PA Day Camp

Parent's First Name(Required)

Parent's Last Name(Required)

Child's First Name(Required)

Child's Last Name(Required)

Additional Child's First Name

Additional Child's Last Name

Additional Child's First Name

Additional Child's Last Name

Email(Required)

PA Day Camp

Program Cost

No. of Children

Please enter a number from 1 to 10.

Cost (sub-total)

Price: $ 0.00 CAD

Would you like to help cover the processing fees?(Required)

Yes, I'd like to cover fees to help fund RTCC programs.

No thank you.

Processing Fees (Optional)

Price: $ 0.00 CAD

I’d like to add the processing fees so that all of my payment goes to fund RTCC programs.

Total Cost

Credit Card

Card Details

Cardholder Name

Payment Information

Street Address Address Line 2 City Province Postal Code

Phone (Home)

Phone (Mobile)

Permissions

Please send me updates and information related to RTCC activities.

I authorize RTCC to contact me by e-mail at the above address.

I do NOT wish to receive updates and information related to RTCC activities.

Note: Only authorized RTCC personnel will have access to your contact information. Personal Information is collected in accordance with the City of Toronto Act 2006, and the RTCC Privacy Policy, and will not be redistributed or shared in any manner. RTCC operates under the City of Toronto’s privacy policy in accordance with MFIPPA. See www.toronto.ca/cap/ mfippa.htm for additional details.