Objectives

Camper Information

First Name
Last Name
Age as of June 1st
School Year/Grade Completed
PREVIOUS CAMP EXPERIENCE:
(Type of camp ~ Day/Residential ~ How long stayed)
Competivie Swimmer
Yes No

SWIMMING OBJECTIVES

OTHER SPORT OBJECTIVES

IN GENERAL (Social, Emotional, Information to help us understand your daughter)

Business Office: 14-441 Stonehenge Drive, Ancaster, Ontario, Canada L9K 0B1,
Tel.: 416.427.3171, Fax: 905.304.2982
Email: Dianne@campakomak.com Website: www.campakomak.com

Summer Address: 240 Akomak Road, Ahmic Harbour, Ontario, Canada P0A 1A0,
Tel.: 705.387.3810, Fax: 705.387.0077