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 camp fees are paid. You may come in and pay during business hours to remit payment, or we accept Visa & MasterCard over the phone. Once camp fees are paid, there is NO REFUNDS, however you may reschedule any missed dates for an alternate date, which may be subject to availability.

Once this request is 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?

March Break:
Mar 12th - Mar 16th
 
Summer Break:
July 2nd - July 5th
July 9th - July 13th
July 16th - July 20th
July 23rd - July 27th
July 30th - Aug 3rd
Aug 7th - August 10th
(4 day week @ $120: Aug 2nd Civic Holiday)
Aug 13th - Aug 17th
Aug 20th - Aug 24th
Aug 27th - August 31st

(*Aug 6 - Victoria Day - closed)

Individual FULL days only:

  9 am - 4 pm Yes No      

Specify dates:   

Individual Half days only: Summer Camp Option Only.

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 $5.00 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 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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