Camp Registration

All Spaces MUST be filled in

One Form per Child

All Costs include Meals, Accommodations, Program Fess, Tuck Card, T-shirt.
Call about available: family costing, military subsidy, send-a-kid to camp subsidy.

 
Choose a Camp
First Name
Last Name
Home Address
City
Province or State
Postal Code
Home Phone Number
Bus Phone Number
Cell Phone
Email
Male Female
Birth Year
Birth Month
Birth Day
Home Church
Church Address
Pastors Name
Person Authorized to Pick Up Camper
Relationship to Camper
Name of Roommate Requested
I Agree to all the terms Yes No
Medical Info  
Emergency Contact
OHIP #
2nd Contact
Relationship to Camper
Emergency Contact Phone
Physician Name
Physician Phone Number
Any Allergies?
On Any Medication?
May Tylenol Be Given?
Recent Tetanus Shot?
Currently On Ritalin?
Any Other Comments
Worship Camp  
Choose an Instrument
Do You Own The Instrument?
What Is Your Playing Level?
Day Camp or Overnight Camp
What Size T Shirt?