Summer Programs

PLEASE NOTE THERE IS A SMALL ERROR WITH THE "DATE OF BIRTH" SELECTION. CURRENTLY THE QUESTION WILL ONLY ALLOW USERS TO GO BACK TO 2009, IF THE PARTICIPANT WAS BORN BEFORE 2009, PLEASE JUST SELECT 2009, WE WILL RECTIFY THIS AT A LATER DATE.

2019 ARC Summer Camp Registration Form

2019 ARC Summer Camp Registration

Participant Information

Would you like to add another participant? *

Second Participant Information

Parent / Guardian Information

Address
City
Province
Postal

Emergency Contact

Method of Transportation

Preferred Program Weeks

How do you plan to pay for Summer Program? *

Daytime contact who is available on April 18th to set-up Registration Meeting for early May:

Terms and Conditions

I agree and accept the above terms and conditions
To pay all fees prior to the program start date
No refund will be available for cancellations after June 12th or should the participant not attend a week he/she is registered for
Program dates are available on a first come, first served basis and will be confirmed at your final registration meeting
Program waivers must be submitted at time of payment/before the program start date
Transportation for all participants to/from the camp must be arranged by the family/caregivers
By checking this box, I give the Autism Resource Centre permission to contact CDS regarding the 2019 Therapeutic Summer Program. Information exchanged will be limited to eligibility for funding.
By checking this box, I choose to allow my child to use the trampoline and inflatable bounce house at our own risk during the 2019 Autism Resource Centre (ARC) summer program. We promise not to hold the Autism Resource Centre, its staff, or rental space owners responsible in case of injury while my/our child uses the trampoline or the inflatable bounce house.

I agree to the Terms & Conditions: *

Autism Resource Centre

3663 Sherwood Drive
Regina, SK S4R 4A7

We are located behind the Petro-Canada on the corner of Argyle Street North and Sherwood Drive.
Our hours are 8:00 a.m. to 5:00 p.m. Monday to Friday. We are closed weekends and statutory holidays.

Phone: 306-569-0858
Email: info@autismresourcecentre.com

Questions?

Quick Contact Form