Registration

95th Reunion Weekend Form

2023 Registration

CAMPER INFORMATION
Camper's Name*
First name Last name
Nickname
Age at start of session*
T-Shirt size*
Date of birth*
DD slash MM slash YYYY

(day / month / year)
Number of years attended Ak-O-Mak*
Address*
Street address Address line 2 City State / Province / Region ZIP / Postal Code Country
PARENT/GUARDIAN INFORMATION
Parent or Guardian #1*
E-mail #1*
Home phone #1*
Cell phone #1
Parent or Guardian #2
E-mail #2
Home phone #2
Cell phone #2
who they live with*
Other (Specify)
SESSION INFORMATION
Session registration
Camp Session
Hidden
Session
- Session A - 7 Weeks : June 28-Aug 16
- Session B - 4 Weeks : June 28-July 25
- Session C - 2 Weeks : June 28-July 12
- Session D - 5 Weeks : July 12-Aug 16
- Session E - 3 Weeks : July 26-Aug 16
- Session F - 2 Weeks : July 26-Aug 9
- Session G - 2 Weeks : Aug 19-Sep2
Session A
Session Length: 7 Weeks
2023 Dates: June 28-Aug 16
Base Tuition: $7,360.00
13% Harmonized Tax: $956.65
Refundable Expense Account: $350.00
Total :$ 8,666.80 CAD
Session B
Session Length: 4 Weeks
2023 Dates: June 28-July 25
Base Tuition: $4,675.00
13% Harmonized Tax: $607.75
Refundable Expense Account: $200.00
Total : $5,482.75
Session C
Session Length: 2 Weeks
2023 Dates: June 28-July 12
Base Tuition: $2,540.00
13% Harmonized Tax: $330.20
Refundable Expense Account: $100.00
Total : $2,970.20
Session D
Previous campers only
Session Length: 5 Weeks
2023 Dates: July 12-Aug 16
Base Tuition: $5,730.00
13% Harmonized Tax: $744.90
Refundable Expense Account: $250.00
Total : $6,724.90
Session E
Session Length: 3 Weeks
2023 Dates: July 27-Aug 17
Base Tuition: $3,555.00
13% Harmonized Tax: $462.15
Refundable Expense Account: $150.00
Total : $4,167.15
Session F
Session Length: 2 Weeks
2023 Dates: July 27-Aug 10
Base Tuition: $2,540.00
13% Harmonized Tax: $330.20
Refundable Expense Account: $100.00
Total : $2,970.20
Session G
Session Length: 2 Weeks
2023 Dates: Aug 19-Sept 2
Base Tuition: $2,485.00
13% Harmonized Tax: $323.05
Refundable Expense Account: $100.00
Total : $2,908.05
Session A Non CDN Medical Insurance
Price:
Session B Non CDN Medical Insurance
Price:
Session C Non CDN Medical Insurance
Price:
Session D Non CDN Medical Insurance
Price:
Session E Non CDN Medical Insurance
Price:
Session F Non CDN Medical Insurance
Price:
Session G Non CDN Medical Insurance
Price:
EARLY BIRD SPECIALS:
Non Canadians Add Medical Insurance to Early Bird Special.

Dates Session A Session B Session C Session D Session E Session F Session G

January 31st, 2023 Special $8,250.96 $5,218.61 $2,826.69 $6,401.16 $3,966.29 $2,826.69 $2,767.65

