Frost Centre Institute
   
FCI Summer Camp Registration FormPlease 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)
Advanced Environmental Science

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 ChoiceSecond Choice
Session 1 July 4 to July 17 July 4 to July 17
Session 2 July 18 to July 31 July 18 to July 31
Session 3 Aug 1 to Aug 14 Aug 1 to Aug 14
Session 4 Aug 15 to Aug 28 Aug 15 to Aug 28

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).
3. Campers should not select the Scuba option if they are applying for an Ontario Secondary School credit, as both of these options demand considerable time.

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.