2023 Week 4 TideRider Adventure Camp Ages 10-12

Jericho Beach at
Royal Vancouver Yacht Club
July 24th – 28th, 2023

NOTE: At this time if you are registering more than one participant, you must fill out the form and pay separately for each. We apologize for any inconvenience.

9:00am – 2:00pm
July 24-28th
Jericho Beach at Royal Vancouver Yacht Club

Name*
First Last
Address*
Street Address Address Line 2 City Province Postal Code
- Parent / Guardian phone number*
- Email*
- Birthday*
  MM slash DD slash YYYY
- Age on July 1st 2023
- Emergency Contact*
  First Last
- Emergency Contact Phone Number*
- Alternate Emergency Contact*
  First Last
- Alternate Emergency Contact Phone Number*
- Doctor's Name
- Doctor's Phone Number
- Bc Care Card Number
- Current Medical Conditions*
- Known Allergies*
- Current Medications*
Any conditions that will require special attention or medication while at camp?
- T-Shirt Size*
- Did your child register with a friend?
How did you hear about us?
TideRider Adventure Camp*
Price:
Coupon
Total
$ 0.00 CAD
Credit Card
Card Details
Cardholder Name