Enroll - Paramount Study

Camp Enrollment Form

consent and (Year-Month-Date)

Camp

Which camp are you interested in taking?

Camper's Name

First

Last

Gender

Male
Female

Date of Birth (Year-Month-Date)

Address

Parent's Name

First

Last

Phone Number

Email Address

Select Camp Week

Emergency Contact's Phone Number

Social Insurance Number of the Parents (SIN) (Be sure to give the correct number for the R24)

Camper's Medical Number

Expiration Date

Please provide any additional specifications, including medication dosage, known allergies, and preferences for camp activities./ Veuillez fournir toute autre spécification, y compris la posologie des médicaments, les allergies connues et les préférences pour les activités

By signing below, you give your consent for Paramount Study to take and use photographs and/or video recordings of your child for the purposes described above. You understand that these materials may be used for promotional and educational purposes, including but not limited to the camp website, social media, advertisements, and newsletters.

I agree
I disagree

Payment Method

E-transfer (to info@paramountstudy.org)