Registration Form 2016 - Muséoparc Vanier Museopark

Registration Form
Summer camps 2016
Vanier Museopark, a museum dedicated to the history of the Vanier neighbourhood and
to the french language and culture in Ottawa, is situated in the heart of a patrimonial
forest! During these summer camps, kids aged 4 to 10 will discover the Richelieu
forest’s ecosystem,
explore the everyday life of pioneers and much more. Through
educational activities, inside as well as outside, the campers will learn about Vanier’s
heritage.
Please fill out this form and send it to Vanier Museopark by e-mail, fax, or in person.
Contact information is at the bottom of the page.
Child
Name
Age
French/English
Camp(s) selected
25$/day
300, avenue des Pères Blancs, 2e étage, Ottawa ON K1L 7L5






July 13th At the Table Pioneers
July 20th The Sect of Insects
July 27th Stories and Legends
August 3rd Lil’Maple Syrup Producer
August 10th My Wigwam is your Wigwam
August 17th Rock your Minerals
Tél.: (613)580-2424, poste 32001
Téléc.: (613)580-2897
Courriel : [email protected]
www.muséoparc.ca
Parent(s)/Tutor(s)
Name of parent 1
House phone
Work phone
Cellular
E-mail
Name of parent 2
House phone
Work phone
Cellular
E-mail
Person Authorized in Case of Emergency
Name
Relationship with child
House phone
Work Phone
Cellular
Health
Allergies
Health Problems
Special Needs
Other information
(fears, worries…)
300, avenue des Pères Blancs, 2e étage, Ottawa ON K1L 7L5
Tél.: (613)580-2424, poste 32001
Téléc.: (613)580-2897
Courriel : [email protected]
www.muséoparc.ca
Childcare (if necessary)
Cost : 8$/day/child (4$ for the morning and 4$ for the afternoon)
Morning (8 a.m. to 9
a.m.)
Afternoon (4 p.m. to
5 p.m.)
Confirmation
We will send you a confirmation with details of your registration and all information
needed for camp.
300, avenue des Pères Blancs, 2e étage, Ottawa ON K1L 7L5
Tél.: (613)580-2424, poste 32001
Téléc.: (613)580-2897
Courriel : [email protected]
www.muséoparc.ca
I certify that all information provided in this form is true and complete.
Information given by :
Signature :
Date (DD-MM-YYYY) :
ADMINISTRATION
Payed on date of :
Written confirmation on date of :
Information package sent to parent on date of :
300, avenue des Pères Blancs, 2e étage, Ottawa ON K1L 7L5
Tél.: (613)580-2424, poste 32001
Téléc.: (613)580-2897
Courriel : [email protected]
www.muséoparc.ca