Mount Allison Summer Camps

We are pleased to welcome you to Mount Allison University!

Adventure, Explore, and Discovery

Week-long day camps for children ages 4 to 13:

Camp Group - Age Group

Adventure - Ages 4-6
Explore - Ages 7-9
Discovery (Disco) - Ages 10 and up

Camp programming runs daily from 8:30 a.m. to 4:00 p.m., Monday-Friday (unless otherwise noted) with Camp Headquarters located in Bermuda House, 82C York St.
Drop off time is between 7:30 a.m. to 9:00 a.m.
Pickup time is between 4:00 p.m. to 5:00 p.m.

Questions? Contact summer@mta.ca. We look forward to seeing you!
Website: https://mta.ca/visitors/summer-camps

Name of Camp Participant*

First NameLast Name

Birthdate of Participant *

First NameLast Name

Name of Parent/ Guardian *

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone Number

Format: (000) 000-0000.

Parent Email

example@example.com

Cell Phone Number

Waiver:

I acknowledge all information given is accurate to the best of my knowledge.

In permitting my child to attend Mount Allison programming, I permit my child to participate in the full range of activities and authorize the Program Coordinator or his/her appointed instructor, in the event of accident or illness affecting this above named student, to authorize on my behalf all procedures, including admission to hospital and necessary treatment therein, as he or she may deem necessary for the care and well-being of the student.

I understand that my child is obliged to abide by the rules and regulations of Mount Allison University and failure to do so may result in suspension from the program without any refund.

Mount Allison University reserves all rights to cancel or change the content of the program as advertised should unavoidable circumstances arise.

I have read, understood, and agreed with the above information (Please provide signature in the space below to acknowledge you agree).

Signature

Photo Release:

In the course of activities, pictures may be taken and recordings may be made. Please advise us if you are willing to have your child’s photograph or voice used for the promotion of Mount Allison University, as indicated below:

I, on my behalf and on behalf of my child, give permission to Mount Allison University to photograph and/or record my child or my child’s voice on still photographs, motion picture film, audio tape and/or video tape and to use this material, in whole or in part, through the media of television, film, Internet, multi-media presentation, radio, audiotape, videotape or in printed form or display form for the promotion of Mount Allison University.

I, on my behalf and on behalf of my child, assign and transfer to Mount Allison University any and all rights, including copyright, which I may have or my child may have in this material.*

YesNo

Does the Camper have any known allergies or medical conditions (e.g. food, medication, insect bites)? If yes, please list all allergies and describe the reaction and necessary treatment. (ex: allergic to peanuts, breaks out in hives, carries an EpiPen)

Please Select Your Summer Camp!

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Mount Allison Summer Camps!