TO REGISTER: COMPLETE THE REGISTRATION FORM, ENCLOSING A $250.00 DEPOSIT OR FULL FEE OF $530.00 (OR $520.00 FOR RETURNING ATHLETES PAYING BY June 1ST, 2017). PRINT AND COMPLETE THE CHILD SAFETY POLICY AND RELEASE. PRINT AND COMPLETE THE APPROPRIATE HEALTH RECORD FORM AND MAIL TO THE ADDRESS BELOW AND YOU WILL BE FULLY REGISTERED FOR THE 56th ANNIVERSARY CAMP.
Athletes may select only one Camp per week.
Registration Fee: $530.00 per week ($520, for returning Athletes paying by June 1st, 2017) All prices are in Canadian (CAD) Funds.
|July 16 - 22||July 23 - 29||July 30 - Aug 5||Aug 6 - 12|
|Week 1||Week 2||Week 3||Week 4|
Track & Field
Check/Mark your choice of Camp in the table above.
PleaseCheck/Mark the Enclosed Amount (CAD Funds):
DEPOSIT ($250) FULL FEE ($529) RETURNING ATHLETE FEE ($519, if paid by June 1st)
First Name_____________________ Last Name______________________________
Date of Birth_______________________ Age (as of July 1st) _______ M F
Returning Athlete Yes No
Name of Parent/Guardian_____________________________________________
Address________________________________________(if different from above)
Cell__________________________________(Please circle the phone number where we can reach you while your child is at camp)
Adult T-Shirt Size: S M L XL
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________________________
Please mail your registration form and deposit or full fee to:
REGISTRAR LEGION ATHLETIC CAMP
365 Lynbrook Dr. Winnipeg, MB R3R0T2