PopupCamp Registration Form

To ensure your child’s safety and help us better prepare the activities, please complete this form before coming to the activity which will take place on May 24-26.

Date(s)
May 24th
AMPMEvening

May 25th
AMPMEvening

May 26th
AMPMEvening

Parent's full name*

Parent's cellphone number*
(for emergency only)

E-mail adress

Child's full name*

Age*

Second Child full name (if needed)

Age of 2nd child

Third Child full name (if needed)

Age of the 3rd child

Knowned allergies
Please write the child's name followed with the allergy.

Does your child(ren) have any specific needs?*
(medication, temperament, others)

Persons allowed to access to your child(ren)*
(full names and phone number)

I authorize my child to visit the C2 Montréal site under the supervision of their accompanying teachers, and agree that by entering my child may be filmed, photographed and recorded, and that all material captured by C2 Montréal may be used by C2 Montréal and its partners for promotional purposes (see here).
YesNo

Any other comments?

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