Canterbury Fails: A Medieval Experience of Our Eternal Faith (Aug 7-13, 2022)

Cost: $400

E-transfers can be made to [email protected].

(If cost is prohibitive, contact Laura at [email protected] for possible supports.)

Registration is open until 11:59pm, August 6, 2022.

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First Name Last Name Email Phone Mailing address City Province Postal Code

Camper First Name

Camper Last Name

Camp Date of Birth

Camper Grade at School

Camper Pronouns

Camper Address

Please include address, city, province, and postal code.

Camper medical and dietary conditions that staff should be aware of (food restrictions, allergies, medications)

Camper Healthcare Number

Parent/Guardian Name

Parent/Guardian Phone Number

Parent/Guardian Email

I hereby consent for any photographs of the named camper to be used by Diocese of Qu’Appelle for the purpose of promotion or advertising. Yes No

If you are willing to allow images of your young person to be used by the Diocese of Qu’Appelle for promotion or advertising, please complete the section below.

I authorize the named camper to attend and participate in the Canterbury Fails Camp held at Camp Harding from August 7th to 13th, 2022. Yes No

Canterbury Fails: A Medieval Experience of Our Eternal Faith (Aug 7-13, 2022)

Registration is open until 11:59pm, August 6, 2022.

Camper medical and dietary conditions that staff should be aware of (food restrictions, allergies, medications)

Pricing

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