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HOME
Opening Hours
WAIVERS
PHOTOS AND VIDEOS
PRICING AND PROMOS
GIFT CARDS AND MEMBERSHIPS
KIDSAPIA ROBOTIC CAMPS
PARTIES/EVENTS
Happy (10 Kids)
Happier (15 Kids)
HAPPIEST (20 KIDS)
Larger and Private Parties
CONTACT
ABOUT
Rules & Regulations
Community Partnerships
Employment
Full Day, Full Week 1 – July 2 to July 5, 2019 (4 days) – Young Engineers (YE)-STEAM
Full Day, Full Week 1 – July 2 to July 5, 2019 (4 days) – Young Engineers (YE)-STEAM
$
200.00
Child's Name
*
Date of Birth
*
Parent/Guardian Information
Full Name
*
Phone
Email
*
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Emergency Contact
Full Name
Phone
Authorized to pick up (other than names parent/guardian above)
Full Name
Full Name
Relationship to camper (if more then 1 camper is registered on this form)
1.
2.
Child's Allergies
Child's Special Needs/Medical Conditions
Child's OHIP Number
The OHIP number will be required by healthcare providers in case emergency treatment is needed.
PERMISSION FOR KIDSAPIA TO SEEK MEDICAL ATTENTION - I, the undersigned, hereby authorise Kidsapia Inc, its employees, agents or affiliates (including NanK Educators Inc.), to seek medical aid that may be required as a result of an accident or injury sustained by my child/ren.
LIABILITY WAIVER - I, the undersigned, have read, understood, completed and signed the
Kidsapia Inc. liability waiver form
and thereby agree that Kidsapia Inc., its employees, agents or affiliates (including NanK Educators Inc.) shall not be liable for any accident or injury sustained by my child/ren or for any loss or damage to personal property arising from Inc. or in any way resulting from participation in Kidsapia Inc. Camp programs.
Parent/Guardian Name
*
Date
PHOTO PERMISSION and RELEASE (optional) - I give Kidsapia Inc. and its affiliates (including NanK Educators Inc.) permission to photograph my child and/or take video footage. These photographs and/or videos may be used by Kidsapia Inc. or NanK Educators Inc. for marketing and promotional material in Kidsapia Inc. or Young Engineers Greater Mississauga publications, advertisements, customer loyalty material and/or on our website and social media. Names will not be identified with any photo/video images.
Parent/Guardian Name
Date
Please choose options below, and indicate whether you also want extended care before and/or after normal hours. Extended care is $8 per hour, or $18 for AM and PM per day, or $75 for the entire week (AM and PM). To be paid on the day of camp. Additional charge after 6 pm is $20 per hour (min $10)
At bottom, please add any extra notes.
Week 1 - July 2 to July 5, 2019 (4 days) Lego Building
Purchase Option
Full day (full week) - July 2 to 5
Extended Care (Days)
Tuesday, July 2
Wed, July 3
Thursday, July 4
Friday, July 5
Extended Care (Times)
8-9 am
4-5 pm
4-6 pm
Week 2 - July 8 to 12 (5 days) - Performance Arts
Purchase Option
Full day (full week) - July 8 to 12
Extended Care (Days)
Monday, July 8
Tuesday, July 9
Wed, July 10
Thursday, July 11
Friday, July 12
Extended Care (Times)
8-9 am
4-5 pm
4-6 pm
Week 3 - July 15 to 19 (5 days) - Artistic Adventures
Purchase Options
Full day (full week) - July 15 to 19
Extended Care (Days)
Monday, July 15
Tuesday, July 16
Wed, July 17
Thursday, July 18
Friday, July 19
Extended Care (Times)
8-9 am
4-5 pm
4-6 pm
Week 4 - July 22 to 26 (5 days) - Lego Building
Purchase Options
Full day (full week) - July 22 to 26
Extended Care (Days)
Monday, July 22
Tuesday, July 23
Wed, July 24
Thursday, July 25
Friday, July 26
Extended Care (Times)
8-9 am
4-5 pm
4-6 pm
Week 5 - July 29 to August 2 (5 days) - Performance Arts
Purchase Options
Full day (full week) - July 29 to Aug 2
Extended Care (Days)
Monday, July 29
Tuesday, July 30
Wed, July 31
Thursday, Aug 1
Friday, Aug 2
Extended Care (Times)
8-9 am
4-5 pm
4-6 pm
Week 6 - Aug 6 to 9 (4 days) - Artistic Adventures
Purchase Options
Full day (full week) - Aug 6 to 9
Extended Care (Days)
Tuesday, Aug 6
Wed, Aug 7
Thursday, Aug 8
Friday, Aug 9
Extended Care (Times)
8-9 am
4-5 pm
4-6 pm
Week 7 - Aug 12 to 15 (5 days) - Lego Building
Purchase Options
Full day (full week) - Aug 12 to 16
Extended Care (Days)
Monday, Aug 12
Tuesday, Aug 13
Wed, Aug 14
Thursday, Aug 15
Friday, Aug 16
Extended Care (Times)
8-9 am
4-5 pm
4-6 pm
Week 8 - Aug 19 to 23 (5 days) - Performance Arts
Purchase Options
Full day (full week) - Aug 19 to 23
Extended Care (Days)
Monday, Aug 19
Tuesday, Aug 20
Wed, Aug 21
Thursday, Aug 22
Friday, Aug 23
Extended Care (Times)
8-9 am
4-5 pm
4-6 pm
Week 9 - Aug 26 to 30 (5 days) - Artistic Adventures
Purchase Options
Full day (full week) - Aug 26 - 30
Extended Care (Days)
Monday, Aug 26
Tuesday, Aug 27
Wed, Aug 28
Thursday, Aug 29
Friday, Aug 30
Extended Care (Times)
8-9 am
4-5 pm
4-6 pm
Add any notes here:
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Subtotal
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Total
Full Day, Full Week 1 - July 2 to July 5, 2019 (4 days) - Young Engineers (YE)-STEAM quantity
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