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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
*
/ Medical Emergency
Permission to Administer Medication in Emergency
Yes
No
OHIP Number
Allergies or Other Medical Conditions
In Case of Emergency
Permission to Call 911 in case of Emergency
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