*1.Camper's First and Last name(Required.)

*2.Age of Camper(Required.)

*3.Parent/ Guardians:(Required.)

Name:

Contact email:

Phone Number:

*4.QFN Band Member?(Required.)

Yes

No

5.If you answered yes, Please add your child's Band Number

*6.What Camp do you wish to attend(Required.)

Western; Corner Brook- July 6th-9th

Western; Stephenville Crossing- August 10th-13th

Western; Benoit's Cove- July 27th-30th

Western; Port aux Port- July 13th-16th

Central; Glenwood- August 3rd-6th

Central; Gander- July 20th-23rd

7.Please Note: Submitting this form begins the registration process. QFN staff will follow up with the full Registration Form, Health Forms, and Media Consent Forms for each camper. Registration is not confirmed until all required documents are completed and returned to Bethann Janes. A confirmation email will be sent once everything is received. Priority will be given to Qalipu First Nation members.