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Please fill in the following information:
Camper Information
Last Name:
First Name:
Date of Birth:
Gender:
Male
Female
School Name:
If your camper qualifies, is he/she interested in the following options:
Counselor-in-training program
Ontario Secondary School Credit
Scuba diving certification program (additional fees apply)
Parent/Guardian Information
Last Name:
First Name:
Relationship:
Address:
(Number, Street, Apt.)
City:
Prov/State:
Postal Code/Zip:
Phone (Day):
XXX-XXX-XXXX
Phone (Eve):
XXX-XXX-XXXX
Select one or more sessions
Preferred Choice
Second Choice
Session 1
June 22 to July 05
June 22 to July 05
Session 2
July 06 to July 19
July 06 to July 19
Session 3
July 20 to August 02
July 20 to August 02
Session 4
August 03 to August 16
August 03 to August 16
Session 5
August 17 to August 30
August 17 to August 30
ONE-WEEK SPECIAL REQUEST
(Indicate which week you are requesting)
Please note:
1. Camp fees are $960 (Cdn) plus PST and GST per week for all sessions.
2. FCI is a validated private school. Campers who meet program requirements and stay for 2 consecutive sessions can earn an Ontario Secondary School credit in Environmental Science (SNC3M), or in Visual Arts (AVI3M) or an inter-disciplinary credit (IDC30).
Deposit
A deposit of $400 is required to secure your registration.
Please send a cheque or money order, payable to FROST CENTRE INSTITUTE, by mail to:
Frost Centre Institute
20130 Highway 35, Box 1049
Minden, Ontario
Canada K0M 2K0
(Please note that we cannot accept post-dated cheques)
To complete the form, read the
Terms and Conditions
and then click on "Submit Registration".
Your submission will be confirmed and within 30 days you will receive a Registration Confirmation Package by regular mail. This package will contain a questionnaire which will give you an opportunity to tell us about any dietary, medical or other special requirements.