Swipe to see all Sessions.
$500.00 Deposit due upon registration (non-refundable). Balance due on May 31, 2023.
PAYMENT INFORMATION
Payment option
$750.00 deposit due upon registration (non-refundable). All balance are due May 1st, any new registration submitted after May 1st is due in full.
Full amount due upon registration.
Full amount due upon registration.
Full amount due upon registration.
Full amount due upon registration.
$750.00 upon registration (non-refundable). $500.00 Payment will be taken the 1st of the month, Full/Balance of payment is due on the 1st of May 2023
Deposit
Price:
Early bird special discount : Session A Nov 30st
Price: $0.00
Early bird special discount : Session B Nov 30st
Price: $0.00
Early bird special discount : Session C Nov 30st
Price: $0.00
Early bird special discount : Session D Nov 30st
Price: $0.00
Early bird special discount : Session E Nov 30st
Price: $0.00
Early bird special discount : Session F Nov 30st
Price: $0.00
Early bird special discount : Session G Nov 30st
Price: $0.00
Early bird special discount : Session B Jan 31
Price: $0.00
Early bird special discount : Session C Jan 31
Price: $0.00
Early bird special discount : Session D Jan 31
Price: $0.00
Early bird special discount : Session E Jan 31
Price: $0.00
Early bird special discount : Session F Jan 31
Price: $0.00
Early bird special discount : Session G Jan 31
Price: $0.00
Balance owing
$0.00
Total
$0.00
Name on card*
Expiration Month*
Expiration Year*
Card number*
CVV*
Payment consent*
I agree to the Payment Terms
The $750.00 reservation deposit, full payment or partial payment required for each session can be paid by Cheque, Visa, MasterCard or Wire Transfer.
I authorize Camp Ak-O-Mak to use the above credit card for the tuition, tuition balance, partial payment and for the reconciliation of my camper’s expense
account. Early discounts apply if paid in full by November 30th, 2022 or January 31st, 2023.
Please advise Camp Ak-O-Mak for Girls who is financially responsible for the Camper.*
Other (Specify)
Would you like to give to Camp Ak-O-Mak for Girls Non Profit Fundraising?*
I wish to contribute:
A receipt will be issued for any donations to Camp Ak-O-Mak for Girls Non Profit.
How did you find out about camp?
Other (Specify)
Friend (Specify)
Sporting Event (Specify)
Name of the alumni
Consent*
I agree to the Terms And Conditions
- You will receive email acknowledgement within 48 hours of receipt of Registration form during business hours.
- A valid credit card is required to reconcile charges in excess of refundable expense account which may include elective events / activities, associated travel / food, medical expenses, camp store; Airport travel, Rentals and extra items if used. Final processing of the Refundable Expense Account will be completed after camp and a statement of accounting emailed to the parent. Please ensure the camp has a valid email address.
- Refund Policy: Refund (less $750.00 non-refundable deposit) for cancellation by May 1st, 2023. Full refund may be available only for a medial reason with a doctor's note or registration may be transferred to next season. No credit is given for late arrival or early withdrawal. Any refund given will be charged a 5% admin fee if you have paid by credit card.
- Camp is not responsible for lost or stolen property. Avoid sending expensive items and please label all the campers belongings.
- Referral Credit—Families referring a new family that signs up a camper will receive a $100. credit on campers Refundable Expense Account.
- Camp Ak-O-Mak for Girls maintains a code of conduct for the campers and reserves the right to assess a Camper’s behavior, to revise a Camper stay, or to dismiss a Camper early, when it is deemed necessary in the interest of the child and Camp Ak-O-Mak for Girls, No refunds shall be given in these cases. Parents agree to provide full information on Campers in advance.
- I agree Camp Ak-O-Mak is released from liability in connection with medical treatment and unavoidable accidents. Camp Ak-O-Mak has my permission to use necessary medical measures in the event of an emergency. My child has permission to leave the campgrounds with authorized camp staff for scheduled trips and outings. I hereby agree that if I commence any legal proceedings, they will be held only in the Province of Ontario, and I hereby irrevocably submit to the exclusive jurisdiction of the Courts of Ontario.
- Any additional sporting out trips that are returned to our programming will increase the price of your store account.
Name*
Date*
DD slash MM slash YYYY

(day / month / year)
Comments
This field is for validation purposes and should be left unchanged.

Links

Information

Phone

1-416-427-3171

Email

dianne@campakomak.com

Camp Address

240 Akomak Road, Ahmic Harbour, ON P0A 1A0

Office Address

14-441 Stonehenge Drive, Ancaster, ON L9K 0B1

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