D.L.B - Academy of Sport and Recreation

GIVING YOUR CHILD A HEAD START IN LIFE'S ADVENTURES
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REGISTRATION

Simply read and fill out camper information below.

There is a minimum of a $200.00 deposit for overnight campers or the full payment is optional upon first registration. For daily campers, we require a $75.00 deposit or full payment when registering.

We ask that registrations are completed and the full payment is sent in at least three weeks prior to the selected week of enrollment.

>>>>> THE DEPOSIT AND FULL PAYMENT IS DUE AT LEAST 3 WEEKS BEFORE THE CHOSEN CAMP DATE. THANK YOU<<<<<

After completing the form, press the All Done button at the bottom of the form.

There are a few payment options available.

If you wish to pay through the site please fill in the credit card information below.

If you wish to call in your credit card information, please call the Academy Toll Free at 1-866-724-5125 ext. 22.

If you wish to pay by Certified Cheque, please comment on the bottom the date the cheque is being sent.

Deposits must be made in any of these forms when the application is submitted

Thank you

Campers First Name:	- Gender: Boy Girl
Last Name:
Date of Birth:	MO: Day: Yr:
Your Mailing Address:
Address Line 1:
Address Line 2:
City:	Province:
postal code:
If you live outside Canada then enter your Country and Postal Code: Country:	Postal Code:
Phone-Day:	Night:
E-Mail Address	(E-mail address is Required)

Credit Card Number:
Credit card type "VISA", "Master Card", "AMEX":
Exp. Date (m/y):
Type in "Full" Payment or "Deposit":
Date of enrollment to camp:

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Final registration forms can be submitted via mail, fax, or upon arrival to the camp. These forms are available in pdf. file on the bottom of this page. Please fill them out completely. The information collected will remain confidential and is for registration purposes only. A representative of DLB Academy of Sport and Recreation will contact you to confirm your acceptance.

Please Print DLB Academy of Sport and Recreation Registration Form

How to Submit:

By mail:      250 Clark Street
                  Powassan, Ontario, CANADA
                  P0H 1Z0

By Fax:     (705) 724-3957

250 Clark Street, Powassan, Ontario, CANADA P0H 1Z0 (705) 724-5125 Toll Free: 1-866-724-5125