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?