{"id":2253,"date":"2022-05-30T20:43:20","date_gmt":"2022-05-31T00:43:20","guid":{"rendered":"https:\/\/yfc.ca\/eastern-counties-ontario\/?page_id=2253"},"modified":"2026-05-28T17:09:33","modified_gmt":"2026-05-28T21:09:33","slug":"summer-camp-registration","status":"publish","type":"page","link":"https:\/\/yfc.ca\/eastern-counties-ontario\/summer-camp-registration\/","title":{"rendered":"Summer Camp Registration"},"content":{"rendered":"\t<section class=\"y-gravity-form off-white  guten-block\" >\r\n\t\t<div class=\"grid-narrow\">\r\n\t\t\t\t\t\t\t<h3 class=\"y-accordion--title y-color-responsive-text\">Summer Camps Registration 2026<\/h3>\r\n\t\t\t\t\t\t<div class=\"y-gravity-form--inner\">\r\n\t\t\t\t<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_135' ><div id='gf_135' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_135' id='gform_135'  action='\/eastern-counties-ontario\/wp-json\/wp\/v2\/pages\/2253#gf_135' data-formid='135' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Lfq1YsaAAAAAIlCN1-uzuUjef83MGbopf9xeWCd' data-tabindex='0'><input id=\"input_99ad98fe1a0d9fbb60c656f1f7b9f9b8\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_99ad98fe1a0d9fbb60c656f1f7b9f9b8\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><ul id='gform_fields_135' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_135_64\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name of CHILD<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_135_64'>\n                            \n                            <span id='input_135_64_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_64.3' id='input_135_64_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_135_64_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_135_64_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_64.6' id='input_135_64_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_135_64_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_135_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_135_8'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_135_8' type='text' value='' class='large'    placeholder='(yyyy\/mm\/dd)' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_135_10\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_135_10'>Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_135_10' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Male' selected='selected'>Male<\/option><option value='Female' >Female<\/option><\/select><\/div><\/li><li id=\"field_135_12\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_135_12'>Age of Camper<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_12' id='input_135_12' type='number' step='any'   value='' class='large'    placeholder='Age of child' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_135_69\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_135_69'>Name of Parent(s)\/Guardian(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_135_69' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_135_65\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address of Camper<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_135_65' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_135_65_1_container' >\n                                        <input type='text' name='input_65.1' id='input_135_65_1' value=''    aria-required='false'    \/>\n                                        <label for='input_135_65_1' id='input_135_65_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_135_65_2_container' >\n                                        <input type='text' name='input_65.2' id='input_135_65_2' value=''     aria-required='false'   \/>\n                                        <label for='input_135_65_2' id='input_135_65_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_135_65_3_container' >\n                                    <input type='text' name='input_65.3' id='input_135_65_3' value=''    aria-required='false'    \/>\n                                    <label for='input_135_65_3' id='input_135_65_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_135_65_4_container' >\n                                        <input type='text' name='input_65.4' id='input_135_65_4' value=''      aria-required='false'    \/>\n                                        <label for='input_135_65_4' id='input_135_65_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_135_65_5_container' >\n                                    <input type='text' name='input_65.5' id='input_135_65_5' value=''    aria-required='false'    \/>\n                                    <label for='input_135_65_5' id='input_135_65_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_135_65_6_container' >\n                                        <select name='input_65.6' id='input_135_65_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_135_65_6' id='input_135_65_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_135_62\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_135_62'>Home Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_62' id='input_135_62' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_135_60\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_135_60'>Phone (Office\/Cell)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_60' id='input_135_60' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_135_50\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_135_50'>Name of Emergency Contact<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_135_50' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_135_61\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_135_61'>Emergency Contact Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_61' id='input_135_61' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_135_15\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-five-twelfths gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_135_15'>Tax receipt required?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_135_15' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='yes' >yes<\/option><option value='no' >no<\/option><\/select><\/div><\/li><li id=\"field_135_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-seven-twelfths field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_135_16'>*NEED EMAIL FOR TAX RECEIPT* (will not be mailed)<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_135_16' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_135_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-five-twelfths gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_135_17'>Medical conditions we should be aware of?