Girls Camp Registration

Girls Camp

"*" indicates required fields

1Registration Info

2Child Info

3Parent / Guardian Info

4Additional Info

5Payment

Registration Information

Registering For*

How many Kids are you Registering?*

Child Information

Child First and Last Name*

First Last

Age Group*

Age*

Shirt Size*

1st Child Information

Child First and Last Name*

First Last

Age Group*

Age*

Shirt Size*

2nd Child Information

Child First and Last Name*

First Last

Age Group*

Age*

Shirt Size*

3rd Child Information

Child First and Last Name*

First Last

Age Group*

Age*

Shirt Size*

Parent / Guardian Information

First and Last Name*

First Last

Phone*

Email*

Relationship*

Address*

Street Address Address Line 2 City Province Postal Code

Add another parent/guardian?

YES

Other Parent / Guardian Information

First and Last Name*

First Last

Email*

Phone*

Relationship*

Other Parent / Guardian Address*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Active Ummah

info@activeummah.ca