ContractJune 9th, 2021
FiledJune 9th, 2021YMCA Camp Pine Crest 2020 Course and Alumni Registration Please fill out a separate form for each COURSE participant. This agreement must be signed to allow participation in 2020 programs. YMCA CAMP PINE CREST PARTICIPANT INFORMATION NAME Last First BIRTH DATE / / Y M D GENDER CURRENT STAFF?□ Yes □ No ADDRESS APT # PHONE CELL CITY PROVINCE POSTAL EMAIL Additional Family/Group members attending Alumni program (please use additional sheet if more than 4 in a family/group) Name Relationship Gender: D.O.B. Please outline any health concerns or medications including allergies: Please check if you have any dietary requirements: □ Vegetarian □ Vegan □ Gluten Free □ Halal □ Lactose Free □ Other Name Relationship Gender: D.O.B. Please outline any health concerns or medications including allergies: Please check if you have any dietary requirements: □ Vegetarian □ Vegan □ Gluten Free □ Halal □ Lactose Free □ Other Name Relationship Gender: D.O.B. Please