Register | Pea Pods Day Camp

Registration Form

Part 1: Parent Information:

First name

Last name

Primary Phone

Secondary phone

Street Address

Street Address Line 2

City

Postal code

Province

Second parent first name

Second parent last name

Primary Phone

Secondary phone

Emergency contact first name

Primary Phone

Emergency contact last name

Secondary phone

Part 2: Camper Information:

How many children are you enrolling?

Names & ages of each child

Do any of your children have allergies, mental health concerns, or any other medical concerns that we should be aware of?

I understand that I still need to complete a full registration form for each individual child before I will be allowed to leave my child in the care of Pea Pods day camp. This will be sent by email, or it can be filled out in persn on the first day of camp.

I want to subscribe to receive news, discounts, and coupons.

Thanks for registering. See you there!

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