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 |
|
|
 Basketball |
Basketball |
Volleyball |
|
|
Volleyball |
Volleyball |
Basketball |
| Advanced Track |
|
Multi-Sport (new) |
|
|
|
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
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________________________
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
