Legion Athletic CampLegion Athletic Camp - International Peace Garden

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TO REGISTER:  COMPLETE THE REGISTRATION FORM, ENCLOSING A $259.00 DEPOSIT OR FULL FEE OF $484.00 OR $599.00(EQUESTRIAN CAMP).  PRINT AND COMPLETE THE CHILD SAFETY POLICY AND RELEASE.  PRINT AND COMPLETE THE APPROPRIATE HEALTH RECORD FORM DEPENDING ON WHERE YOU LIVE AND MAIL TO ONE OF THE ADDRESSES BELOW AND YOU WILL BE FULLY REGISTERED FOR THE 51ST ANNIVERSARY CAMP.

Click Here to read the Registration Notes 

Athletes may select only one Camp per week.

Registration Fee: $484.00 per week ($599 for Equestrian) All prices are in Canadian (CAD) Funds.

* N.W. Ontario charter buses available to the Peace Garden at an additional cost.

July 8-14 *July 15-21* *July 22-28* *July 29-Aug 4* Aug 5-11 Aug 12-18
Week 1 Week 2 Week 3 Week 4 Week 5 Week 6
image Track & Field image Gymnastics image Volleyball image Basketball image Volleyball image Volleyball
image Advanced Track image Wilderness image Basketball image Volleyball image Basketball image Basketball
image Equestrian image Equestrian image Equestrian image Soccer
image Soccer image Cross Country
image Judo
image Elementary

 Check/Mark image your choice of Camp in the table above.

PleaseCheck/Mark image the Enclosed Amount (CAD Funds):

image DEPOSIT ($259)  image FULL FEE ($484 or $599 Equestrian)

N.W. ONT. ONLY: BUS image Yes image No

First Name_____________________Last Name______________________________

Date of Birth_______________________Returning Athlete    image Yes image No  imageimage F


Address_____________________________City____________________Prov______

Postal Code__________________________

Name of Parent/Guardian_____________________________________________

Address________________________________________(if different from above)

Phone: Home_____________________Business_______________________

Cell__________________________________(Please circle the phone number where we can reach you while your child is at camp)

E-Mail address:__________________________________________________

School_______________________________________Grade______________

Adult T-Shirt Size: image S image M image L image XL

PRIVACY DECLARATION:

The Legion Athletic Camp requires the information collected on this form, and the medical form, and any other medical information subsequently provided, in order to process the athlete's registration at Camp. All information provided to the Legion Athletic Camp will be handled in accordance with Legion Athletic Camp's privacy policy. The use of the information collected on this form will be restricted to the processing of registrations, as part of applications to funders, to administer programs and activities, processing payments and payment collection. Legion Athletic Camp may use the information on this form for the purpose of gathering statistics, and reporting its activities to the public, its funders, government agencies and the Board of Directors. The information collected on the medical form, and any medical information subsequently provided, will only be used as indicated on the medical form. The Legion Athletic Camp will not otherwise disclose your personal information or the personal information of the athlete to third parties with the exception of where it is required to do so by law, or where express consent has been otherwise provided by you.

By completing and signing this form, you have consented to the collection, use and disclosure of your personal information for the purposes specified in the PRIVACY DECLARATION above.

 

Date:_______________ Signature of Parent/Guardian________________________

 

CLICK HERE TO PRINT THE CHILD SAFETY POLICY AND RELEASE AND RETURN IT WITH YOUR REGISTRATION FORM AND HEALTH RECORD.

 

CLICK HERE TO PRINT THE MANITOBA HEALTH RECORD FORM AND RETURN IT WITH YOUR REGISTRATION FORM AND CHILD SAFETY POLICY AND RELEASE.

CLICK HERE TO PRINT THE ONTARIO HEALTH RECORD FORM AND RETURN IT WITH YOUR REGISTRATION FORM AND CHILD SAFETY POLICY AND RELEASE.

 

CLICK HERE TO PRINT THE HEALTH RECORD FORM IF YOU ARE NOT FROM MANITOBA OR ONTARIO AND RETURN IT WITH YOUR REGISTRATION FORM AND CHILD SAFETY POLICY AND RELEASE.

CLICK HERE TO PRINT THE EQUESTRIAN WAIVER FORM AND RETURN IT WITH YOUR REGISTRATION FORM, HEALTH RECORD FORM AND CHILD SAFETY POLICY AND RELEASE.

If you are registering from Manitoba, or from any location other than Ontario, please mail your registration form and deposit or full fee to:

LEGION ATHLETIC CAMP
BOX 35028, HENDERSON RPO
WINNIPEG MB R2K 4J9
PHONE: 1-204-661-5448

If you are registering from Ontario, please mail your registration form and deposit or full fee to:

LEGION ATHLETIC CAMP
SUITE 231-307 EUCLID AVENUE
THUNDER BAY ON P7E 6G6
PHONE: 1-807-577-5396

 

Click Here to read the Registration Notes