Online Registration for Summer Camps or Voyages

Instructions

Use this form to register one participant on one or more camps or voyages. There is a 20% discount if registering for two or more camps or voyages. A 20% discount also applies to registrations for two or more participants from the same family. Separate applications are required for each participant. Make a note to the office staff in the comments field below about applying the 20% multi-participant discount.

Financial Assistance

Financial assistance from the Captain Thomas G. Fuller Bursary is available to families that can show they need assistance in order to be able to send their children on a voyage or to a camp. If you are interested in applying for the bursary, be sure to select the checkbox expressing an interest in a bursary application.

The Fine Print

Standing Orders

Terms and Conditions

Release and Indemnity Form
Requires Adobe Acrobat Reader

Medical Questionnaire
Requires Adobe Acrobat Reader

Select Voyage(s)/Camp(s) or Enter Group Name & Dates
July 2010
S M T W T F S
4 5 6 7 8 9 10
 Black Jack Camp 1  
11 12 13 14 15 16 17
       Black Jack Camp 2
18 19 20 21 22 23 24
Black Jack Camp 2  
25 26 27 28 29 30 31
   Black Jack Camp 3  
August 2010
S M T W T F S
1 2 3 4 5 6 7
       Black Jack Camp 4>
8 9 10 11 12 13 14
<Black Jack Camp 4  
15 16 17 18 19 20 21
       Black Jack Camp 5>
22 23 24 25 26 27 28
<C5      Black Jack Camp 6>
29 30 31        
<C6            
Camp Fees Black Jack Camp Dates - 12 to 14 year olds
 Camp 1
$638
6 days: Sunday, July 4 to Friday, July 9, 2010
 Camp 2
$1,026
10 days: Wednesday, July 14 to Friday, July 23, 2010
 Camp 3
$540
5 days: Monday, July 26 to Friday,  July 30, 2010
 Camp 4
$1,026
10 days: Wednesday, August 4 to Friday, August 13, 2010
 Camp 5
$540
5 days: Wednesday, August 18 to Sunday, August 22, 2010
 Camp 6
$540
5 days: Wednesday, August 25 to Sunday, August 29, 2010

All prices include: Applicable Taxes, a Trainee Log Book, a T-Shirt with a picture of the ship on it, and a note book.

All Black Jack Camps start at 08:00 in Quyon, QC at the town dock and end at 12:00 at Britannia Yacht Club in Ottawa, ON. (Get there early to see them sail down the river.)

Participants may sign up for back-to-back camps/voyages, but parents must arrange for accommodation ashore between camps/voyages.

July 2010
S M T W T F S
4 5 6 7 8 9 10
 Fair Jeanne Voyage A    
11 12 13 14 15 16 17
   Fair Jeanne Voyage B  
18 19 20 21 22 23 24
   Fair Jeanne Voyage C  
25 26 27 28 29 30 31
   Fair Jeanne Voyage D>
August 2010
S M T W T F S
1 2 3 4 5 6 7
<Fair Jeanne Voyage D      
8 9 10 11 12 13 14
   Fair Jeanne Voyage E  
15 16 17 18 19 20 21
   Fair Jeanne Voyage F >
22 23 24 25 26 27 28
<Voyage F          
Voyages Fees Fair Jeanne  Voyage Dates - 15 to 19 year olds
 Voyage A
$648
5 days: Sunday, July 4 to Thursday, July 8, 2010
Toronto to Brockville
 Voyage B
$648
5 days: Monday July 12 to Friday, July 16, 2010
Brockville to Brockville
 Voyage C
$648
5 days: Monday, July 19 to Friday, July 23, 2010
Brockville to Brockville
 Voyage D
$1,242
10 days: Monday, July 26 to Wed., August 4, 2010
Brockville to Brockville
 Voyage E
$648
5 days: Monday, August 9 to Friday, August 13, 2010
Brockville to Brockville
 Voyage F
$1,242
10 days: Monday, August 16 to Wed., August 25, 2010
Brockville to Brockville

Fair Jeanne voyages begin at 1000hrs and end at 1400hrs. 

OR Group Name & Date(s) 
(if applicable): 
 Participant Information 
* Name: 

This is a required field.

Privacy Policy

Bytown Brigantine Inc. is a federally registered Charitable Foundation incorporated by letters of patent in the Province of Ontario. Bytown Brigantine Inc. respects your privacy. We collect and use your personal information primarily for the purpose of providing you with the products and services you have requested from us. We protect your personal information and adhere to all legislative requirements with respect to protecting privacy. We do not rent, sell or trade our mailing lists. The information that you provide will be used to allow us to properly conduct our programs, continually improve our programs and service offerings, enable us to more efficiently provide the products and services you have requested from us and allow us to keep you informed and up-to-date on the activities of Bytown Brigantine Inc. A copy of our privacy policy is available at 2700 Queensview Drive, Ottawa, Ontario, K2B 8H6.

Date of Birth: 
Is the participant under 18 
at the time of application? 
 Yes      No
If yes, parent/guardian info must be
filled out in the section below.
Gender: 
 Male      Female
Address: 
 
City: 
Prov/State: 
Postal/Zip Code: 
Country: 
Home Phone: 
Work Phone: 
Cell Phone: 
* Email: 

This is a required field.
Parent/Guardian Information
(if participant is under 18)
Name: 
Relationship to Participant: 
Address: 
City: 
Prov/State: 
Postal/Zip Code: 
Country: 
Home Phone: 
Work Phone: 
Cell Phone: 
Email: 

Emergency Contact: 

Should the information above be used as the Primary Emergency Contact?
Yes     No
If yes, enter only Secondary Emergency Contact Information below.

 Primary Emergency Contact Information
Name: 
Relationship: 
Home Phone: 
Work Phone: 
Cell Phone: 
 Secondary Emergency Contact Information 
Name: 
Relationship: 
Home Phone: 
Work Phone: 
Cell Phone: 
 Health Insurance Information  
* Health Care Provider:  
This is a required field.
* Card or Policy #:  
This is a required field.
 We Would Like to Know... 
How did you hear about  Bytown Brigantine? 
 Payment Information 

Please note:

  • Registration must be accompanied by a minimum 20% deposit.
  • Payment in full is required by June 1st.
  • Register for two or more camps or voyages and receive a 20% discount.
  • Register two or more participants from the same family and receive a 20% discount.
Bursary :
I am interested in applying for financial assistance from the Thomas G. Fuller Bursary.
I wish to pay by :
Cheque will be mailed
I will call with a credit card number
Comments   
/ Questions :
* Security Code :
Code Speaker
This is a required field.
 

This page last updated: Tuesday, March 02, 2010 at 18:32

Register by Mail

If you wish to register by dropping off in person or mailing in the registration form, please download either of these files, complete it and send it in with your deposit or full payment.

Download the Bursary Application Form - Requires Adobe Acrobat Reader.   The Bursary Application Form is also available in MS-Word Format. Use right-mouse click, then "Save As" to save a copy to your PC

 

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BYTOWN BRIGANTINE INC.
2700 Queensview Drive, Ottawa, ON K2B 8H6 CANADA
phone: (613) 596-6258
contact us by email

Copyright © 2008 Bytown Brigantine Inc. a non-profit charitable foundation (Charitable Registration #118822253 RR0001) dedicated to providing adventure, education, and training in a demanding and rewarding environment.