Gurteen Summer Camps

Gurteen Summer Camps

Complete the form below to sign up for the GURTEEN SUMMER CAMP: July 15th - 19th.
Childs Name 1

First NameLast Name
Childs Name 2

First NameLast Name
Childs Name 3

First NameLast Name
Parents Name

First NameLast Name
E-mail
Phone Number:

Area CodePhone Number
Child 1 Birth Date:

MonthDayYear
Child 2 Birth Date:

MonthDayYear
Child 3 Birth Date:

MonthDayYear
Which group are you booking into. Tots OR Juniors/Teens.
Any allergies / medical conditions?
Do you allow your child to be photographed / videoed at class to be used on the Jiving Juniors Facebook page?

YesNo
Once you submit your application, Sandra will contact you to confirm your booking. If you have any queries regarding the camp, payment etc she will answer them then.

Thank you!
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