ACE Summer Camp Registration - Elevate Aviation Learning Centre

Number of Registrations

* Prices include 5% GST

Camper Details

Camper Name*

First Last

Camper Preferred Name

Camper Pronouns

Camper Date of Birth*

Camper Email Address

Camper Phone

Does the camper have any allergies, medical issues or special needs?*

YES

Camper Details

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Camper #2 Name*

First Last

Camper #2 Preferred Name

Camper #2 Pronous

Camper #2 Date of Birth*

Camper #2 Email Address

Camper #2 Phone

Does camper #2 have any allergies, medical issues or special needs?*

YES

Camper #2 Details

Camper #3 Name*

First Last

Camper #3 Preferred Name

Camper #3 Pronous

Camper #3 Date of Birth*

Camper #3 Email Address

Camper #3 Phone

Does camper #3 have any allergies, medical issues or special needs?*

YES

Camper #3 Details

Parents or Guardian Information

Parent or Guardian Name*

First Last

Parent or Guardian Phone*

Parent or Guardian Email Address*

Enter Email Confirm Email

Additional Contacts

Emergency Contact Name*

First Last

Emergency Contact Phone*

Do you want to list additional people allowed to pick the camper up?*

YES

Pick Up Name #1*

First Last

Pick Up #1 Phone*

Pick Up Name #2

First Last

Pick Up #2 Phone

Payment Details

Billing Name*

First Last

Billing Address*

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

Disclaimers & Acknowledgements

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Price include 5% GST.

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The Elevate Aviation Group

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Camper Details

Parents or Guardian Information

Additional Contacts

Payment Details

Disclaimers & Acknowledgements

Payment

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