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Welcome
2015
Arrêt-Court
Shortstop
Centre Whiteside Taylor
20551 Lakeshore
Baie d’Urfé, QC H9X 1R3
(514) 457-5406 Fax: (514) 457-3223
[email protected]
Dear Parents,
Once again we will be offering a summer program for children who attended elementary school in the
2014-2015 school year. In order to plan our summer program we need to know how many children
will be attending during the summer of 2015 and the exact dates of attendance. Whiteside Taylor
centre is open from 7:00 a.m. until 6:00 p.m.
The fees for summer camp 2015 are as follows:
Residents of Baie d’Urfé
40$ per day (minimum of 3 days)
165$ per week (5 days)
Non-residents of Baie d’Urfé
45$ per day (minimum of 3 days)
185$ per week (5 days)
Please fill in the enclosed information sheet and return it to us as soon as possible with your post-dated
cheques made out to SHORTSTOP dated for July 1st and August 1st, 2015.
Any requests for refunds must be received a minimum of four (4) weeks prior to the start of the session
for which the child is registered. Cancellations received with less than four (4) weeks notice will be
subject to a $50.00 administration fee or 10% of the remaining rate for the weeks cancelled, whichever
is less. Days missed from camp cannot be reimbursed or rescheduled.
☼Please note that we will be closed for statutory holidays on Wednesday June 24th and Wednesday
July 1st.
As the children will be bringing their lunches, we would like to remind you that everything should be
nutritious and must be NUT-FREE due to severe allergies.
Every week we have a special outing.
Friday June 26: Horseback riding
Friday July 3: Upper Canada Village
Friday July 10: Beach Club Pointe-Calumet
Friday July 17: Horizon Roc
Friday July 24: Exposition Ste-Hyacinthe
Friday July 31: Sherifville Le Sablon
Friday August 7: Water slides
Thursday & Friday, August 13 & 14: Special activities
(Grades 1 – 3)
Thursday and Friday August 13 - 14: Sleepover camp
(Grades 4 – 6) *additional cost of $125.00 to be
confirmed
Friday August 21: Granby Zoo
Please bear in mind that there may be changes due to unforeseen circumstances but we will always
have an activity.
*Camp t-shirt is required for all outings*
We look forward to having a fun time this summer, if you have any questions, please do not hesitate to
call us.
Michelle Sauvé
Director Whiteside Taylor
ARRET-COURT/SHORTSTOP
20551 Lakeshore Road
Baie d’Urfé, Québec
H9X 1R3
Tel: (514) 457-5406 Fax: (514) 457-3223
Inscription/Registration
Nom de l’enfant
Name of Child _____________________________________________
Date de naissance
Date of Birth ____________________________
Année scolaire (septembre 2015)
Grade (September 2015)_________________
Informations des parents/Parent’s information
Mère/Mother ______________________
Adresse/Address
___________________________________________________________
Code postale/postal code
_________________________________
No. de tél.(maison)/Phone number(home) ______________________
No. de tél.(travail)/Phone number(work) ________________
Cell _________________
Courriel/E-mail _______________________________
Père/Father __________________________
Adresse/Address (si different/if different) _______________________________________
____________________________________________
No. de tél.(maison)/Phone number(home) ______________________
No. de tél.(travail)/Phone number(work) ________________Cell _________________
Courriel/E-mail _______________________________
*Reçu de frais de garde sera remis à
Tax receipt(s) should be issued in the name of _______________________________________
NAS/SIN ____________________________________
Personnes à contacter en cas d’urgence (autre que les parents)
Emergency contact in case of emergency (other than the parents)
1. Nom/Name ___________________Relation/Relationship_________________
No. de tél./Telephone number a)________________ b)______________________
2. Nom/Name ___________________Relation/Relationship_________________
No. de tél./Telephone number a)________________ b)______________________
Information médicale/Medical information
Numéro d’assurance maladie
Medicare Number
____________________________________________
Date d’expiration
Expiration date
____________________________________________
Informations médicales spéciales
Special health information_________________________________________________
______________________________________________________________________
______________________________________________________________________
J’autorise Arrêt-court à prendre les mesures nécessaires en cas d’urgence pour mon enfant.
I authorize SHORTSTOP to undertake all necessary measures in case of injury or illness of my child
_______________________________
Signature du (of) parent
____________________________
Date
Registration
Centre Whiteside Taylor
20551 Lakeshore
Baie d’Urfé, QC H9X 1R3
(514) 457-5406 Fax: (514) 457-3223
[email protected]
2015
Arrêt-Court
Shortstop
S’il vous plaît remplir le formulaire et le retourner avec vos chèques post datés au nom du
SHORTSTOP.
