Parent Name(Required)
First
Last
How did you hear about us?(Required)
Child 1 Information Child 1 Name(Required)
First
Last
Child 1 Camp Registration Child 1: Weekly Programs Selection Little Doctor: Medical Marvels: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Veterinary Adventures: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Marine Biology: Vet by the Sea: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Wilderness Medics in Training: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Sports Medicine Wonders: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Forensic Science: Medical Mysteries: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Healthcare Explorers: Mixed Camp: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 2 Information Child 2 Name(Required)
First
Last
Child 2 Camp Registration Child 2: Weekly Programs Selection Child 2: Little Doctor: Medical Marvels: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 2: Veterinary Adventures: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 2: Marine Biology: Vet by the Sea: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 2: Wilderness Medics in Training: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 2: Sports Medicine Wonders: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 2: Forensic Science: Medical Mysteries: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 2: Healthcare Explorers: Mixed Camp: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 3 Information Child 3 Name(Required)
First
Last
Child 3 Camp Registration Child 3: Weekly Programs Selection Child 3: Little Doctor: Medical Marvels: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 3: Veterinary Adventures: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 3: Marine Biology: Vet by the Sea: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 3: Wilderness Medics in Training: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 3: Sports Medicine Wonders: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 3: Forensic Science: Medical Mysteries: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 3: Healthcare Explorers: Mixed Camp: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 4 Information Child 4 Name(Required)
First
Last
Child 4 Camp Registration Child 4: Weekly Programs Selection Child 4: Little Doctor: Medical Marvels: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 4: Veterinary Adventures: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 4: Marine Biology: Vet by the Sea: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 4: Wilderness Medics in Training: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 4: Sports Medicine Wonders: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 4: Forensic Science: Medical Mysteries: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Child 4: Healthcare Explorers: Mixed Camp: Would you like to add Early/Late Care? Camper drop off: 8:45am - 9:15am
Early Care camper drop off: starts at 8:15am
Camper pick up: 4pm-4:30pm
Late Care camper pick up: until 5pm
Consent and Waiver I give consent to have photographs and/or video taken of my child during class sessions and be posted on Social Media(Required) Waiver(Required) This agreement releases Little Medical School Region of Waterloo, it's employees and/or independent contractors from all liability relating to any injuries that may occur to my child/children, however caused, arising out of or in connection with their taking part in any of the Little Medical School classes, instructions, camps, birthday parties or any programs offered. I also acknowledge the risks there may be with the use of medical instruments as part of the instruction, and that my child may bring home. These include but are not limited to stethoscopes, BP cuffs and reflex hammers. Additionally, my child does not have any conditions that will increase their likelihood of experiencing injuries while engaging in the activities. By consenting to this agreement, I agree to hold Little Medical School, entirely free from any liability for any reason, and that all risks are clear to me.
Registration Summary
Payment How would you like to pay?(Required) Please make payment via INTERAC e-Transfer to:
kwcadmin@littlemedicalschool.com
Payment Method PayPal Checkout
