Camp Chatters Reservation Request Form

Please note:  All fields with an asterisk “ * ” are required to successfully complete this form.

This is a booking request and NOT a reservation until the mandatory deposit is paid.  A $50 deposit is only accepted on FULL WEEK Bookings.  All other single day costs must be paid in full at time of reservation.  You may come in and pay during business hours, or we accept Visa & MasterCard over the phone.  Once submitted, our Chatters staff will contact you and let you know if the dates requested are available, confirm your request and answer any other questions you may have.

Email: *
Parent's Name: *
Child's Name:         (1)    *
Date of Birth (dd/mm/yyyy) *   Age:  *
Child's Name:         (2)    *
Date of Birth (dd/mm/yyyy) *   Age:  *
                                                                                                 
Address Information:
 
Address: *
City: *
Province: *       Postal Code: *
Phone Day: *
Phone Eve: *
   
                                                                                                
Which Camp Dates Would You Like To Reserve?

Full Week Only:  Please indicate which FULL week you are registering for:
Made a mistake?
 
July 5 -July 9
Aug 3- Aug 6
(4 day week @ $120...Aug 2 - civic holiday)
 

July 12 -July 16 Aug 9 -Aug 13
July 19 -July 23

Aug 16 -Aug 20      

July 26 -Aug 30 Aug 23 - Aug 27     
    Aug 30 - Sept 3     

Individual FULL days only:

  9 am - 4 pm Yes No      

Specify dates:   

Individual Half days only:

  9 am - 12:30 pm    Yes No    
  12:30 pm -  4 pm Yes No    

Specify dates:   

Free Pre-camp child care required (8:30 am - 9:00 am)
Yes No
Free Pre-camp child care required (4:00 pm - 5:00 pm)  
Yes
No
Provide child's lunch at a $4.00 additional cost per day
Yes No

Medical Information :
Ontario Health Card Number:    *

Any other medical information, you feel we should know:
Eg. Allergies.



Name (s) of those authorized to pick up the child and exit the premises:
  *
                                                                                                 

Emergency Contacts:

Name:  *
Relation:  *
Telephone Number:  *
   
Name:   
Relation:   
Telephone Number  
                                                                                                  

PLEASE READ…

WHAT YOU CAN EXPECT FROM CHATTERS AND WHAT CHATTERS EXPECTS FROM YOU!

 

Please call us at 905-574-PLAY (7529) should you have any immediate questions, or to pay your deposit today!

The personal information you have submitted will be used for “Reservation Only” purposes, and will not be used for soliciting in any other manner.  Please refer to our privacypolicy.html" style="text-decoration: underline; text-underline: single"> privacy policy should you have any further concerns.

Yes!  I would like to receive information on Chatters upcoming special events, special promotions, and discount offers.

                                     Yes No

 

 

 

Thank You!

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