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Camp Registration

Mad Science Camp Registration Form 

Payment needs to be made by EFT directly after completing this form



Please select your location from the drop down menu:
Child's Name:  
Birth Date:  
Health Card Number:  

Health & Learning Concerns:


Parent/Guardian Full Name:


Home Phone Number:

Cell/Work Phone Number:

Alternate Contact Numbers:

Emergency Contact:

Home Address: 


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How did you hear of Mad Science?: 

Emergency Contact Person #1: 

Emergency Contact Phone Number: 

Relationship to Camper: 

Emergency Contact Person #2: 

Emergency Contact Phone Number: 

Relationship to Camper: 

Other than myself, the following adult's have permission to be pick up my child(ren) after camp: 

Would you like to order a Mad Science t-shirt? ($12 including HST): 



  • Please read these important details about our camp. 
  • Registration is first come, first serve.
  • Drop off/Pick up: 8:00-9:00am & 4:00-5:00pm (included in the price)
  • If you ordered a Mad Science t-shirt, it will be handed to your child on the first day of camp.
  • Payments are processed immediately and ensure your child’s spot in camp.
  • You will receive a Camp Confirmation Package at least two weeks before the start of camp.
  • Camp registrations are fully refundable minus a $28 administration fee if requested more than six weeks before the first day of the camp your child is registered for. After that, camp registrations are refunded at 50% until two weeks prior to the first day of your child’s camp. Refunds will not be issued within 14 days of the start of camp. 
  • Camp begins at 9:00 am and ends at 4:00 pm. You may drop off your child anytime between 8:00-9:00 am and pick up your child anytime between 4:00-5:00 pm.
  • If your child receives one-to-one help for more than 50% of their school day, they will need a one-to-one assistant to attend Mad Science camp.
  • Mad Science Summer Camp 2017 is only appropriate for children in grades 1-6. 

    Camp Readiness: To ensure a fun and safe camp experience for all children registered, children attending camp must be able to adhere to our camp readiness guidelines. Children who demonstrate that they are not camp ready, may be withdrawn at the sole discretion of Mad Science staff. Please review the following camp readiness checklist with your child:

    1. Participant is able to take and follow direction and instruction from a staff person
    2. Participant is comfortable in large and small group environments
    3. Participant is able to interact safely and appropriately with staff, campers and equipment

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