CRC Youth Program Registration

Program Selection(required) GAME ON! Barry's Bay

GAME ON! Combermere

GAME ON! Killaloe

GAME ON! Palmer Rapids

Explorers Summer Day Camp Killaloe

Explorers Summer Day Camp Palmer Rapids

Explorers Summer Day Camp Killaloe Jr

Explorers Summer Day Camp Madawaska & Whitney

Explorers Summer Day Camp Madawaska Only

Explorers Summer Day Camp Whitney Only

Girls Rising Empowerment Program Killaloe

Stay Wild Girls Summer Experience

Participant Name(required)

School/Home School

Home-Schooled?

Address(required)

Town(required)

Postal Code(required)

Home Phone(required)

Date of Birth (m/d/y)(required)

Age(required)

Grade(required)

ANY CONCERNS OR HEALTH PROBLEMS STAFF NEED TO KNOW ABOUT (i.e. inhalers, Epi Pen, etc.)

DIETARY RESTRICTIONS (i.e. Food Allergies, Gluten or Dairy Free, etc.)

I am aware that I must complete a program waiver prior to my child participating in any CRC youth program and will do so at or before the fist day of Summer Camp.(required) Yes

Program Goals

Game ON! Facebook Group

Game ON! Facebook Group