Online Registration





Awana Winter Camp Online Registration Form

Awana Winter Camp Application Form

Friday, January 19th @ 6pm - Sunday, January 21th @ 3pm 2018
  • CAMPER INFORMATION
  • First Name
    Last Name
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  • First Name
    Last Name
  • CONTACT INFORMATION
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  • CLUB INFORMATION
  • First Name
    Last Name
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  • First Name
    Last Name
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  • EMERGENCY CONTACT
    Must be someone other than parent/guardian. In case of an emergency, we will contact the parent/guardian first before contacting this person.
  • First Name
    Last Name
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  • MEDICAL HISTORY
    In the event of an emergency
  • First Name
    Last Name
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  • Required every 10 years
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  • List foods being brought to camp
  • Check and give details below
  • Do not send your child to camp if exposed to contagious disease or head lice within 2 weeks prior to camp!
    Campers who arrive with head lice or contagious disease will be sent home immediately.
  • MEDICAL RELEASE
  • CAMP HEALTH CARE PROVIDERAND FIRST AID ARE PROVIDED AT ALL TIMES WITHOUT CHARGE
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  • WAIVERS
  • DESIGNATED PICK UP
  • FEES AND ADMINISTRATION INFORMATION
  • Camp Cost: $120
    $20 Non-Refundable Administration Fee + $100 Camp Fee

    Mail total camp fee before December 1, 2017 to: AWANA WINTER CAMP ADMINISTRATOR, 136 Burns St, Strathroy, ON, N7G 1E8

    Cheques post-dated for no later than January 23, 2017 will be accepted

    Please make cheques payable to AWANA-ONTARIO SCHOLARSHIP CAMP
  • PHOTO RELEASE
  • First Name
    Last Name
  • First Name
    Last Name
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  • PAYMENT
    When you click SUBMIT, you will be sent to PayPal to complete the payment of your camper fee.

    If you are paying by cheque, you can close the window after clicking submit.