Innovator Summer Academy

Innovator Summer Academy

Huron at Western University

London, Ontario, Canada

Sunday, July 6, 2025 to Saturday, July 26, 2025

What to EXPECT

Earn OSSD credit in Recreation and Healthy Active Living Leadership (PFL4M)

One-of-a-kind workshops and seminars

Team Building

Design Thinking Challenges & Pitch Presentations

One-of-a-kind workshops and seminars

Q&A with University Faculty, Staff and Students

Explore London, Ontario

Participant Name (the "Participant"):*

First NameLast Name

Mobile Number*

Please enter a valid phone number.

Email*

example@example.com.

Gender*

FemaleMaleUnidentified

Date of Birth*

Date

Name of High School*

What year will you be starting university? *

Residence Accommodation Preference*

Residence accommodations are suite-style with 4 single bedrooms sharing 2 washroom facilities. To ensure the comfort of all guests, please indicate your preference for the accommodations.

Do You Have Any Dietary Restrictions?*

Please list all allergies and/or restrictions, or type "NA" if you have none.

Do you have a friend that you would like to stay with in your dorm suite? Please list name/s below.

Cost of The Innovator Academy

The total cost of the program is CAD 3,950. Included is two weeks on campus in a private room with towels and linens, all meals, programming and camp merchandise.

To secure your space, a $500.00 deposit is required. The remaining balance of $3,450 will be due May 31, 2025.

My Products

Innovator Summer Academy Deposit

$500.00CAD

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Are you interested in transportation from Toronto Pearson International Airport to Huron's campus? Please note the cost will be $150.00 (return trip).*

Yes, I would like airport pickup.No, I will organize my own arrangements.

Next Steps:

A final registration form will be emailed to you shortly with information on preparing for the camp, terms and conditions, and final payment. Please note that medical insurance is required and you will need to supply proof that you have the appropriate coverage at that time. Huron will provide options for insurance if you need to purchase coverage.

Consent:

By completing this form confirm that I am able to travel to Canada and fully committed to attending the Innovator Summer Academy. If you are under the age of 18, you will need approval from your legal guardian.

Today's Date:*

Date

Is the Participant over the age of 18 years:*

YesNo

Signature of Participant*

Participant's Name:*

First NameLast Name

If the Participant is under the age of 18 years:

I represent that I am the parent, guardian or agent of the Participant and I have the authority to confrim the Participant is supported with attending the Innovator Summer Academy.

Signature:*

Name:*

First NameLast Name

I am:*

ParentGuardianAgent of Participant

Any comments or information we should know about?