Registration - Day Camp 2026

Child's first name

Child's last name

Birthday

Month

Day

Year

Age at the time of day camp

Multiline address

Country/Region

Address

City

Zip / Postal code

Please tick the camp days for which you wish to register your child:

Name of the first parent

Phone

Email from the first parent

Name of the 2nd parent

Second parent's phone number

Email from the 2nd parent

Emergency contact person

Emergency contact phone number

Link with the child

Allergies (if applicable):

My child has (check if applicable):

Asthma

Epilepsy

Diabetes

HIV

Incontinence

Major vision problems

Skin sensitivity

Others

Medical conditions:

Child's health insurance number

I authorize the camp staff to administer to my child, if necessary, one or more of the following medications:

Acetaminophen (Tylenol, Tempra, etc.)

Antihistamine (Benadryl, Claritin, Allegra, Reactine)

Anti-inflammatory (ibuprofen - Advil, Motrin)

Antibiotic (Polysporin, Neosporin, Baciguent)

Antiemetic (Gravol)

Cough syrup

Her own prescription medication (provided by the parent)

Name of the prescription medication

Other dietary recommendations or restrictions:

Permission to take photos during activities.

(These photos may be used for promotional purposes).

Single choice:

Yes

No

IMPORTANT - By signing this form, I authorize medical staff and camp officials to provide first aid in case of emergency.

If none of the responsible persons mentioned on this form can be reached, I authorize the hospital to perform emergency surgery (if necessary only).

I agree to provide any new medical information concerning my child before the scheduled date of camp.

Please tick the box on the left.

Electronic signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Information for the tax receipt - Statement 24

Childcare Expenses - Revenu Québec

Parent's name (who will receive the tax credit)

Full address:

N.A.S.

By clicking "Continue", you will automatically

directed to the payment page.

Cancellation penalties: After your child's first day of registration, a cancellation penalty will be applied (the lesser of $50 or 10% of the cost of services not received). However, if you only wish to reschedule a registration, we will try to accommodate you based on availability on your preferred date.