Camper Registration

Kumbuka Summer Camp
8134 Wedgewood St. 
Burnaby, BC V3N 1C3
http://www.kumbuka.ca

Participant Information

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Choose Your Kumbuka Summer Camp Adventure Camp Session(s) *

Adult Primary Contact

Relationship to Participant: *
 

Secondary Adult Contact

Relationship to Participant: *
 
How did you find us? *
 
Notice of Warning:

$75 cancellation fee applies. May refund up to 7 days before program start date. No refunds issued within 7 days of start date.

Maximum 30 students. Minimum 10 students for the program to begin. Kambuka Summer Camp reserves the right to cancel the Session should minimum enrollment is not reached.

Full refund issued in the case that minimum class enrollment is not attained.

There is a potential risk in participating in any camp program, and we have tried to create a safe environment. Camp staff have established rules for participation, and proper conduct during all activities and they must be followed.
      ♦    I assume full responsibility for my son/daughter's participation. Kambuka Summer Camp, the camp director and staff, and Maple Green Elementary will not be held responsible for any injury or illness incurred while my son/daughter is at camp.
      ♦    I agree to the terms of enrollment as set out in the current Kambuka Summer Camp Parent Information Pamphlet.
      ♦    I have read and agree to the camp rules and registration guidelines as stated in this registration package.

Signature of Parent or Guardian: *
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Thank you for choosing Kumbuka Summer Camp. You have joined in a Summer Adventure to Remember.