Camp Registration

Parent or Guardian

Parent/Guardian Name*

First Last

Address*

Street Address City Postal Code

Phone*

Email*

Relationship to child*

Emergency Contact 1

Name*

Contact Number*

Relationship*

Emergency Contact 2

Name*

Contact Number*

Relationship*

Child Attending

Child Name*

First Last

Name Goes By

Birthdate*

Pronoun

Medical Number

Family Doctor

Allergies/Medication

Can they self administrator meds?*

Yes
No
N/A

Medical Condition/Exceptional Behaviours:

Registration Options

Register for an entire week
Register for individual days

Pay by the week

Choose which weeks you are registering for

July 6-10
July 13-17
July 20-24
July 27-31
Aug 4-7 (4 days)
Aug 10-14
Aug 17-21
Aug 24-28

Pay by the day

Choose which days you are registering for

Email Newsletter

Sign up to receive email news about upcoming LRCC events and programs

Camp Registration Cost

Total

$ 0.00 CAD

Payment Method*

Your spot won't be guaranteed until full payment has been received.

I'll pay online now using my credit card
I am applying for subsidy from LRCC

Camp Registration

Summer Camp Registration - 2026

Parent or Guardian

Emergency Contact 1

Emergency Contact 2

Child Attending