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Mount Traber Ranch
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Homeschool Day Registration
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Child's Information
Please fill out a separate form for each child. If information such as email, address, and cell numbers are the same, just do the oldest child’s form.
Registering For:
(Required)
**Group 1 registration is now restricted to teens only (12+)**
Group 1: Sept 22nd (Ages 5-15) (1 spot remaining)
Group 2: Sept 29th (Ages 5-12) (32 spots remaining)
Child's Name
(Required)
First
Last
Parent's Name
(Required)
First
Last
Email
(Required)
Address
(Required)
Street Address
Address Line 2
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Age
(Required)
Gender
(Required)
Male
Female
Please note Group 1 registration is now restricted to teens only (12+).
Birthday
(Required)
Month
Day
Year
Phone
Mom Cell
Dad Cell
Allergies
Does your child have any allergies?
No
Yes
List Allergies
Medical
Does your child have:
Asthma
ADD
ADHD
Anxiety
Autism
Other Info
Any other info you would like to share with us about your child/teen:
Permissions
My child is allowed to:
Participate in sledding
Participate in pony rides
Have their photo taken for promo purposes
Be taken to the hospital in an emergency
Authorized Pickup
Please list those who have permission to pickup your child other than parents. Use the + to add additional people.
First Name
Last Name
Relation
Add
Remove
Signature
(Required)
Date
(Required)
Month
Day
Year
Payment Options
If you are able, it would be very helpful if several days could be paid at a time. Cost is $20 per child for 2 children / $10 per each additional child (Ex: 4 children would cost $60)
Number of Children Attending:
(Required)
Please enter a number greater than or equal to
1
.
Amount Owing per Week
Payment Method
(Required)
Online Payment Now
In Person Payment (Cash, Cheque, etc.)
E-Transfer
Cash, cheque, or debit/credit card payments can be taken on arrival. You may also mail a cheque to our address with the campers name indicated:
PO Box 36, Middle Musquodoboit, NS B0N 1X0
Instructions for e-transfer:
Email: mtbcbookkeeping@gmail.com
Please put Homeschool Days and the name(s) of the children in message area. No password is needed.
Amount of Weeks to Pay Now
Fees
Price:
$ 0.00 CAD
Billing Info
Total
Customer Name
(Required)
First
Last
Billing Address
(Required)
Street Address
Address Line 2
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Credit Card
(Required)
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Stripe Charge Description
