» Registration

Thank You for Registering!

We’ve received your registration and saved your spot.

Next step: Please complete the registration form below for each student you’ve signed up. A separate form is required for every child.

Childs First Name *

Childs Surname *

Gender *

Date Of Birth *

Child's Age on July 1, 2025 *

Parent/Guardian #1 Name *

Parent/Guardian #1 Relationship to Child *

Parent/Guardian #1 Address *

City

Province

Postal Code

Parent/Guardian #1 Home Phone *

Parent/Guardian #1 Cell Phone *

Parent/Guardian #1 Email *

Parent/Guardian #1 Permission to pick up *

Parent/Guardian #2 Name *

Parent/Guardian #2 Address *

City

Province

Postal Code

Parent/Guardian #2 Home Phone *

Parent/Guardian #2 Cell Phone *

Parent/Guardian #2 Permission to pick up *

Emergency Contact #1 Name *

Relationship to Child *

Emergency Contact #1 Phone *

Emergency Contact #2 Name

Relationship to Child

Emergency Contact #2 Phone:

Does your child require an Epi-pen? *

Please list any Allergy Information, medication taken, medical or special needs.

Does your child have a history of aggressive behaviour or other behavioural concerns? *

Photo Permission *

I grant permission for photos of my child taken by staff of the Lambton-Kingsway Day Camp to appear in the Lambton-Kingsway Day Camp Brochure or other promotional materials regarding the day camp. *

Promotional materials *

I agree to receive advance registration notice, promotional emails and other materials from Lambton Kingsway Before and After School Program. Information requested is for Lambton Kingsway Before and After School Program marketing purposes only and will not be sold or shared with a third party. Each email provides a one-click method to unsubscribe from the distribution list.

Recreational Swimming *

My child has permission to participate in field trips. *

I have read and understand all of the information in the brochure and application form. My child is in good physical and emotional health and may participate in all camp activities, except as otherwise indicated in writing on this form. These activities may include, but are not limited to: recreational swimming; field trips; games and activities in the Shale Pit (beside the school grounds); hikes to the nearby park at the Humber River; indoor and outdoor active games. I recognize that risk of injury or health risk may be involved in these activities, and I hereby assume such risks on behalf of my child. Furthermore, while Lambton-Kingsway Summer Camp will provide reasonable safeguards for the health and welfare of my child, I hereby release and discharge Lambton-Kingsway Before and After School Program Inc., its directors and its employees from all actions, damages, claims and demands whatsoever arising out of participation in this program of the person so named. In case of emergency, a staff member will contact the parent(s)/guardian(s) of the above named child. If I and my child’s emergency contact(s) are unavailable, I grant official authority to the staff of Lambton-Kingsway Summer Day Camp to act on my behalf including to consent to emergency treatment for my child and to make other decisions necessary for the care, control and protection of my child.

I have read and understood the Liability Release Statement of the Day camp. I certify that the information provided about my child is complete and accurate and any changes to the information will be passed to the Supervisor immediately. I have read and understood the summer camp policies of the Lambton-Kingsway Before and After School Program.