ACE Summer Camp Registration

Number of Registrations

* Prices include 5% GST

Camper Details

Camper Name(Required)

First Last

Camper Preferred Name

Camper Pronous

Camper Date of Birth(Required)

Camper Email Address

Camper Phone

Does the camper have any allergies, medical issues or special needs?(Required)

YES

Camper Details

Please let us know anything that would be helpful

Camper #2 Name(Required)

First Last

Camper #2 Preferred Name

Camper #2 Pronous

Camper #2 Date of Birth(Required)

Camper #2 Email Address

Camper #2 Phone

Does camper #2 have any allergies, medical issues or special needs?(Required)

YES

Camper #2 Details

Camper #3 Name(Required)

First Last

Camper #3 Preferred Name

Camper #3 Pronous

Camper #3 Date of Birth(Required)

Camper #3 Email Address

Camper #3 Phone

Does camper #3 have any allergies, medical issues or special needs?(Required)

YES

Camper #3 Details

Parents or Guardian Information

Parent or Guardian Name(Required)

First Last

Parent or Guardian Phone(Required)

Parent or Guardian Email Address(Required)

Enter Email Confirm Email

Additional Contacts

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Do you want to list additional people allowed to pick the camper up?(Required)

YES

Pick Up Name #1(Required)

First Last

Pick Up #1 Phone(Required)

Pick Up Name #2

First Last

Pick Up #2 Phone

Payment Details

Billing Name(Required)

First Last

Billing Address(Required)

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

Disclaimers & Acknowledgements

Payment

Total

Price include 5% GST.

Credit Card

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The Elevate Aviation Group

Elevate Aviation

Elevate Aviation Learning Centre

Allies in the Workplace

Elevate
Aviation

Elevate Aviation Learning Centre

Allies in the Workplace

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