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 reservation deposit is paid.  Once submitted, our Chatters staff will contact you and let you know if the dates requested are available, confirm your non-refundable deposit ($25 or $50 depending on the package selected), and address any other questions you may have.

Email: *
Parent's Name: *
Child's Name:         (1)    *
Date of Birth (dd/mm/yyyy) *   Age:  *
                                                                                                 
Address Information:
 
Address: *
City: *
Province: *       Postal Code: *
Phone Day: *
Phone Eve: *
   
                                                                                                
 Additional Information:

 Full Week Only:  Please indicate which FULL week you are registering for (Early Bird Special:  $175 per week):

Made a mistake?
 
July 7 - July 11 Aug 4 - Aug 8
July 14 - July 18 Aug 11 - Aug 15  
July 21 - July 25 Aug 18 - Aug 22   
July 28 - Aug 1 Aug 25 - Aug 29  

Individual FULL days only: ($40 / Day)

  9 am - 4 pm Yes No      

Specify dates:   

Individual Half days only: ($22 / Day)

  9 am - 12 pm    Yes No    
  1 pm -  4 pm Yes No    

Free Pre-camp child care required (8:00 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 $3.50 additional cost per day
 Yes No

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 privacy policy should you have any further concerns.

 Yes!  I would like to receive marketing material on Chatters upcoming special events, special promotions, and discount offers. 
                                     Yes No

 

 

  

Thank You!

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