This is the Summer Camp initial registration form.
You may reserve a spot for a child by paying at the completion of this online form or you can complete the form and we will contact you to make payment arrangements.
You must deliver a completed GBYACC Registration Agreement  before your child can participate. Click on the following links to read and download the forms. GBYACC Registration Agreement. Summer Camp Registrant Information Sheet.

Camp Registration Form

Grand Bend Art Centre: 2019 Youth Camps

brought to you by GBYACC and Grand Bend Optimists

16 Municipal Drive, Grand Bend, ON N0M1T0 ---- PO Box 1150 ---- 519 238 1155 ---

Of person participating in the activity.
Text this phone?
Address *

Parent/Guardian who is registering the child

Summer Camp

Hours from 10 am until 3 pm
Cost $200 per week. $45 per day
Week 5 is 4 days. Please enter it below as 4 days in the "How many part week days?" field.
For Weeks 1 to 4 and Week 6 only.
Only use this field for less than 5 day sessions. i.e. Week 1 July 9 and 10
i.e. July 9 and 10

Cancellation & Refund Policy

Request for refunds must be made at least one week prior to the start of the selected program and are subject to a $25 administration fee. Refunds will not be issued if a participant is sent home due to misconduct. A $25 charge will be applied to all NSF’s.


PayPal provides payment gateway services to the Grand Bend Art Centre. Payment is accepted from your PayPal account, if you have one, or by using a debit or credit card. If you don't have a PayPal account scroll down the page to find the Credit Card or Debit Card option.
After the Submit button (below) is clicked and after a few seconds, the PayPal payment form will open. This is a standard online payment form - the name and address can be different than on the form you just completed. They must be the name and address on your credit or debit card account.
We pass the first name of the child, the registration number and amount of the transaction to PayPal - nothing else.
When the payment transaction is complete you will receive an email listing your entry. Doris or another volunteer will contact you shortly.
If you are not successful making your payment you are returned to the home page.
Please make arrangements to pay no later than the first session.
Call 519-236-1155 or email

You will receive an email listing your entry. Doris or another volunteer will contact you shortly.

Agreement. *