Film Camp for Kids

Film Camp for Kids

Youth Registration

Thank you for registering with Film Camp for Kids & Youth. Due to COVID-19, we are only offering virtual programming at this time.

The Registration Form is required for every participant. Per Privacy Legislation, all information is held confidentially.

Once complete, press SUBMIT – a copy is sent to your in-box. If you do not receive it, email us at info@filmcampforkids.com.

Pressing SUBMIT will take you to PAYMENT OPTIONS.  Because Paypal has a 3.5% fee charged back to the registrant, mail and e-transfers are preferred.

Refunds can be made available with a one week notice for us to reopen your reserved space. Class credit can be given for less time. Refunds do not include Paypal fees.

  1. Interac/e-Transfer – info@filmcampforkids.com
  2. Mail – Film Camp for Kids & Youth, Treasurer, c/o 150 Randolph place, Windsor, ON N9B 2T3.Make cheques payable to: FILM CAMP FOR KIDS.
  3. Paypal

REGISTRAION FORM

PLEASE VERIFY THAT ALL BOXES WITH A STAR (*) ARE FILLED IN BEFORE PRESSING SEND.

PARTICIPANT AND CLASS REGISTRATION INFORMATION - YOU WILL NEED TO DECIDE CLASSES AND DATES BEFORE FILLING THIS OUT
Last Name*
First Name*
Nick Name
Birthdate*
Gender*
MF
Age*
Grade*
School*
Address*
City*
Post Code*
Email*
Class Name, Date and Cost #1*
Class Name, Date and Cost #2
Class Name, Date and Cost #3
Class Name, Date and Cost #4
Class Name, Date and Cost #5
Class Name, Date and Cost #6
Class Name, Date and Cost #8
Class Name, Date and Cost #9
Class Name, Date and Cost #10
Class Name, Date and Cost #11
Class Name, Date and Cost #12
Class Name, Date and Cost #13
Class Name, Date and Cost #14
Class Name, Date and Cost #15
Total Owing* ($125 for Filmmaking Week 1; $100 for Additional Fimmaking Weeks; $25 for 1st one hour Tutorial; $15 for additional 1-hour Tutorials; $45 for 3-hour series; $285 for Robotics per week+ $113 for supplies; $285 for Math per week)*
MEDICAL INFORMATION
Health Card Number
Doctor's Name*
Doctor's Office Address*
Doctor Phone Number*
Allergies - required*
YesNo
If yes, please specify any prescriptions and/or instructions required.
Are there any other medical or behavioural conditions we should be aware of? If yes, please specify:
Carries EpiPen -required*
YesNo
Wears Medic-Alert Bracelet - required*
YesNo
For
EMERGENCY or PARENT GUARDIAN (if under 18) CONTACT INFORMATION

PRIMARY CONTACT

First Name*
Last Name*
Gender*
MF
Home Phone*
Work Phone
Cell Phone
Address*
City*
Postal Code*
Email*
Relationship to Registrant*

SECONDARY CONTACT

First Name
Last Name
Gender
MF
Home Phone
Work Phone
Cell Phone
Address
City
Postal Code
Email
Relationship to Registrant

I have read and understand the Code of Conduct
I have read and understand the Parental/Guardian Permission
I have read and understand the Assumption of Risk and Indemnifying Release
I have read and understand the procedure in case of a Medical Emergencies
I have read and understand the Photo and Video Consent, Assignment and Release Form

 

 

 

Film Camp for Kids & Youth is a non-profit program operated by the Windsor centre for Film, Digital Media and the Creative Arts.