Step 1: Child Personal Information

Name of child: *
Parent or Guardian Name: *
Home Tel * Email *
Street Address: *
City * Postal Code *

Referral Program
This optional program was created to encourage Manotick Arts Camp Students to refer our Performance Arts Camps to their friends.

If you refer a new student to one of our programs, you and your referral will each receive a gift card of your choice.  When you register for one of our 1- week programs, you receive a $10.00 gift card, OR a $25.00 gift card when you register for one of our 2 - week programs. In order for you both to be eligible for this Program, the person being referred must also follow through and register for a program. Gift cards will be handed out on the first day of camp.  Please Note: Each family is eligible to make three referrals.

I would like to refer (3 Max):
1st Person Referred:
1st Person Telephone 1st Person Email
Choose a Reward for 1st Referral
2nd Person Referred:
2nd Person Telephone 2nd Person Email
Choose a Reward for 2nd Referral
3rd Person Referred:
3rd Person Telephone 3rd Person Email
Choose a Reward for 3rd Referral