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Legion Athletic Camp
At The International Peace Garden - Canada’s Best Sports Camp

Registration Form Printed

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.

Click Here to read the Registration Notes 

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

image   Track & Field

image Basketball image Basketball image Volleyball

image  Gymnastics

image Volleyball image Volleyball image Basketball
image Advanced Track image

     Multi-Sport (new) 

    Soccer

image   Judo

 

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

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

image DEPOSIT ($250)  image FULL FEE ($529)  image RETURNING ATHLETE FEE ($519, if paid by June 1st)

 

First Name_____________________         Last Name______________________________

Date of Birth_______________________  Age (as of July 1st) _______   imageimage F       

Returning Athlete    image Yes image No                                         

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.

Please mail your registration form and deposit or full fee to:

REGISTRAR LEGION ATHLETIC CAMP
365 Lynbrook Dr. Winnipeg, MB R3R0T2
PHONE: 1-204-305-0991

 

Click Here to read the Registration Notes


Contact From jULY TO aUGUST:

Manitoba:
1-204-534-6133

 

Other:
1-701-263-4965