OAKVILLE MUSICA PALOOZA-  2700 Bristol Cir,

Ages 7-15

July 30th- Aug 10th

Child's Information
Child Name *
Child Name
Date of Birth *
Date of Birth
Exceptions made for campers turning 7 this year
Child's Health Information
Family Physician's Phone Number *
Family Physician's Phone Number
Parent or Guardian Information
Name *
Name
Address *
Address
Phone Number *
Phone Number
Emergency Contact
Name *
Name
Phone Number *
Phone Number
Other Information
ATTENTION: CHILDREN SIZES
Extended Care
$30 Extra Per Day (Maximum 1 hour prior and 1 hour after) 8am-9am/ 2:30pm-3:30pm
I give permission for my child to be in pictures and videos for Musica Palooza Camps *

Pay by Credit/Debit Visa/Paypal/ Cash (please notify via email)