Summer Program RegistrationStep 1 of 616%Camper Information Child's Name Child's Date of Birth Gender TotalActions EditDelete There are no Campers. Add Camper Maximum number of campers reached. Camp Registration Total Price: $ 0.00 CAD Family Contact InformationWho has legal custody of the camper(s):(Required) Mother Father Both Parents OtherName of Parent/Guardian 1(Required) First Last Is available for contact while child/children is/are at camp:(Required) Yes NoRelationship to the camper(s):(Required)Address(Required) Address Apt/Unit City Province Postal Code Home Phone(Required)Business PhoneCell Phone(Required)Email(Required) Lives with child/children:(Required) Yes NoHas access to child/children:(Required) Yes NoFamily Information (Continued)Not Applicable Parent/Guardian 2 Not Applicable (i.e. single parent or guardian)Name of Parent/Guardian 2(Required) First Last Is available for contact while child/children is at camp:(Required) Yes NoRelationship to the camper(s):(Required)Address(Required) Same as Parent/Guardian 1 Address Address Apt/Unit City Province Postal Code Home Phone(Required)Business PhoneCell Phone(Required)Email(Required) Lives with child/children:(Required) Yes NoHas access to child/children:(Required) Yes NoEmergency Contacts Emergency Contact Name Relationship to the camper(s):Actions EditDelete There are no Contacts. Add Contact Maximum number of contacts reached. Emergency Contact Minimum(Required) I certify that have added at least ONE valid emergency contact above.Conditions of Registration I have read, understood, and agree to all of the following statements:I give permission for the above named child/children to participate fully both on and off site activities and trips.I give permission for emergency medical treatment to be carried out, should it be required, with the understanding that French 4 Tots Ltd. will attempt to contact me at the telephone numbers listed on this form. Having taken all reasonable precautions, neither French 4 Tots Ltd. nor any organization working with French 4 Tots Ltd. shall be held responsible for any accident or sickness.I give permission for a representative from French 4 Tots Ltd. to share/obtain information about above named child's/chrildren's emergency contact as indicated on this form.I agree to the use of photographs, digital images, video or audio recordings of this child/these children without consideration for the purposes of public education and publicity for French 4 Tots Ltd. I agree that any such photographs, negatives, slides, digital images, video or audio recordings shall be the sole property of French 4 Tots Ltd.The Camp Director reserves the right to send a camper/camper(s) home if in her/his opinion the camper(s) is/are a risk to the safety or rights of others or who appear to have rejected the reasonable expectations of the camp.Refunds are subject to a $15.00 administration fee.There will be no refund for cancellations received 14 days or less from the start of the registered camp session.There will be no reduction or refund of camp fees for campers arriving late, leaving early, or who are sent home.The parents/guardians submitting this application are those having legal custody over the child/children and are legally responsible for the payment of fees and any other expenses incurred by the child/children.I hereby certify that I have read and accept all the above conditions. The application cannot be accepted without parent/guardian signature.I hereby release the camp organizers from all claims arising in the participation in any activity.I acknowledge that French 4 Tots Ltd. is not responsible for lost or stolen articles. French 4 Tots Ltd. collects personal information about participants in its programs to be able to communicate effectively with and provide services to, these participants and the community served by French 4 Tots Ltd. For information about French 4 Tots' Personal Information Policy, please see our website at www.french4tots.ca Completed applications are processed as received, assessed according to need, space availability and at the discretion of the Camp Director. If your application is not accepted, your deposit will be refunded. Applications with missing information will not be processed.eSignature(Required)Date NoteTotal Billing Address(Required) Same as Parent/Guardian 1 Address Street Address City Province Postal Code Credit CardCard Details Cardholder Name