2023 ARC Summer Camp Registration Form

2023 ARC Summer Camp Registration

Participant Information

Ethnic Background (must choose one from below) *
Would you like to add another participant? (must choose one from below) *

Second Participant Information

Ethnic Background (must choose one from below) *

Parent / Guardian Information

Address
City
Province
Postal

Parent / Guardian Information

Address
City
Province
Postal
Would you like to add another Parent/Guardian? (must choose one from below) *

Additional Parent / Guardian Information

Address
City
Province
Postal

Emergency Contact

Method of Transportation * (must choose One From Below)

Preferred Program Weeks

If additional weeks are available, I would like the opportunity to register for more than 5 weeks (must choose one from below) *
How do you plan to pay for Summer Program? (must choose one from below) *

Daytime contact who is available on April 21st to set-up Registration Meeting for early May:

Terms and Conditions

I agree and accept the below terms and conditions:

All fees, or an agreed upon payment plan, are due prior to June 23, 2023. Participants who cancel their registration 14 days or more from the start of the program will receive a full refund. If less than 14 days’ notice is given, a 50% refund will be issued. Once fees have been paid, a non-refundable $50 administrative fee applies if week(s) are dropped and/or full withdrawal from the program occurs.
In the event the Autism Resource Centre needs to cancel a program, registration fee refunds will be provided on a pro-rated basis. Any supply or material fees for the program will not be included in the refund. Registrations submitted between 10-10:30 AM on April 15th, will be placed in a random queue for weeks. Registrations received after 10:30 will be reviewed in order of submission. Program dates will be confirmed at your final registration meeting. Program waivers must be submitted at time of payment/before the program start date. Transportation for all participants to/from camp must be arranged by the family/caregivers.
I give the Autism Resource Centre permission to contact CDS regarding the 2023 Summer Program. Information exchanged will be limited to eligibility for funding.

I agree to the Terms & Conditions: *