Submerged Kids Camp Registration Form

To pay & register online please fill out the following form.  

To pay & register via cheque/Canada Post,  download and print Submerged Kids Camp Registration form to send by mail.  Please make cheques payable to Southwinds Church.  Mail to: Southwinds Church c/o: 9920 Fairmount Drive SE, Calgary, AB  T2J 0S4.

Child's Information
Please enter the name of the child attending camp. A separate registration form for each child is required.
Select which grade applies as of September 2016
(parent's/guardian's email)
(If you attend one regularly)
Please check if you would like information on volunteering to help at Camp. This includes any older siblings who would be willing to help.
Health Information
Please list any allergies your child has. If none, leave blank.
Emergency Contact Information
Parent Information & Permission
I give permission for my child to participate in Submerged Kids Camp on July 25-28 from 9:00-11:00 AM at the field by the community garden on Silverado Drive. I understand that this program is run by Southwinds Church, and that the program is conducted by the church and its volunteers and staff. I am aware that my child is participating voluntarily and is doing so at his/her own risk and Southwinds Church, its members, agents, or volunteers, are not liable for any loss, damage, death, injury, or ambulance service resulting from or in connection with such participation. I understand that my child's picture will be taken and may be used for promotional material both printed and online. By signing this form below and submitting to Southwinds Church, I accept the terms and conditions stated herein.
Payment

Cost is $30 per child. Once this form is submitted you will be automatically directed to a link for online payment. Registration will not be submitted until payment is complete through PayPal.  Credit Cards are accepted, however you may be required to  set up a basic PayPal account as per PayPal’s terms.

Registration is limited and will be filled as registrations are received.
Any questions, please contact Holly at 403-404-9920 or email at hollyprocita@southwindschurch.ca