer)

PLEASE INCLUDE CHILD'S FULL NAME ON THE ETRANSFER

Please Note: cancellation will result in a credit refund only. Your Cashed Cheque/E-Transfer will be confirmation of registration.