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To register, just complete the form below!
Take your time and be sure to fill out every part of the form. Thanks and see you soon.
*Please Note: Registration is not official until we have received your first payment - For more information on how to pay for Hashomer Hatzair or Camp Shomria Programs, please Contact Us
For a printable version, click here!
If you want to find out more before signing up for our amazing programs, send us your contact info here.

Hashomer Hatzair -Camp Shomria Canada Program Registration Form

Which program are you signing up for? *

Summer, Winter, Ken Combo! (Specify summer weeks using check boxes below) Winter/Summer Combo (specify summer weeks using check boxes below) The Ken (Year round programming) Winter Camp Summer Camp 6 weeks Summer Camp 4 weeks Summer Camp Last 2 weeks Summer Camp Starter Program (For Grades 2 and 3 only) Israeli Machane

Camper Name *

First

Last

Phone Number *

Email *

Mailing Address (Include Street, #, City, Province/State, Country, Postal/Zip Code) *Note: If Parents/Guardians live in seperate places, please provide both addresses *

Date of Birth *

Birth Month *

Birth Year *

Grade *

Gender *

Health Card Number (*You must send us a copy of your child's health card for your form to be complete. Please email copy to mail@campshomria.ca with your child's full name in the subject line). *

Health Card Version Code *

Parent/Guardian 1 Name *

First

Last

Parent/Guardian 1 Phone Number *

Parent/Guardian 2 Name *

First

Last

Parent/Guardian 2 Phone Number *

Untitled *

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Dietary Restrictions/Allergies/Health Concerns *

T Shirt Size *

(If Applicable) Will your Child be Skiing at Winter Camp? *

Yes No

Ski Shoe Size *

If someone referred you to us, please provide the name here (If new camper) *

Refer your Friends (Please include phone and email so that we can connect with them) *

Parent Signature (Type written names in this box will act as parent's signature) *

Hashomer Hatzair - Camp Shomria Canada: mail@campshomria.ca; 416 736 1339