Click here for a PDF version of this form.

Registration Information

Child’s / Youth’s Name*:

Date of Birth*:

Age:

Parent(s)/Guardian(s) Name(s):

Address*:

Telephone* (Home):

Telephone (Work):

Cell (Other):

School / Daycare:

Grade:



Family Identification

Mother’s Name*:

Address*:

Telephone* (Home):

Telephone (Work):

Father’s Name*:

Address*:

Telephone* (Home):

Telephone (Work):

Custody Status:

If other, please state special arrangements:

Legal Guardian:

Relationship to Child:

Guardian Phone:

Address:


NADY Summer Groups

Please note sessions are broken into 2 sessions per day by age group. Spaces are limited.

Camp Information

Healthy Snacks:
Participants will be required to bring healthy snacks and drinks each day.

Check all that apply.

CAMP

DATES

AGE GROUP

LOCATION

SELECT

Blast Off to Summer

July 4-7
9:00 am - 12:00 pm

6-12

OKP North Bay

1

Blast Off to Summer

July 4-7
1:00 pm - 4:00 pm

13-21

OKP North Bay

1

Happy Birthday Canada

July 10-14
9:00 am - 12:00 pm

6-12

OKP North Bay

1

Happy Birthday Canada

July 10-14
1:00 – 4:00 pm

13-21

OKP North Bay

1

Around the World

July 17-21
9:00 am - 12:00 pm

6-12

OKP North Bay

1

Around the World

July 17-21
1:00 pm – 4:00 pm

13-21

OKP North Bay

1

Space Adventures

July 24-28
9:00 am - 12:00 pm

6-12

OKP North Bay

1

Space Adventures

July 24-28
1:00 pm - 4:00 pm

13-21

OKP North Bay

1

Get Out & Get Moving

July 31-Aug 4
9:00 am - 12:00 pm

6-12

OKP North Bay

1

Get Out & Get Moving

July 31-Aug 4
1:00 pm - 4:00 pm

13-21

OKP North Bay

1

Moving & Grooving

Aug 8-11
9:00 am - 12:00 pm

6-12

OKP North Bay

1

Moving & Grooving

Aug 8-11
1:00 pm - 4:00 pm

13-21

OKP North Bay

1

Arts Alive

Aug 14-18
9:00 am - 12:00 pm

6-12

OKP North Bay

1

Arts Alive

Aug 14-18
1:00 pm – 4:00 pm

13-21

OKP North Bay

1

Back To School

Aug 21-25
9:00 am - 12:00 pm

6-12

OKP North Bay

1

Back to School

Aug 21-25
1:00 pm- 4:00 pm

13-21

OKP North Bay

1


Parent / Guardian Signature*:

Parent / Guardian Name*:

Date*:

*Please see camp descriptions below.


“The personal information being collected on this form is collected under the authority of the Health Protection and Promotion Act, the Municipal Freedom of Information and Protection of Privacy Act & Personal Information Protection & Electronic Documents Act. This information shall be used to ensure necessary health care measures are attained. Questions covering the collection of this information may be directed to: One Kids Place, 400 McKeown Ave North Bay, ON P1B 0B2. Phone: (705) 476-5437 or 1-866-626-9100.


OKP Summer Programming Descriptions:

JULY 2017

Theme: Blast off to summer
July 4 – 7     Location:  OKP, North Bay
(6-12 years old) 9:00 a.m. to 12:00 p.m. ; (13-21 years old), 1:00 p.m. to 4:00 p.m.
NADY children and youth will learn various gross motor and sports skills, along with arts, culture and social programming.  Each day will consist of skill and themes that aligns with the Fundamental sports program. Activities will include both indoor and outdoor, as well as on-site and off-site locations.

Theme: Happy Birthday Canada
July 10 – 14    Location:  OKP, North Bay
(6-12 years old) 9:00 a.m. to 12:00 p.m. ; (13-21 years old), 1:00 p.m. to 4:00 p.m.
NADY children and youth will learn various gross motor and sports skills, along with arts, culture and social programming.  Each day will consist of skill and themes that aligns with the Fundamental sports program. Activities will include both indoor and outdoor, as well as on-site and off-site locations.

Theme: Around the World
July 17-21     Location:  OKP, North Bay
(6-12 years old) 9:00 a.m. to 12:00 p.m. ; (13-21 years old), 1:00 p.m. to 4:00 p.m.
NADY children and youth will learn various gross motor and sports skills, along with arts, culture and social programming.  Each day will consist of skill and themes that aligns with the Fundamental sports program. Activities will include both indoor and outdoor, as well as on-site and off-site locations.

Theme: Space Adventures
July 24 – July 28   Location:  OKP, North Bay
(6-12 years old) 9:00 a.m. to 12:00 p.m. ; (13-21 years old), 1:00 p.m. to 4:00 p.m.
NADY children and youth will learn various gross motor and sports skills, along with arts, culture and social programming. Each day will consist of skill and themes that aligns with the Fundamental sports program. Activities will include both indoor and outdoor, as well as on-site and off-site locations.

AUGUST 2017

Theme: Get Out and Get Moving
July 31- Aug 4 Location:  OKP, North Bay
(6-12 years old) 9:00 a.m. to 12:00 p.m. ; (13-21 years old), 1:00 p.m. to 4:00 p.m.
NADY children and youth will learn various gross motor and sports skills, along with arts, culture and social programming.  Each day will consist of skill and themes that aligns with the Fundamental sports program. Activities will include both indoor and outdoor, as well as on-site and off-site locations.

Theme: Moving and Grooving
August 8-11    Location:  OKP, North Bay
(6-12 years old) 9:00 a.m. to 12:00 p.m. ; (13-21 years old), 1:00 p.m. to 4:00 p.m.
NADY children and youth will learn various gross motor and sports skills, along with arts, culture and social programming.  Each day will consist of skill and themes that aligns with the Fundamental sports program. Activities will include both indoor and outdoor, as well as on-site and off-site locations.

Theme: Arts Alive
August 14-18    Location:  OKP, North Bay
NADY (6-12 years old) 9:00 a.m. to 12:00 p.m. ; (13-21 years old), 1:00 p.m. to 4:00 p.m.
NADY children and youth will learn various gross motor and sports skills, along with arts, culture and social programming.  Each day will consist of skill and themes that aligns with the Fundamental sports program. Activities will include both indoor and outdoor, as well as on-site and off-site locations.

Theme: Back to School
August 21 – 25    Location:  OKP, North Bay
(6-12 years old) 9:00 a.m. to 12:00 p.m. ; (13-21 years old), 1:00 p.m. to 4:00 p.m.
NADY children and youth will learn various gross motor and sports skills, along with arts, culture and social programming.  Each day will consist of skill and themes that aligns with the Fundamental sports program. Activities will include both indoor and outdoor, as well as on-site and off-site locations.