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_135_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_135_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_135_18'>Medication:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_135_18' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_135_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_135_19'>OHIP#:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_135_19' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_135_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Allergies<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_135_40'>\n\t\t\t<li class='gchoice gchoice_135_40_0'>\n\t\t\t\t<input name='input_40' type='radio' value='Yes'  id='choice_135_40_0'    \/>\n\t\t\t\t<label for='choice_135_40_0' id='label_135_40_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_135_40_1'>\n\t\t\t\t<input name='input_40' type='radio' value='No'  id='choice_135_40_1'    \/>\n\t\t\t\t<label for='choice_135_40_1' id='label_135_40_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_135_40'>If checked yes download anaphylaxis form below and send to rebecca.goulet@yfc.ca<\/div><\/li><li id=\"field_135_39\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><a href=\"https:\/\/ibb.co\/YZ1MFTF\" target=\"_blank\">Download Anaphylaxis Form<\/a><\/li><li id=\"field_135_41\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><div class='gsection_description' id='gfield_description_135_41'>Summer Camp Dates<\/div><\/li><li id=\"field_135_44\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_135_44 gfield_product_135_44 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >July 6 &#8211; 10 $125\/Youth  (*free if volunteering at one of our camps at least one full week)<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_135_44'>\n\t\t\t<li class='gchoice gchoice_135_44_0'>\n\t\t\t\t<input name='input_44' type='radio' value='Leadership Week *12-17yrs* 930am - 330pm|175'  id='choice_135_44_0'    \/>\n\t\t\t\t<label for='choice_135_44_0' id='label_135_44_0' class='gform-field-label gform-field-label--type-inline'>Leadership Week *12-17yrs* 930am &#8211; 330pm<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_135_44'>Location: Le Relais Secondary School @ 100 McNab St., Alexandria<\/div><\/li><li id=\"field_135_46\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_135_46 gfield_product_135_46 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >July 13 &#8211; 17 $175\/child<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_135_46'>\n\t\t\t<li class='gchoice gchoice_135_46_0'>\n\t\t\t\t<input name='input_46' type='radio' value='Kamp Agappae Sportz *6-12yrs|175'  id='choice_135_46_0'    \/>\n\t\t\t\t<label for='choice_135_46_0' id='label_135_46_0' class='gform-field-label gform-field-label--type-inline'>Kamp Agappae Sportz *6-12yrs<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_135_46'>*Time: 9am-4pm *Location: Sports Complex @ 25 Fair St. Maxville<\/div><\/li><li id=\"field_135_66\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_135_66 gfield_product_135_66 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >July 20 &#8211; 24 $175\/youth<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_135_66'>\n\t\t\t<li class='gchoice gchoice_135_66_0'>\n\t\t\t\t<input name='input_66' type='radio' value='Kamp Agappae Jr &amp; Sr *5-11yrs|175'  id='choice_135_66_0'    \/>\n\t\t\t\t<label for='choice_135_66_0' id='label_135_66_0' class='gform-field-label gform-field-label--type-inline'>Kamp Agappae Jr &amp; Sr *5-11yrs<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_135_66'>*Time: 9am-4pm   *Location: Le Relais Secondary School @ 100 McNab St., Alexandria<\/div><\/li><li id=\"field_135_67\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_135_67 gfield_product_135_67 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >August 4-7 $140\/youth<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_135_67'>\n\t\t\t<li class='gchoice gchoice_135_67_0'>\n\t\t\t\t<input name='input_67' type='radio' value='Kamp Agappae Jr &amp; Sr   *5-11yrs|175'  id='choice_135_67_0'    \/>\n\t\t\t\t<label for='choice_135_67_0' id='label_135_67_0' class='gform-field-label gform-field-label--type-inline'>Kamp Agappae Jr &amp; Sr   *5-11yrs<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_135_67'>*Time: 9am-4pm\n\n*Location: Sports Complex @ 25 Fair St. Maxville<\/div><\/li><li id=\"field_135_68\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_135_68 gfield_product_135_68 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Aug 10 &#8211; 14 $175\/child<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_135_68'>\n\t\t\t<li class='gchoice gchoice_135_68_0'>\n\t\t\t\t<input name='input_68' type='radio' value='Kamp Agappae Sportz *6-12yrs|175'  id='choice_135_68_0'    \/>\n\t\t\t\t<label for='choice_135_68_0' id='label_135_68_0' class='gform-field-label gform-field-label--type-inline'>Kamp Agappae Sportz *6-12yrs<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_135_68'>*Time: 9am-4pm *Location: Sports Complex @ 25 Fair St. Maxville<\/div><\/li><li id=\"field_135_43\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_135_ gfield_total gfield_total_135_ field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_135_43'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_135'>$ 0.00 CAD<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_43' id='input_135_43' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_135_43'>Send E-Tranfer to yfcnorthglengarry@econyfc.ca<\/div><\/li><li id=\"field_135_42\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_135_35\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Waiver<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_135_35'><li class='gchoice gchoice_135_35_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.1' type='checkbox'  value='I have read and agree to the information below.'  id='choice_135_35_1'   aria-describedby=\"gfield_description_135_35\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_135_35_1' id='label_135_35_1' class='gform-field-label gform-field-label--type-inline'>I have read and agree to the information below.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_135_35'>I hereby declare that my child is allowed to participate fully in activities associated with the Kamp Agappae summer daycamps. I understand that at camps, my child may participate in different activities that are supervised by YFC\/Youth Unlimited North Glengarry staff &#038; volunteers.  