2018 RHCC Day Camp

2018 Richmond Hill Day Camp Registration Form - Golf
Golf Camp Tier*

Tier 1Tier 2
Family Name*
Home Phone*

Area CodePhone Number
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Name

First NameLast Name
Cell Phone*

Area CodePhone Number
Business Phone

Area CodePhone Number
Father's Name

First NameLast Name
Home Phone (if different from Mother's

Area CodePhone Number
Cell Phone

Area CodePhone Number
Business Phone

Area CodePhone Number
Email*
Secondary Contact if parents cannot be reached*

First NameLast Name
Phone Number*

Area CodePhone Number
I hereby certify my/our child(ren) are immunized pursuant to recommendations of the local health authorities*

Yes
Number of Campers*

123
Camper #1*

First NameLast Name
Gender*

MaleFemale
Birth Date*

MonthDayYear
Health Card Number*
Swim Level 1*

BeginnerIntermediateAdvancedIf specific level is known, indicate below
Swim Level
Additional Options

Lunch Program Required (+$63 per week)Camp Busing Required (+$100 per week)Extended Hours Required (+$68 per week)RHCC Member
Dates Selected (select all that apply)*

Week 1 (July 3rd - July 7th)Week 2 (July 10th - July 14th)Week 3 (July 17th - July 21st)Week 4 (July 24th - July 28th)Week 5 (July 31st- August 4th)Week 6 (August 8th - August 11th)Week 7 (August 14th - August 18th)Week 8 (August 21st - August 25th)
Dates Selected
Camper #2 (if applicable)

First NameLast Name
Gender

MaleFemale
Birth Date

MonthDayYear
Health Card Number
Swim Level

BeginnerIntermediateAdvancedIf specific level is known, indicate below
Swim Level
Additional Options

Lunch Program Required (+$60 per week)Camp Busing Required (+$95 per week)Extended Hours Required (+$65 per week)RHCC Member
Dates Selected (select all that apply)*

Week 1 (July 3rd - July 7th)Week 2 (July 10th - July 14th)Week 3 (July 17th - July 21st)Week 4 (July 24th - July 28th)Week 5 (July 31st- August 4th)Week 6 (August 8th - August 11th)Week 7 (August 14th - August 18th)Week 8 (August 21st - August 25th)
Dates Selected
Camper #3 (if applicable)

First NameLast Name
Gender

MaleFemale
Birth Date

MonthDayYear
Health Card Number
Swim Level

BeginnerIntermediateAdvancedIf specific level is known, indicate below
Swim Level
Additional Options

Lunch Program Required (+$60 per week)Camp Busing Required (+$95 per week)Extended Hours Required (+$65 per week)RHCC Member
Dates Selected (select all that apply)*

Week 1 (July 3rd - July 7th)Week 2 (July 10th - July 14th)Week 3 (July 17th - July 21st)Week 4 (July 24th - July 28th)Week 5 (July 31st - August 4th)Week 6 (August 8th - August 11th)Week 7 (August 14th - August 18th)Week 8 (August 21st - August 25th)
Dates Selected
Additional Requests
Payment Information
Please note a deposit of $400 is due. Please submit this form, and a member of our camp staff will contact you for payment information.
Cancellation and Refund Policy

Your deposit and any post dated payments are refundable (less a service charge of $175 per child), provided written notice is received prior to April 30th, 2017. After that date there will be no refunds of fees. Fees cannot be refunded for days missed unless consecutive weeks occur. A refund of 50% of the unused fees will be made upon written request including a doctor's certificate. Refunds will be issued in September 2017. No Refunds of food or busing. No other refunds are possible. This policy will be strictly adhered to.
I hereby authorize RHCC holdings Limited to charge my credit card for camp fees and related activities.*

Yes
E-Signature

Clear
Please note all registrations and payment for Tier 1 and Tier 2 golf camp takes place at the Richmond Hill Country Club Day Camp. Tier 1 campers will be dropped off and picked up at the Country Club, with ½ day of golf activities at Richmond Hill Golf Club. Tier 2 campers will be dropped off and picked up at the Golf Club as it is a full day golf program (no bussing available for Tier 2).
Should be Empty:

2018 Richmond Hill Day Camp Registration Form - Golf

Cancellation and Refund Policy