SOC Summer Camp 2024 Application Form « Southern Ontario Collegiate

Surname(Required)

Given Names(Required)

Country(Required)

Mother Tongue(Required)

Gender(Required)

Male

Female

Date of Birth(Required)

Current Grade Attending(Required)

Current School(Required)

Email(Required)

Phone Number

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Select the Summer Camp Program that you would like to attend.(Required)

Go 2-Week Program: July 1 – July 14

Go 3-Week Program: July 1 – July 21

Go 4-Week Program: July 1 – July 28

Other

Does the applicant have allergies or medication in use?(Required)

Contact Parent/Agency(Required)

Phone Number

Signature of Applicant(Required)

Your typed Name will be accepted as if Signed by Hand

Date(Required)

Signature of Parent/Guardian(Required)

Your typed Name will be accepted as if Signed by Hand

Date(Required)

Signature of Agent

Your typed Name will be accepted as if Signed by Hand

Date

Name

This field is for validation purposes and should be left unchanged.