Please provide as much information as you can. If you prefer a hardcopy, you can download it here..

    Child/Children Information

    Child's First & Last Name: Date of Birth: Age Health Card Number: Medical Information:
    Child's First & Last Name: Date of Birth: Age Health Card Number: Medical Information:

    Parent/Guardian Information

    Parent/Guardian First & Last Name: Address: Phone Number: Email Address:

    Emergency Contact Information

    First & Last Name: Address: Home Number: Cell Number: Relationship To Child:
    First & Last Name: Address: Home Number: Cell Number: Relationship To Child:

    Departure/Arrival Information

    Please indicate who will be responsible for picking up your child(ren).
    First & Last Name: Relationship to Child: Phone Number:
    First & Last Name: Relationship to Child: Phone Number:
    I, , give permission to all the people listed above to pick up the child/children listed above from the Meadowvale East Apostolic Church Summer Camp.
    Sunscreen Application Information We recommend and encourage sunscreen application before your child comes to camp. During the day, we are willing to help your child apply sunscreen unless advised otherwise. Please provide a labeled bottle of sunscreen for your child as we are unable to supply sunscreen due to health and safety concerns.
    Parent/Guardian eSignature Full Name: Parent/Guardian eSignature Date:
    Personal Information is collected in accordance with the provisions of the Freedom of Information and Privacy Act (FIPPA). Personal information collected on this form will be used for the purposes of assisting MEAC to maintain a safe and secure summer camp. If you have questions about the collection, use and disclosure of this information, please contact Meadowvale East Apostolic Church by calling (416) 385-1140. Funded in part by Government of Canada – Canada Summer Jobs Program.
    MEAC Summer Camp
    Please download, complete and sign the additional forms below.
    Email the forms to meadowvaleeast@bellnet.ca or mail to:
    Meadowvale East Apostolic Church
    1510 Warden Avenue (at Ellesmere) Scarborough, Ontario M1R 2S8
    Having Trouble Registering? Contact us!
    416-385-1140 | Email Us