Cyber Camp Registration Form

Cyber Camp Registration

Please complete this form to register your child into Cyber Camp.  Registrations are not confirmed until signed Parent Permission and Medical Information Forms and payment are received either in person or through the mail. These forms can be downloaded here:

Parent Permission & Medical Information Form

Drop Off / Mailing Information

The Hotspot is located in Downtown Squamish at 38027 Cleveland Ave 

If you are from out of town, you can mail a cheque and the forms to:

The Hotspot, Box 2676, Squamish BC, V8B 0B8

Financial Assistance

If you are requesting financial assistance, please inlclude the following form.

Financial Assistance Form

CYBER CAMP ONLINE REGISTRATION FORM

PARTICIPANT INFORMATION

Participants Full Name: (Required)

Age (Required)

Gender (Required)

Male
Female

Date of Birth (Required)

-- 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 / -- January February March April May June July August September October November December / -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Please Describe the participant's experience with computers.

What have they used them for so far? What do they like to do on the computer? Do they use the computer for fun or just for school?

GENERAL CONTACT INFORMATION

Parent/Guardian's Full Name (Required)

Phone Number (Required)

Other Phone Number

Mailing Address (Required)

E-Mail Address (Required)

CYBER CAMP DETAILS

1st Choice Cyber Camp Week (Required)

Please Select July 7-11 July14-18 July 21-25 July 28-Aug1 August 5-8 August 11-15 August 18-22 August 25-29

2nd Choice Cyber Camp Week

This information is helpful to us in the event that we need to cancel some camps and merge them with others.

Please Select July 7-11 July14-18 July 21-25 July 28-Aug1 August 5-8 August 11-15 August 18-22 August 25-29

How flexible is your choice?

Almost any of the weeks will be fine Second choice is just as good as first choice Second choice is okay but first choice is much prefered First choice is the only week that works

EMERGENCY CONTACT INFORMATION

Please list names and contact information of the participant’s Parents/Guardians in the contact order we must follow in case of an emergency.

Emergency Contact #1

Full Name (Required)

Relation (Required)

Phone (Required)

Alternate Phone Number

Emergency Contact #2

Full Name (Required)

Relation (Required)

Phone (Required)

Alternate Phone Number

Emergency Contact #3

Full Name (Required)

Relation (Required)

Phone (Required)

Alternate Phone Number

Person Permitted to pick up the child

If the child/youth is to be picked up by a person who is not a parent or legal guardian, tell us the name of the person and the dates they will be picking up the participant.

Full Name

Relation

Check ID

Please check this box if you require us to request identification from the person named above.

Additional Permissions

Please indicate if you permit you child to have the following:

An E-mail Account created

His/her picture taken in a group photograph

Lunch in a nearby park under the supervision of the Hotspot Staff when the weather is nice.