BCIT

Camper Information

 
Camper Full Name:
Date of Birth (Jan 1, 1970):
Home address:
City:
Province:
Postal Code:

Please identify any food allergies or medical issues:

Please select the camp option (each camp is 5 days long):
Camp A: July 10 -14
Camp B: July 17-21
Camp C: July 24-28

Parent / Guardian section:

 
Name:
Home address:
City:
Province:
Postal Code:
Email:
Phone Number:

Relationship to the camper:
Mother
Father
Other (please specify) 

Emergency Contact Information #1:
Full Name:
Phone Number:
Relationship to Camper:

Emergency Contact Information #2:
Full Name:
Phone Number:
Relationship to Camper:

Authorized Pickup #1
Authorized Pickup #1 (Full name required)
Authorized Pickup #1 Phone Number

Authorized Pickup #2
Authorized Pickup #2 (Full name required)
Authorized Pickup #2 Phone Number

Would you like to order one of our boxed lunches, for $60 per week plus tax? Each option includes a sandwich/wrap, 2 snacks and a drink. Gluten free options are also available at no extra charge. Please note that camp lunches are not prepared in a nut-free or gluten-free facility.

Option 1-Regular Package: 
  • 1) Turkey/Cranberry Cream Cheese Sandwich on Whole Grain
  • 2) Chicken Breast Sandwich on Multi Grain
  • 3) Fresh Vegetable Cream Cheese Wrap
  • 4) Turkey Havarti Sandwich on Multi Grain
  • 5) Beef Cheddar Sandwich on Whole Grain 

Option 2- Vegetarian Package: 
  • 1) Chick Pea Wrap
  • 2) Greek Salad Wrap
  • 3) Roast Vegetable Wrap

Option 3- We would prefer to pack our own lunch for the week

Is After Camp Care Required?
Yes
No

Payment & Confirmation

Payment Schedule:

     After May 31, 2017:   $549
     After camp care is available from 3:30pm to 5:30pm for $60 per week.

Please note there is 5% GST in addition to the prices above. 

Please select your camp package:
$549 (Regular Price + No After Camp Care)
$609 (Regular Price + After Camp Care)
$609 (Regular Price + No After Camp Care + Lunch Option)
$669 (Regular Price + After Camp Care + Lunch Option)
BCIT Staff Member, please indicate your A0 number: 

Payment by Credit Card

Accepted methods of payment include VISA or Mastercard via phone or in-person.

If you would prefer to pay by phone with your credit card, please call 604-456-8103.

If you would prefer to pay in-person, please visit us at:


BCIT Burnaby Campus
Building SE16, Room 109
3700 Willingdon Avenue
Burnaby, BC V5G 3H2

Additional Information:

How did you learn about the camp?

Additional comments:


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