CAMP CONTACT:
Winter Camp for kids in Canada
Dates:
Sunday March 1st (5pm)
to
Friday March 6 (5pm)
Camper information
Your email address
Camper's family name
Camper's first name
Sex
Male
Female
Date of birth
(Click on the arrow
)
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Nationality
Parent responsible for the child's stay at Ekocamp:
Family name
First name
Personal title
Select from list
Mr.
Mrs.
Dr.
Ms.
Postal address
City
State or province
Zip or postal code
Country
Home telephone
(with country and area code)
Office Telephone
Cellular telephone
Fax
Previous camping experience (any camp)
Yes
No
If yes, for how many weeks?
In which language should we communicate with parents?
English
Spanish
French
Do you intend to drive your child to camp?
Yes
No
Don't know yet
Do you intend to pick up your child from camp?
Yes
No
Don't know yet
Payment of deposit
To reserve the chosen sessions a CAD $250 deposit (deductible but not reimbursable) is required for each camper.
Select a method of payment
Credit card on line (Secure site)
Credit card payment by fax
Comments:
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