Summer Programs

2020 ARC Summer Camp Registration Form

2020 ARC Summer Camp Registration

Participant Information

Ethnic Background *
Would you like to add another participant? *

Second Participant Information

Parent / Guardian Information

Address
City
Province
Postal

Additional 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 21st to set-up Registration Meeting for early May:

Terms and Conditions

I agree and accept the below terms and conditions
All fees, or an agreed upon payment plan, are due prior to June 26, 2020
No refund will be available for cancellations after June 12th or should the participant not attend a week/day he/she is registered for
Registrations submitted between 10-10:30 AM on April 18th will be placed in a random queue for weeks. Registrations after 10:30 AM will be reviewed in order of submission
Program dates 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
I give the Autism Resource Centre permission to contact CDS regarding the 2020 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 inflatable bounce house at our own risk during the 2020 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 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?

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