2018 RHCC Day Camp

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

Tier 1 Tier 2
Family Name *
Home Phone *

Area Code Phone Number

Home Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mother's Name

First Name Last Name
Cell Phone *

Area Code Phone Number
Business Phone

Area Code Phone Number
Father's Name

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

Area Code Phone Number
Cell Phone

Area Code Phone Number
Business Phone

Area Code Phone Number
Email *
Secondary Contact if parents cannot be reached *

First Name Last Name
Phone Number *

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

Yes
Number of Campers *

1 2 3
Camper #1 *

First Name Last Name
Gender *

Male Female
Birth Date *

Month Day Year
Health Card Number *
Swim Level 1 *

Beginner Intermediate Advanced If 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 Name Last Name
Gender

Male Female
Birth Date

Month Day Year
Health Card Number
Swim Level

Beginner Intermediate Advanced If 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 Name Last Name
Gender

Male Female
Birth Date

Month Day Year
Health Card Number
Swim Level

Beginner Intermediate Advanced If 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