Adult Camp Registration Form - Wakefield Summer Film Camp

Registration Form

Fields marked (*) must be completed.
If the form fails to submit please check the highlighted fields.

Camp Week *

$350.00

Participant's Name *

First

Last

Gender *

Male Female

Date of birth

Day *

Month *

Year *

Address *

Address *

City/Town *

Postal Code *

Province *

Home Phone Number *

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-

Work Phone Number *

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-

Email *

Submit