Please fill out the information sheet and return it with your post-dated cheques made out to
SHORTSTOP.
Nom de l’enfant/Name of child:__________________________ année scolaire/grade(sept ’15)______
Date de naissance/Date of birth:___________________________
Semaine du/Week of:
L/M M/T
25-26 juin/June
X
29 juin/june - 3 juillet/July(fermé mercredi/closed Wed.)
_____
M/W
X X
_____
X
J/Th
V/F
_____
_____
_____
_____
6 - 10 juillet/July
____
____
____
____
____
13 - 17 juillet/July
____
____
____
____
____
20 - 24 juillet/July
____
____
____
____
____
27 - 31 juillet/July
____
____
____
____
____
3 - 7 août/August
____
____
____
____
____
10 - 14 août/August
____
____
____
____
____
____
____
Sleepover camp 13 - 14 août/August (4
ième
oui ____
,5ième et 6ième année )
17 - 21 août/August
____
____
____
(seulement pour les enfants déjà inscrits pour deux
autres semaines/Only open to children who have attended two other weeks)
Nom du parent/tuteur/Name of parent/guardian :____________________________________________
Signature :__________________________________ Date :__________________________________
Swimming
2015
Arrêt-Court
Shortstop
Centre Whiteside Taylor
20551 Lakeshore
Baie d’Urfé, QC H9X 1R3
(514) 457-5406 Fax: (514) 457-3223
[email protected]
Dear Parents,
Welcome to another hot summer! We are very fortunate to have access to the Baie d’Urfé Swimming
Pool for both daily lessons and afternoon Free Swim throughout the summer.
Swimming lessons are offered Mondays through Thursdays in two 4-week sessions beginning Monday,
June 22nd and running through Thursday, August 14th, 2015.
We will also participate in the afternoon Free Swim program that is offered Mondays through
Thursdays throughout the summer.
If you are already a member of the Baie d’Urfé Pool you can register your child for swimming lessons
at the pool.
☼Please remember to let us know when their class is and with whom so that we can make sure they
arrive on time for their lesson.
If you are not a member of the Baie d’Urfé Pool your child may still register for swimming lessons by
letting us know your child’s swimming level and providing a cheque for the full amount of 115.00$.
This includes the fee for 8 weeks of swimming lessons and the afternoon Free Swim program.
*All lessons for non-members will be might be held between 8:00 a.m. and 9:00 a.m.
☼Please make your cheque payable to SHORTSTOP for 115.00$.
If you do not wish your child to attend swimming lessons, the afternoon Free Swim program is
10.00$/week or 25.00$ for the summer.
☼Please make your cheque payable to SHORTSTOP
Les enfants inscrits à la piscine de Baie d’Urfé via Shortstop ont accès à la piscine
seulement en présence des éducateurs du programme. Le soir, les week-ends ou en
tout autre temps, l’accès sera interdit.
All children registered for the Baie d’Urfé swim club through the Shortstop daycamp
will only have access to the pool under the supervision of the camp educators. Access
to the pool in the evenings, on weekends, or at any other time is not allowed.
Formulaire/Form
Whiteside Taylor
20551 Lakeshore
Baie d’Urfé, QC H9X 1R3
(514) 457-5406 Fax: (514) 457-3223
[email protected]
2015
Arrêt-Court
Shortstop
T-shirt pour les enfants pour le Camp de jour (15.00$)
*Chandail du camp obligatoire pour tous les sorties*
Kid's T-Shirt for Day Camp ($15.00)
*Camp t-shirt mandatory for all outings*
Nom de l'enfant / Child's name:_______________________________________________________
Grandeur / Size:
Measurement (inches)
Largeur/Width
q
q
q
q
Petit / Small
Médium / Medium
Grand / Large
X-Grand/X-Large
Longueur/Length
16
20
17
22
18
24
19
26
Formulaire d’inscription pour la piscine 2015 / Swimming registration 2015
Niveau de natation / swimming level :_________________________
q
q
q
Nous sommes membres à la piscine de Baie d’Urfé
We are members of Baie d’Urfé pool
Je veux inscrire mon enfant au cours de natation
Please register my child for swimming lessons
0.00$
115.00$
Je veux que mon enfant participe à la baignade libre seulement 10.00$/week
My child will only participate in Free Swim.
or 25.00$/all summer
Mode de paiement / Payment Method:
q
q
Chèque / Cheque (à/to : SHORTSTOP)
Argent comptant / Cash
Signature du parent/tuteur / Signature of parent/guardian:___________________________