SUMMER DAY CAMP REGISTRATION 2026

SUMMER CAMP REGISTRATION FORM *

Week 1: June 29 & 30, July 2 - 3, 2026 (No Camp July 1st) Week 2: July 6 - 10, 2026 Week 3: July 13 - 17, 2026 Week 4: July 20 - 24, 2026 Week 5: July 27 - 31, 2026 Week 6: August 4 - 7, 2026 (No Camp Aug 3rd) Week 7: August 10 - 14, 2026 Week 8: August 17 - 21, 2026 Week 9: August 24 - 28, 2026 Week 10: August 31 - Sept 4, 2026

Days Offered *

Full week: $250.00 + HST ($282.50) Three days: $165.00 + HST ($186.45) Half days (9-12pm): $137.50 + HST ($155.37) Week 1 & 6 (Short Week) - $200 + HST ($226) Week 2-5 & 7-10 Four days: $220.00 + HST ($248.60) EARLY BIRD PRICING VALID ONLY BETWEEN JAN 1 - FEB 15: Full week: $225.00 + HST ($254.25) (payment due in full before Feb 15th)

Days Required

Monday Tuesday Wednesday Thursday Friday

Before & After Care

8am - 9am ($15 per day) 4pm - 5pm ($15 per day)

Parent/ Guardian Name *

First

Last

Address: *

Phone Number *

Email Address *

Child Name *

First

Last

Age (4-7) *

*school age children only

Age (8-11) *

Gender *

Child Name 2

First

Last

Age (4-7)

*school age children only

Age (8-11)

Gender

Child Name 3

First

Last

Age (4-7)

*school age children only

Age (8-11)

Gender

Emergency Contact Name & Phone Number *

Doctor's Name and Phone Number *

Health Card Information - Child #1 *

Health Card Information - Child #2

Health Card Information - Child #3

Medical Concerns

Does your child have any allergies, medical concerns, or food restrictions that we should be aware of? *

If any please tell me about them here

Does your child carry an EpiPen? *

Anything else you would like to tell us ?

Informed consent agreement: Print Your Name and the date *

I, the undersigned, hereby agree to indemnify and save harmless Willowjays of Sunderland, their/its, instructors, coaches, employees, members against all claims, demands, damages, actions, suits or proceedings arising out of participation of myself/my child, named above, in any camp activity. • I, the undersigned, hereby acknowledge that certain risk of injury are inherent to participation in physical fitness & camp activities. These types of injuries may be minor or serious and may result from one’s own actions, or the actions of others, or combination of both. • I, hereby warrant that my child is physically fit to participate and understand that the choice to participate brings with it the assumption of those risk and results which are part of these activities. • I agree to allow my child to receive basic first aid/medical care from instructors/coaches certified in first aid if necessary. • Willowjays reserves the right to use photographs of members for promotional purposes. If you do not wish your child’s photograph to be taken, please notify Willowjays in writing. • I declare having read and understand the above informed consent agreement in its entirety and hereby consent to participate acknowledging all the foregoing. I also certify that the information provided in this form is, to my knowledge true and complete.

Bill 186, Growing Agritourism Act, 2024: Print your name and date *

WARNING: under Ontario law, an agritourism provider is not liable for the death or injury or illness of a participant in an agritourism activity conducted at this agritourism location if that injury or death or illness results from the inherent risks of that agritourism activity. Inherent risks of agritourism activities include, but are not limited to, the risk of injury inherent to land, equipment and animals as well as the potential for you as a participant to act in a negligent manner that may contribute to your injury or death. You are assuming the risk of participating in this agritourism activity. https://www.ola.org/en/legislative-business/bills/parliament-43/session-1/bill-186

PHOTOGRAPHED TERMS *

I give consent for my child to be photographed for promotional purposes I do not give permission for my child to be photographed

PAYMENT OPTIONS *

(PLEASE TYPE YOUR PAYMENT CHOICE ABOVE) PAYMENT IS DUE IN FULL AT THE TIME OF REGISTRATION TO SECURE YOUR SPOT. All ETF payments are subject to HST. Send ETF payments to renee@willowjays.ca (please put your child's name in the subject line)

FAQS, FEE'S, PROGRAM SCHEDULE *

I have read and understand all FAQS, program scheduling and fee's.