MAYFAIR LAKESHORE801 Lake Shore Blvd. E.Toronto, ON M4M 1A9

(416) 466-3777

GENIUS LAB CAMP

Genius Lab is an 8-week experiential learning-based program that will enhance participants math, science, and literacy skills. Children will develop leadership, problem solving, and digital literacy skills all in a collaborative and creative environment.

Students are provided with hi-tech equipment, including award-winning robots, and are guided by certified instructors to explore, collaborate and innovate with their peers. A wide variety of STEM subjects are taught through Robotics & Coding and Aerospace. Progressive curriculum enables students to create and problem solve using a variety of scientific techniques.

Learn more about Genius Labs by visiting their website: logicsacademy.com/for-educators/genius-lab.

Session Details• Morning session, ages 6–8, 9am–11:30am• Afternoon session, ages 9–11, 12pm–2:30pm• Sessions are 2.5 hours and include: • 30-minute active warm-up • 90-minute instructional session • 30-minute stetch & cool down • Program cost is $275 per weekly session• Rotating weekly program for Aerospace and Robotics• Session facilitators are qualified educators: teachers, scientists or engineers

Please submit form to:Mayfair Lakeshore801 Lake Shore Blvd. E., Toronto, ONPhone: (416) 466-3777E-mail: kpower@mayfairclubs.com

GENIUS LAB(2018 Summer Camp)

AGES

6 - 11

mayfairclubs.com

PARTNERED WITH

Robots & Coding Aerospace

Participant’s Information

LAST NAME FIRST NAME

MEMBER # (IF A MAYFAIR MEMBER) GENDER AGE

HEALTH CARD NUMBER PHYSICIAN’S NAME & PHONE

Please specify any medical conditions with regards to participant (allergies, special needs).

YOUTH T-SHIRT SIZE: S M L XL

Parent/Guardian’s Information

PARENTS/GUARDIANS NAME RELATIONSHIP TO PARTICIPANT

PERSONS AUTHORIZED TO PICK UP

ADDRESS

CITY POSTAL CODE

HOME PHONE CELL PHONE

E-MAIL

PARENT/GUARDIAN SIGNATURE(By signing, you are acknowledging that you have read Mayfair Clubs Waiver)

REGISTRATION

Payment Method Charge Member Account Visa Master Card Amex

CREDIT CARD NUMBER EXPIRY DATE

NAME ON CREDIT CARD

(SHRED AFTER USE)

Important Reminder for ParentsΩ Children must be at least 6 years old to attend camp.Ω Participants must wear comfortable clothing.Ω For your child’s safety and protection, parents are required to notify the Camp Supervisor in writing if the participant must leave the camp early or with a different person.Ω Children must be signed in and out of camp each day by the authorized parent or guardian. Photo ID may be required.Ω We are a nut aware facility and ask that you do NOT pack any peanut or nut products for your child.Ω Tax is not included.Ω Cancellation Policy: 7 days notice before the child’s first day of camp is required to receive a full refund.Ω Late registration (less than 48 hours before the requested camp day/week) is subject to a fee of $5 per day.Ω Extended child care hours are available upon request (additional cost).

Your child will need:Ω Comfortable clothes & shoesΩ Nut-free snacks

Chose Camp Week(s): Week 1: July 3–6* Week 2: July 9–13 Week 3: July 16–20 Week 4: Jul 23–27

*Fees for 4 day week camps will be prorated.

Extended Child Care

Do you wish to have extended child care?* Yes No

*Extended care hours are provided for parents and guardians who are not able to drop off or pick up their children during regular camp hours. This service is in addition to your camp fee.

Dates:

Times:

Week 5: Jul 30–Aug 3 Week 6: Aug 7–10* Week 7: Aug 13–17 Week 8: Aug 20–24

Mayfair Clubs WaiverBy use of club facilities, I expressly agree that Mayfair Clubs, its officers, directors, employees, servants or agents, shall not be liable in any manner whatsoever for any damages of any nature or kind whatsoever arising from any injuries sustained by my child while in or about the premises of said facilities; nor shall Mayfair Clubs, its officers, directors, employees, servants or agents, be held liable for any loss or theft, however caused, whether such injury, loss or damage is caused by an act of negligence or omission of staff, management or any other person.

I hereby grant Mayfair Clubs permission to use any photographs or video of the participant in publications, displays, presentations or other related use in any format (print, electronic, www site, or other media) for the purpose of promoting Mayfair Clubs events, activities and projects. I waive any copyright or other rights I may have in use of images.