Malcolm's PA Day Camp

Home

Who We Are
       Welcome from Pastor Del
       Vision & Core Values
       What We Believe
       Our Staff Team
       Our History

Connecting
       I'm new to Freedom...
       Connecting Point
       Kids

Youth
       Connecting Events
       Announcements & Info

Training
       Messages
       Learning to Lead (LTL)
       Life Transformations Unlimited

Impacting
       Serving - Finding Your Fit
       Missions
       Malcolm's Camps
       Freedom Comm. Centre
          Kids Soccer
          School of Music

Sunday, May 20, 2012

You Are Here: / /

Here's what you need to know - please read before registering!

Registrations can be submitted online, payments will be processed through . (Paypal account is not required.)

Costs are: $15/child due upon registration. This payment is non-refundable.

This Medical Release and Waiver Form must be signed and returned on or before the first day of camp. Failure to provide a signed copy of this form will prevent your child from being able to participate in camp.

Click here to download the Medical Release and Waiver Form.

Registrations can be submitted online, payments will be processed through . (Paypal account is not required.)

Costs are: $15/child due upon registration. This payment is non-refundable.

Click here to download the Medical Release and Waiver Form.

Malcolm's PA Day Registration Form

Participant Registration

Last Name*

First Name*

Birth Date (MM/DD/YYYY)*

Grade*

Gender*

Medical Conditions or Special Needs

Camp Selection*
June 1
If you have an Additional Participant to register, please expand the Additional Participants form below using the + symbol. If not, please continue to the Parent/Guardian Information section.
Additional Participants

Additional Participant #1 (These fields are not required and can be left blank if not needed.)
Last Name

First Name

Birth Date (M/D/YYYY)

Grade

Gender

Medical Conditions or Special Needs

Camp Selection
June 1
Additional Participant #2 (These fields are not required and can be left blank if not needed.)
Last Name

First Name

Birth Date (M/D/YYYY)

Grade

Gender

Medical Conditions or Special Needs

Camp Selection
June 1
Parent/Guardian Information

Last Name*

First Name*

Email*

Confirm Email*

Street Address*

City*

Postal Code*

Home Phone*

Cell Phone

Work Phone

The Medical Release and Waiver Form is accessible by clicking this link and will be attached as a PDF file to your confirmation email.
I will read, sign and return the Medical Release and Waiver Form to Freedom Church on or before the day of camp.*
Yes No

1643 Bleams Road, Kitchener, ON, N2E 3X8 . 519-741-5675 . info@freedomkw.com