PD Day Camps - Registration Form

The information we collect from you is protected under the Privacy Act (PIPEDA) implemented on January 1, 2004. We collect and safeguard this information in order to contact you about upcoming programs and exhibits. If you wish to be removed from our mailing list, please contact us; otherwise we will continue to send you items that we feel may be of interest to you. If you have any questions, please contact: Privacy Officer, Discovery Centre, 1593 Barrington Street, Halifax, NS B3J 1Z7
Fees must be paid in full at time of registration. Mail, fax, drop-off or phone in your resgistration. Registration fees are not refundable two weeks before the day of camp. Please make cheques payable to DiscoveryCentre.

Camper's Name: *

Date of birth (must be 8 years or older): *

Parent or Guardian: *

Address : *

City : *

Postal : *

Phone (h):

Phone (w) :

Email :

Camp Date: *

May 7 – Worldly Explorers

Fee: *

Non Members $ 34.00/day(no tax)

Family Members $30.50/day(no tax)

Early Drop Off $ 3.00/day(no tax)

Total Charge: *

How did you hear about our Day Camps?:

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