OutReach On-Campus Registration Form 2017

Camp Information and Fees
Attendance to one camp is $100. Registration will end as soon as the camp is full.
Family/multiple camp discount: Fee will be reduced by $20 for each additional sibling that attends camp or each additional camp that is attended. For example: Child one: $100, Child two: $80, Child three: $60 for a total of $240.
If necessary, there are expandable sections below for the addition of information for a second and third child.
Payment is required to complete your application. Your space will be held for two weeks or until the camp is full, whichever is the longer of the two options. Cheques may be made payable to "X-Chem Outreach" and sent by mail to:
X-Chem Outreach Summer Camp
Chemistry Dept, PSC
St. Francis Xavier University
Antigonish, NS
B2G 2W5
* Please Note the  Molecules (grades 5-8 Chemistry), Codemaker I (grades 1-3 Intro to Computers and Simple Coding) and Discovery (grades 5-8 Science) start on a Tuesday, due to the Monday holidays. Registration fees for this camp will be $80 instead of the full $100.
Camper #1 Information
Health Information
Contact and Emergency Contact Information

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