Family Camp Registration

Name*

First Last

Spouse Name

Address*

Street Address Address Line 2 City Province Postal Code

Email*

Primary Phone*

Cell/Home Phone

Names of any children you will be bringing:

Accomodations:*

Any food allergies or dietary restrictions?

Please call the camp at least 2 weeks prior to Family Camp to talk to the kitchen about your dietary needs.

# of Adults (18+) *

Price: $ 127.00 CAD

# of Youth (Ages 12-17)

Price: $ 127.00 CAD

# of Children (Ages 3-11)

Price: $ 91.00 CAD

Toddlers (Ages 0-2)

Price: $ 0.00 CAD

Total

$ 0.00 CAD

A Note About Payment Method *Full payment must be received by April 15 to receive the early fee. *If choosing to pay through PayPal, you must pay the full amount of the total above. You will be redirected to PayPal once you click the "Submit" button. *If sending a cheque or an e-transfer, there are full instructions on the confirmation page on where to send your payment.

How will you be paying?*

I agree to allow photographs or video of camp activities, which may include my family and underaged children, to be used in camp promotional material including without limitation brochures, CDs, DVDs, the camp website and newsletters.*

I Agree
I Disagree