Online Application

Complete the online registration form below and submit it or download the registration form and complete it by hand. 
A $50 deposit is required.  The balance is payable on the first day of camp.

First Name : *
Last Name : *
Age : *
Gender : *	----MaleFemale
Address : *
City : *
Postal Code: *
Phone Number : *
Email Address : *
Emergency Contact Name : *
Emergency Contact Number : *
Health Card Number :
Favourte Sports :
Sport wished to learn more about :
Week Desired *	Week 1 - July 6 - 10  Week 2 - July 13 - 17
Waiver: We the participant and parent/guardians acknowledge that we have read and agree to the waiver.	Yes
Please type the letters and numbers shown in the image.
	Click the image to see another captcha.

Our best efforts will be made to place your child in the preferred week.

For further information call: (519) 857-2173 or Email: Info@sportsrocksportscamp.com