iCAN Camp Application Form

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iCAN Camp PRE-REGISTRATION is open! Check out our Camp Page for 2024 info!

Also be sure to check out our R&R Page for other fun programs!

Use tab to navigate through the menu items.

Full Name of Applicant

Applicant's Date of Birth

Email

Home Address

City

Postal / Zip code

Province/State

Country

Home Phone Number

Sex at Birth

Male

Female

Prefer not to say

I identify as

Male

Female

Non-binary

Other (please specify below)

Health Card Number

Family Doctor Information

Find Us

102-2525 St. Laurent Blvd

Ottawa, ON

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Please visit our Indeed page and join Caring Support for the most recent opportunities or send your resume and cover letter to

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