1 Start 2 Waiver Page 3 Payment 4 Complete Get your kids outside this summer with Get Wild Summer Day Camp and they'll come home stoked, dirty and happy! Camp hours are 9AM-3PM, Monday to Friday and after-camp care runs until 5pm. There will be no refunds within one week of the camp date (minus the $10 registration fee). A registration fee of $10 will be added. If there is no checkbox beside a date, that camp day is full. You must fill out the form again to register another child. Your details First Name * Last Name * Street Address * Street Address Line 2 City * Postal Code * Country * CanadaAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius, and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo, Republic Of TheCongo, The Democratic Republic of theCook IslandsCosta RicaCôte d’IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSerbia and MontenegroSeychellesSierra LeoneSingaporeSint Maarten (Dutch Part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe State/Province * Phone Number * Daytime Phone Number (if different) Email * Alternate Emergency Contact Name * Relationship * Phone * Allergies & Medical Conditions (enter None if none applicable) * Special Instructions Photo permission * I give permission for my child(ren) to appear in photos used by Wildsight or Wildsight Golden for our website or materials used for our organization. Yes No Discount code for subsidy Wildsight Golden reserves the right to send participants home if their behaviour is too disruptive to the camp or if they have health issue that prevent them from participating in camp activities. Participants should be capable of moderate physical activity such as walking for 2 km. Your child First Name * Last Name * Date of Birth * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year2012201320142015201620172018 Year Care Card Number * Aug 19-23 ($50 per day or $190 for the week) Aug 19 Aug 20 Aug 21 Aug 22 Aug 23 Aug 19-23 After-camp care ($20 per day) Aug 19 Aug 20 Aug 21 Aug 22 Aug 23 Second Child First Name Last Name Date of Birth MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year2012201320142015201620172018 Year Care Card Number July 2-5 ($50 per day or $170 for the week) July 2 July 3 July 4 July 5 July 8-12 ($50 per day or $190 for the week) July 8 July 9 July 10 July 11 July 12 July 15-19 ($50 per day or $190 for the week) July 15 July 16 July 17 July 18 July 19 July 22-26 ($50 per day or $190 for the week) July 22 July 23 July 24 July 25 July 26 July 29 - Aug 2 ($50 per day or $190 for the week) July 29 July 30 July 31 Aug 1 Aug 2 Aug 6-9 ($50 per day or $170 for the week) Aug 6 Aug 7 Aug 8 Aug 9 Aug 10 Aug 12-16 ($50 per day or $190 for the week) Aug 12 Aug 13 Aug 14 Aug 15 Aug 16 Aug 19-23 ($50 per day or $190 for the week) Aug 19 Aug 20 Aug 21 Aug 22 Aug 23 July 29 - Aug 2 After-camp care ($20 per day) July 29 July 30 July 31 Aug 1 Aug 2 Aug 6-9 After-camp care ($20 per day) Aug 6 Aug 7 Aug 8 Aug 9 Aug 12-16 After-camp care ($20 per day) Aug 12 Aug 13 Aug 14 Aug 15 Aug 16 Aug 19-23 After-camp care ($20 per day) Aug 19 Aug 20 Aug 21 Aug 22 Aug 23 Third Child First Name Last Name Date of Birth MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year2012201320142015201620172018 Year Care Card Number July 2-5 ($50 per day or $170 for the week) July 2 July 3 July 4 July 5 July 8-12 ($50 per day or $190 for the week) July 8 July 9 July 10 July 11 July 12 July 15-19 ($50 per day or $190 for the week) July 15 July 16 July 17 July 18 July 19 July 22-26 ($50 per day or $190 for the week) July 22 July 23 July 24 July 25 July 26 July 29 - Aug 2 ($50 per day or $190 for the week) July 29 July 30 July 31 Aug 1 Aug 2 Aug 6-9 ($50 per day or $170 for the week) Aug 6 Aug 7 Aug 8 Aug 9 Aug 10 Aug 12-16 ($50 per day or $190 for the week) Aug 12 Aug 13 Aug 14 Aug 15 Aug 16 Aug 19-23 ($50 per day or $190 for the week) Aug 19 Aug 20 Aug 21 Aug 22 Aug 23 July 2-5 After-camp care ($20 per day) July 2 July 3 July 4 July 05 July 8-12 After-camp care ($20 per day) July 8 July 9 July 10 July 11 July 12 July 15-19 After-camp care ($20 per day) July 15 July 16 July 17 July 18 July 19 July 22-26 After-camp care ($20 per day) July 22 July 23 July 24 July 25 July 26 July 29 - Aug 2 After-camp care ($20 per day) July 29 July 30 July 31 Aug 1 Aug 2 Aug 6-9 After-camp care ($20 per day) Aug 6 Aug 7 Aug 8 Aug 9 Aug 12-16 After-camp care ($20 per day) Aug 12 Aug 13 Aug 14 Aug 15 Aug 16 Aug 19-23 After-camp care ($20 per day) Aug 19 Aug 20 Aug 21 Aug 22 Aug 23 Leave this field blank Next Page >