Wildlife Watchers Day Camp Registration

Please complete the form below to register for the 2017 Wildlife Watchers Day Camp.  Upon submission of the registration form, you will receive an email within 5 business days confirming your chosen dates and your total cost for registration.  Fees will be calculated based on weeks selected and discounts will be applied for multiple week registrations and sibling registrations ($25 per week discount for each).  Once you have received confirmation and amount due, payment can be made by : 


Cheque:

Make cheques payable to:Mississippi Valley Conservation Authority (MVCA) and mail to:

Mississippi Valley Conservation Authority
10970 Highway 7
Carleton Place, ON  K7C 3P1

(Cheques may be postdated to the week of camp.  Please note on the memo line of the cheque “Day Camp”)

Manual Credit Card Payment:
Contact the Mississippi Valley Conservation Authority main office 613-253-0006
Have the following Credit Card Holder information ready for processing: Name, Full Mailing Address (street number and name, city & postal code), Phone Number, Credit Card Number, Expiry Date, and Three digit security code (located on back of the credit card).  

CAMPER INFORMATION

(*Required)

*Camper 1 Name
*Camper 1 Birthdate
*Camper 1 Health Card #

Camper 2 Name
Camper 2 Birthdate
Camper 2 Health Card #

Camper 3 Name
Camper 3 Birthdate
Camper 3 Health Card #

*PARENT/GUARDIAN INFORMATION

Name
Address (street)
City
Postal Code
Email
Daytime Contact #

*ALTERNATE EMERGENCY CONTACT

Name
Phone

2017 DATES
Campers can register for a maximum of 3 weeks of camp - one A,B & C week each.(Hold Ctrl Key to select multiple dates.)

*Camper 1

Camper 2

Camper 3

*CHOOSE YOUR PAYMENT OPTION

ChequeManual Credit Card

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