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@mounthopesports.ca
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(289) 683 9351
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June 22 - Aug. 24 from 9am - 3pm
Registration
Day Camp
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Age
(4 to 12 yrs) - Two Weeks (July 7-11 and 14-18)
Name
*
First
Last
Date Of Birth
Gender
Male
Female
Parent / Guardian Name
Phone
Email
*
Permission to Administer Medication in Emergency
Yes
No
OHIP Number
Allergies or Other Medical Conditions
Birth of Name
In Case of Emergency
Permission to Call 911 in case of Emergency
Message
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