Kids March Break Trip

Location : Pioneer Camp
Date: Saturday, March 14th to Monday, March 16th
Who: Grades 3-6

Early Bird Deadline: January 7th is $200
Regular Deadline: February 7th is $230

Number of Children

Max of 3

Child #1

Name

First

Last

Grade

Gender

Male
Female

OHIP Number

Allergies

Medical History or Conditions

Parent Info

Parent Name

First

Last

Address

Address Line 1

City

State / Province / Region

Phone

Consent

The Church has invested every effort to ensure that our services are conducted in the safest possible way. Coming to this trip is a choice for you. If you continue with this registration, you indicate that you understand the risks involved and will not hold the Church responsible for any illness or medical complications that may occur.

Coupon

When you submit the form, we'll take you to PayPal to make the payment. Please note that your place on the trip is not reserved until payment is made.

Total

$0.00

St. George & St. Rueiss Coptic Orthodox Church

Child #1

_________________________________________________________________________________________________________________

Child #2

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Child #3

Parent Info