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News & Events
OPAS 100th Anniversary Celebration
Agawa Canyon Tour Train
Event Calendar
Venue Rental
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Explore
Exhibits
Education
Field Trips
Learning Labs
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Programs
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Fifty-Five Plus at The Bushplane
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Bushplane Summer Camp Registration
Child's Information
Child's Name
(Required)
First
Last
Child's Date of Birth
(Required)
MM slash DD slash YYYY
Gender
(Required)
Gender
Girl
Boy
Rather Not Say
Allergies, medical conditions or special requirements.
(Required)
Child's Portrait
(Required)
Please upload a photo of your child for identification purposes.
Accepted file types: jpg, jpeg, png, gif.
Parent/Guardian Information
Parent/Guardian's Name
(Required)
First
Last
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
(Required)
Alternate Phone Number
Email
(Required)
Enter Email
Confirm Email
Emergency Contact and Pick Up
Emergency Contact
If different than the parent/guardian listed above.
First
Last
Emergency Contact Number
If different from that of the parent/guardian above.
Relationship
(Required)
Parent
Guardian
Other
Approved Pick Up
Please list anyone else who is authorized to pick up your child.
Are you a member or CBHC employee?
(Required)
Yes
No
Select Camp
(Required)
Reasons for Hope ( Aug 26-30)
Select All
Select Camp Member
(Required)
Reasons for Hope (Aug 26-30)
Select All
Do you permit the Canadian Bushplane Heritage Centre to take photos/videos of your child at Summer Camp for marketing purposes?
(Required)
Yes
No
Terms & Conditions
(Required)
I’ve read the camp booking policies and understand the terms and conditions.
Extended Hours
(Required)
Please indicate the number of weeks for which you require extended hours. Extended hours are from 8:30am to 4:30pm.
Not applicable
1
2
3
4
5
6
7
HST
Price:
$ 0.00 CAD
Total
Credit Card
(Required)
Card Details
Cardholder Name
Untitled
First Choice
Second Choice
Third Choice
Email
This field is for validation purposes and should be left unchanged.