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Summer Day Camp Registration 2024

Child's Information
Contact Information

Parent/Guardian (1):

Parent/Guardian (2):

Emergency Contacts(s) (if parent/guardian cannot be reached)

Who other than the child's parent/guardian has permission to pick the child up from the program?

Behaviour and Health History
Please note:

We can accommodate one camper per week who requires one on one support. Please contact Caroline Wall at for more information. You will be required to complete an additional form to allow us to better support your child.

Additional Information
Parent Policy and Procedures Agreement

I have read the policies and the procedures for the YMCA of Cape Breton Summer Camp. This includes the behaviour guidance policy, fee structure, health, and attendance policies. I understand my responsibilities as a parent / guardian and agree to abide by these policies and procedures.

You can view the handbook here.
Outside Expeditions
Emergency Medical Attention
Photo Media Release The YMCA receives occasional requests from the media for photographic, audio, or videotape material of YMCA of Cape Breton Children and Youth Department programs and activities. When agreeing to these requests, the YMCA will attempt to notify parents, and obtain permission for specific media events, but because of the time factor, this is not always possible. We ask that you be aware that this may occur, and that you discuss with the Manager of child and Youth Programs and concerns you may have regarding your child/family and the media.
If you select YES, you'll be directed to fill out a financial assistance application after submitting this form.