Temp Test

Date:*
Name of Participant*
First Last
Age*
Date of Birth*
Date Format: MM slash DD slash YYYY

Name of Parent/Guardian*
First Last
Phone*
Email*
Enter Email Confirm Email

Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How did you hear about GO?
Guardian Permission*
I agree
I declare that my child(ren)’s health is suitable for day camp activities, and have let staff know of ways they can support my child(ren) in having a life-giving experience at camp. I agree that by clicking the Zoom link sent out at registration that I am allowing my child(ren) to enter into a virtual format and will agree to not hold staff or volunteers of The Go Project, Islington United Church or of the host congregations liable for accidents or misfortune that may occur to the child (knowing that every precaution shall be taken by staff to ensure my child’s welfare and safety).
Photo Release*
Yes
No
I give permission for photographs of my child to be used in promotional material.
Would you like to receive further information from The GO Project?*
Yes
No
How can we make virtual camp the best experience for your child(ren)?
Children's Virtual Camp
Single Session ($40 each)
Three Sessions (3 for $100)
Paying by cheque is also acceptable payment.
Total
$ 0.00 CAD
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Phone
This field is for validation purposes and should be left unchanged.

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