Sign me up - CYOA Camp | Acton Nanaimo

Child's full legal name

Child's Birthday

Parent/Guardian legal name

Parent/Guardian Email address

Parent/Guardian Phone Number

Secondary emergency contact person and relation to child

Secondary emergency contact person phone number

Are there any medical conditions we should be made aware of?

I understand that I must pay $300 to secure my child's spot in the camp and that this is not eligible for refund within 14 days of camp start date (March 10 2025). Please send e-transfers to hello@actonacademynanaimo.ca to secure your spot today!

Yes

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