Summary: ACTIVE MINDS
Summer Day Camps
REGISTRATION FORM
CAMPER PARTICIPANT
PARENT/LEGAL GUARDIAN
EMERGENCY CONTACT
Legal First Name: Last Name: Male Female Birth Date:(MM/DD/YYYY)
Address (suite number, street number and name): Home Phone:
( )
City: Province: Postal Code:
Legal First Name: Last Name: Home Phone:
( )
Work Phone:
( )
Address (suite number, street number and name): Cell Phone:
( )
City: Province: Postal Code: Email:
Legal First Name: Last Name: Home Phone:
( )
Work Phone:

Source: Aukema, Brian - ukema, Brian - Canadian Forest Service & Ecosystem Science and Management Program, University of Northern British Columbia

Collections: Environmental Sciences and Ecology