Day-Camp

@mounthopesports.ca

(289) 683 9351

request Information

Please enable JavaScript in your browser to complete this form.

Age

Name *

First

Last

Date Of Birth *

Gender *

Parent / Guardian Name *

Phone

Email *

Permission to Administer Medication in Emergency *

OHIP Number

Allergies or Other Medical Conditions *

In Case of Emergency

/ Name Conditions

Permission to Call 911 in case of Emergency *

How did you hear about us?

Message

New York