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 |
Track & Field |
Gymnastics |
Volleyball |
Basketball |
Volleyball |
Volleyball |
Advanced Track |
Wilderness |
Basketball |
Volleyball |
Basketball |
Basketball |
Equestrian |
Equestrian |
Equestrian |
Soccer |
||
Soccer |
Cross Country |
||||
Judo |
|||||
Elementary |
Check/Mark
your choice of Camp in the table above.
PleaseCheck/Mark
the Enclosed Amount (CAD Funds):
DEPOSIT ($259)
FULL FEE ($484 or $599 Equestrian)
N.W. ONT. ONLY: BUS
Yes
No
First Name_____________________Last Name______________________________
Date of Birth_______________________Returning Athlete
Yes
No
M
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:
S
M
L
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________________________
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

