Step 1: Child Personal Information

Choose Session: *
If you have multiple children to enroll only enter one at a time.
Name of student: *
Age (In September) * Birth Date ( M / D / Y ) *
Parent or Guardian Name Home Tel
Email
Parent Work Tel: Parent Work Tel:
Street Address: *
City * Postal Code *

Step 2: Emergency And Medical Information

Emergency Contact Name: *
Emergency Tel: *
Health Card # (optional)
Allergies: (If Any) *
Medical Conditions: (If Any) *

Step 3: Referral Program
This optional program was created to encourage Manotick Arts Camp Students to refer us to their friends.

If you refer a new student to our Improv for Teens program, you and your referral will each receive a 10.00 gift card of your choice. In order for you both to be eligible for this Program, the person being referred must also follow through and register for an 12-week program. Gift cards will be handed out on the first day.  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 Option
2nd Person Referred:
2nd Person Telephone 2nd Person Email
Choose a Reward Option
3rd Person Referred:
3rd Person Telephone 3rd Person Email
Choose a Reward Option