RayCam Summer Camp Interest List
Customer Details:
Full Name of Child
*
First Name
Last Name
Birthday of Child
*
-
Month
-
Day
Year
Date
Address of Child
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
E-mail
*
example@example.com
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Is your child currently enrolled in the RayCam Out of School Care program?
*
Yes
No
Please identify your fee payment method
*
Fees covered by Affordable Child Care Benefit
Fees paid by parent/guardian
Fees partially covered by Affordable Child Care Benefit and remainder paid by parent/guardian
Does your child have any extra developmental or behavioural needs?
*
Is there anything else you would like us to know about your child or family?
I understand that this is an interest list and not a registration form. Filling out this form does not guarantee a spot in Summer Camps at RayCam.
*
Yes
I understand that I will be contacted by RayCam staff if my child is successful in getting a spot.
*
Yes
I understand that separate forms are required for each child. If I have multiple children I wish to have attend I will have to fill out a form for each child.
*
Yes
I understand that the $200/month payment must be made OR an Affordable Child Care Benefit plan must be in place by June 15, 2025 to confirm registration.
*
Yes
Submit
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