Please fill in the form below to complete the registration:

Please fill out one form per child

Child's General Information


Parent information (1)


Parent information (2)


In case of an emergency, who should we contact if either parent is available?

Important Information

I authorize Vertige Escalade, its employees, or all other designated person to use photos or audio/video material or my child taken during their participation in the Vertige day camp in the use of any printable or electronic documents (posters, web site, Facebook, banners, etc.) from year to year. I also allow Vertige Escalade to use these photos or videos without my approval or my child's approval. I also understand my child nor I will receive any supplementary compensation for these photos/videos.

Child's Medical Information

Please note that all of this information is confidential.