Full summer | Sackawa

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Full Summer Program
Program starts July 4th and ends August 26th

JOIN WAITLIST FOR U10 BOYS

Sign-up Full Summer Program

Summer Program Costs

$850 (+$350 for U10)

*The $350 for U10 is mandatory for full-day supervision

Paddler First Name

Paddler Last Name

Paddler Gender

Paddler Date of Birth

Paddler Health Card #

Select an option

New Paddler

Returning Paddler

Paddler Medical Conditions

Paddler Allergies

Medications required for Paddler

Storage of Medications

Anaphylaxis?

Epipen?

Yes

No

Emergency Contact #1 Name

Emergency Contact #1 Phone number

Emergency Contact #2 Name

Emergency Contact #2 Phone number

Mother Name:

Mother Phone Number

Father name

Father Phone Number

#1 Authorized to Pick-up

#2 Authorized to Pick-up

#3 Authorized to Pick-up

My Child is authorized to walk home

Yes

No

My child is allowed off premises during the day

Yes

No

I agree to allow photos to be taken of my child for club promotion

Yes

No

PARENT EMAIL (required for communications)

I am inteested in volunteering in the following capacity:

BBQ

Canteen

50/50

Board of Directors

Lawn Mowing

I am not interested in volunteering

Select Item for payment

Full Summer Program (age 11+) - C$850

Full Summer Program GIRLS ONLY(age 8-10) - C$1200

I have read and agree to theRefund Policy

I have read and agree to the terms of the WAIVER

Contact

159 First Lake Drive

Lower Sackville, NS B4C 3J9

Tel: 902-252-7225

info@sackawa.ca

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Message

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Full Summer Program Program starts July 4th and ends August 26th

Sign-up Full Summer Program

Full Summer Program
Program starts July 4th and ends August 26th