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)

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 1June 22 to July 05June 22 to July 05
Session 2July 06 to July 19July 06 to July 19
Session 3July 20 to August 02July 20 to August 02
Session 4August 03 to August 16August 03 to August 16
Session 5August 17 to August 30August 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.