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Select your program and fill out the required information
For Registration related questions, email Registrar@sackawa.ca
Learn about Sackawa's other programs here

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

Week-long Programs
(choose week from selection in form)

*Please ensure correct week is selected
as we get charged processing fees, which cannot be refunded. For any corrections to dates, please call or email.

Week-long Program

(choose week below)

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

Select Item for payment

July 4-8 - C$300

July 11-15 - C$300

July 18-22 - C$300

July 25-29 - C$300

August 2-5 - C$240

August 8-12 - C$300

August 15-19 - C$300

I have read and agree to theRefund Policy

I have read and agree to the terms of the WAIVER

PARENT EMAIL (required for communications)

Contact

159 First Lake Drive

Lower Sackville, NS B4C 3J9

Tel: 902-252-7225

info@sackawa.ca

Enter Your Name

Enter Your Email

Enter Your Subject

Message

Thanks for submitting!

Select your program and fill out the required information For Registration related questions, email Registrar@sackawa.ca Learn about Sackawa's other programs here

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