Please use this form as your written request to cancel a Camp Kanata session or program. Please submit one form per camper. ***You may see an error message after submitting your form. Please disregard it; we are receiving cancelations.*** Parent/ Guardian Name * Parent/ Guardian Date of Birth * Year Year1933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Parent/ Guardian Email * Camper Name * Camper Date of Birth * Year Year2005200620072008200920102011201220132014201520162017201820192020202120222023 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Option to Give We know this decision causes a significant gap financially for Camp, but believe that together we can get through this tough time and ensure a successful summer in 2021. As you review your financial situation during COVID-19, please know that a philanthropic gift will help Camp to bridge the financial gap for the upcoming year. This donation will be tax-deductible. Options * Donate all of your 2020 fees to Camp. These donations will stay with Camp Kanata and will sustain ongoing operational needs. All donations are 100% tax-deductible. Donate a portion of paid fees to Camp and receive a refund for the rest. This option helps in the same way as above. You can specify what amount you’d like to donate and what amount you’d like refunded back to your original payment method. NOTE: It may take up to 30-45 days to issue any refunds from the options above, including full refunds. Thank you for your patience. Full refund. Your refund will be paid back to your original payment method. NOTE: It may take up to 30-45 days to issue any refunds from the options above, including full refunds. Thank you for your patience. I would like to have my refund amount reallocated and considered a tax-deductible donation to YMCA Camp Kanata, a nonprofit 501(c)(3) organization. I understand that I will receive a receipt from the YMCA for tax purposes Amount Please enter the amount you would like to allocate to YMCA Camp Kanata. Leave this field blank
