Step 1: Child Personal Information (Loyalty Program)

If you have multiple children to enroll only enter one at a time.
Name of child: *
Age (In September) * Birth Date *
T-Shirt Size *
Students will receive a Manotick Arts Camp t-shirt and will be able to keep any artwork or instruments made at the camp. Please Note: The child large and adult small are the same with one exception. The adult small is longer.
Parent or Guardian Name Home Tel
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: Choose An Area Of Specialization

Choose Specialization:
NOTE: A minimum of 2 years experience is required for Instrumental Music.
How many years experience? *

Step 4: Is Post Or Pre Care Needed?

Pre & Post Care *Before and After Care Needed No Care Needed

Step 5: 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 Name:
1st Person Telephone 1st Person Email
Choose a Reward Option
2nd Person Name:
2nd Person Telephone 2nd Person Email
Choose a Reward Option
3rd Person Name:
3rd Person Telephone 3rd Person Email
Choose a Reward Option