I also agree that my child will be bound by the rules of the leaders of these activities and the rules of any place or organization where the activities may be held. I know I may contact the YFC\/Youth Unlimited North Glengarry office at 613-525-2531 to acquire further information about the Summer Camps. In consideration of my child\u2019s participation in this event, organized and supervised by YFC\/Youth Unlimited North Glengarry staff &#038; volunteers, I hereby release, waive, and discharge YFC\/Youth Unlimited North Glengarry, Eastern Counties (ON) YFC Inc., including their staff, organizers, partners, volunteers and participants, on my child\u2019s behalf from any and all liability, loss, injury or death which may be suffered, sustained or arise in any way whatsoever as a result of or in conjunction with these activities. This event could involve the following possible injuries: (eg. heat stroke, falls, breaks, burns, bruises, cuts etc).<\/div><\/li><li id=\"field_135_38\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Summer camp policies<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_135_38'><li class='gchoice gchoice_135_38_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.1' type='checkbox'  value='I have read and agree to the policies presented in the Summer Camps information page. (https:\/\/yfc.ca\/eastern-counties-ontario\/summer) (Also presented down below)'  id='choice_135_38_1'   aria-describedby=\"gfield_description_135_38\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_135_38_1' id='label_135_38_1' class='gform-field-label gform-field-label--type-inline'>I have read and agree to the policies presented in the Summer Camps information page. (https:\/\/yfc.ca\/eastern-counties-ontario\/summer) (Also presented down below)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_135_38'>\n\nSummer Camp Information\n\n \n\nHow do we register?\n\n    The Summer Camps Registration form is found in the Summer Camps subsection. Hover on the Summer page and you will see a page named Summer Camps\n    Spaces are very limited and will be filled on a first-come\/first-serve basis and a waitlist is available for each week. We recommend putting your child\u2019s name on the waitlist as spaces may become available.\n    If online registration is a challenge for you, please contact us by phone for support at 613-525-2531.\n\n \n\nHow many weeks can we register?\n\nYou may register for a minimum of 1 week or up to 4 weeks. Full weeks only (there is no daily rate).\n\n \n\nTo secure your child\u2019s space at YFC\/YUNG Summer camps, complete your registration via email. This year, registration is only available through email ahead of time, not in-person.\n\n \n\nWhat methods of payment do you accept?\n\n \n\nPayments will be accepted by e-transfer to yfcnorthglengarry@econyfc.ca with your email registration submission.\n\nOption 1: Pay in full and a receipt will be emailed to you.\n\nOption 2: Pay a deposit of $50 per week upon registration. With this option, you must pay the balance at least one week prior to the beginning of that camp.\n\n \n\nWhat is your refund policy?\n\nRegistration for our summer camps may be canceled by emailing yfcnorthglengarry@econyfc.ca for a refund up to 14 days prior to the beginning of the camp minus the $50 non-refundable deposit per child per week registered. Refunds will not be issued with less than 14 days\u2019 notice.<\/div><\/li><li id=\"field_135_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Media Release<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_135_37'>\n\t\t\t<li class='gchoice gchoice_135_37_0'>\n\t\t\t\t<input name='input_37' type='radio' value='As parent\/guardian, I agree to permit reasonable use of photos and\/or video of my child\/youth during the child\/youth programming provided during Summer Camps 2026, understanding that they could be used by YFC Canada in the promotion of future YFC conferences\/events.'  id='choice_135_37_0'    \/>\n\t\t\t\t<label for='choice_135_37_0' id='label_135_37_0' class='gform-field-label gform-field-label--type-inline'>As parent\/guardian, I agree to permit reasonable use of photos and\/or video of my child\/youth during the child\/youth programming provided during Summer Camps 2026, understanding that they could be used by YFC Canada in the promotion of future YFC conferences\/events.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_135_37_1'>\n\t\t\t\t<input name='input_37' type='radio' value='As parent\/guardian, I do not to permit reasonable use of photos and\/or video of my child\/youth during the child\/youth programming provided during Summer Camps 2026, understanding that they could be used by YFC Canada in the promotion of future YFC conferences\/events.'  id='choice_135_37_1'    \/>\n\t\t\t\t<label for='choice_135_37_1' id='label_135_37_1' class='gform-field-label gform-field-label--type-inline'>As parent\/guardian, I do not to permit reasonable use of photos and\/or video of my child\/youth during the child\/youth programming provided during Summer Camps 2026, understanding that they could be used by YFC Canada in the promotion of future YFC conferences\/events.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_135_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Transportation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_135_54'>\n\t\t\t<li class='gchoice gchoice_135_54_0'>\n\t\t\t\t<input name='input_54' type='radio' value='I consent to my son\/daughter being transported to and from this event in a vehicle operated by a YFC Worker\/Staff, YFC Volunteer\/Chaperone, the YFC Area Director or any contracted driver, such as a bus company staff.'  id='choice_135_54_0'    \/>\n\t\t\t\t<label for='choice_135_54_0' id='label_135_54_0' class='gform-field-label gform-field-label--type-inline'>I consent to my son\/daughter being transported to and from this event in a vehicle operated by a YFC Worker\/Staff, YFC Volunteer\/Chaperone, the YFC Area Director or any contracted driver, such as a bus company staff.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_135_63\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_135_63'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_63' id='input_135_63' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_135_63_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_135_63_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_135_63' class='gform_hidden' value='https:\/\/yfc.ca\/eastern-counties-ontario\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_135_33\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_135_33'>Parent\/Guardian Signature<span 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