IT IS VERY IMPORTANT that you [click here for the Summer Schedule] to verify that there is room in the camp session in which you are interested before completing the form below.
* Camper's First Name
* Camper's Last Name
* Camper's Date of Birth (Format:dd/mm/yy)
* Gender Male Female
* Your Email
* Address Line 1
Address Line 2
* City
* Province/ Territory (select) Ontario Quebec British Columbia Alberta Saskatchewan Manitoba New Brunswick Prince Edward Island Nova Scotia Newfoundland/Labrador Yukon Northwest Territories Nunavut Outside Canada
Province or State if outside of Canada
* Postal Code
Country
* Evening Phone: Format 555.555.5555
* Day Time Phone: Format 555.555.5555
Home Church, Location
We Belong to a Presbyterian Congregation (for statistical purposes only) Yes No
* Number of Previous Summers at Glen Mhor (select) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
* Number of Previous Summers at Iona (select) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
**PLEASE NOTE: Campers will only be placed in a cabin or unit with a friend if BOTH families put the other child's name in this space. Please place only one name of a camper who is not more that two years older in the space following "I would like to be in a cabin/unit with:" Should you write more than one, only the first person's name can be considered.
I would like to be in a cabin/unit with
* We heard about Cairn (Iona & Glen Mhor) from (please Control-Click all that apply) (select) Church Friend/Family Internet Search Alumni Ontario Camps Association Canada Camps Magazine Our Kids Go To Camp Magazine Saw Your Brochure
* We would like to receive the electronic newsletter from Cairn. Yes please. No thank you.
We would like to help another family afford camp for their child and we are donating to the CAIRN Campership Fund $25 $50 $100
* We would like to register our camper for (select) 1 session 2 sessions 3 sessions 4 sessions
Please register our camper for the following session(s) **Please give us the number (i.e. GM12) and the name (i.e. Algonquin Canoe Trip) of each session for which you are registering:
* First Session
Second Session
Third Session
Fourth Session
If Cairn was recommended to your family by someone, please list their name: This Referring Family will receive a $25.00 Tuck Shop Gift Certificate.
Referring Family
Tell us your favourite camp memory or leave us a note.
We have read and agree to the terms as outlined here.
We Agree We agree to the terms *
