2020 Waitlist Application | Camp Banting

Camp Banting Waitlist Application

Parent / Guardian's Name*
First Last
Parent / Guardian's Primary Email*
Enter Email Confirm Email
Home Address*
Street Address Address Line 2 City Province Postal Code
Parent / Guardian's Primary Phone*
Child / Camper's Name*
First Last
Child / Camper's Birthdate*
MM slash DD slash YYYY
Camper / Child's Gender*
Child / Camper's Year of T1D diagnosis*
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Camp Banting

Established 1953

Canada's longest running camp for children living with type 1 diabetes.

Charitable registration number: 7866 62478 RR0001

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