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 8 - 12  Week 2 - July 15 - 19  Week 3 - July 22 - 26  Week 4 - July 29 - Aug 2  Week 5 - Aug 6 - 9 (Trip Week)
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.
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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