Mids Registration 2021

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Mids Day CAmp (2021) - Registration form

We are so glad that you've decided to join us for an amazing experience this summer!
At this point, we just need a little bit more info as well as some questions answered so we can finalize your registration!

Basic Info

* Indicates required field

Child #1 *

First

Last

Child #2 *

First

Last

Child #3 *

First

Last

Gender *

Birthdate (Month, Day, Year) *

Gender *

Birthdate (Month, Day, Year) *

T-Shirt Size *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent or Guardian #1 *

First

Last

Their Phone Number *

Email *

Alternative Emergency Contact *

First

Last

Their Phone Number *

Do you attend church? Where/How Long? *

I give permission for my child's photos to be used for camp promotional material in the future. *

Yes No

Care Card Number(s) *

Medical Information, Allergies or Medication *

Swimming Ability *

Unable Poor Fair Strong

Policy & Procedures

All kids and staff attending our 2021 Mids Day Camps at Chubb Lake Bible Camp must:
- Do their very best to participate in all the activities scheduled throughout each day
- Listen to and follow camp directors, their counselor and other leader’s instruction(s) at all times
- Respect the posted camp rules in regards to COVID-19 practices, bathroom use, room limits, clean-up and etc.
- Not disobey, swear, fight, use alcohol, drugs. cigarettes, vapes, participate in dangerous activities or any other inappropriate behaviour
- Not bring electronic devices. If one is necessary for communication or emergencies, your child's counselor will hold on to it for safe-keeping for the duration of the camp.

**Failure to follow these rules may result in getting sent home at the parents' expense**

Parent/Guardian Permission

I/we, the undersigned, being the parents and/or guardians of the youth above, understand and authorize my child to participate in Mids Day Camp 2021, realizing the potential risks involved; the need for medical attention my child may require; the policy & procedures; and, hereby, undertake and agree to indemnify and hold blameless the ministry staff/volunteers of Chubb Lake Camp along with its Directors and board members from any loss, damage, or injury suffered by the participant or our family in connection to the program's activities.

This consent is effective during the participation and travels of/to/from Mids Day Camp 2021 (July 12th - 16th).

Parent/Guardian #1's Full Name *

Parent/Guardian #2's Full Name *

Date (DD/MM/YY) *

Date (DD/MM/YYYY) *

*Note - registration is not complete until the minimum deposit has been made. Please see below for ways to pay.

Everything money...

Registration Payment Details:
Early Cost | Before May 15 - $216.50
Regular Cost | Before June 15 - $237
Late Cost | After June 15 - $257.50

Cost includes, but is not limited to:
- Bus-related fees (use, gas, insurance, etc.)
- Food and snacks (lunch and canteen)
- Craft and activity supplies
- Take-home items (bracelets, shirts, etc.)

*A minimum deposit** of $65 is required no later than the applicable cut-off date to secure that rate.

**This is non-refundable unless camp is canceled by its Directors and Board Members.
In that case, a full-refund will be given.

I will pay by: *

Cheque E-Transfer Square

Submit Registration

Cheques can be made out to "Chubb Lake Bible Camp" and mailed to:
Prince George Pentecostal Church - 497 Ospika Blvd S, Prince George, BC. V2M 3R4

E-transfers can be sent to [email protected]

Please include contact info in the message section and send an email confirming the transaction.

Pay With Square

What to Bring

Please bring the following items:
- Water Bottle
- Hat
- Sunscreen
- Running Shoes
- Swimwear & Towel (Change of Clothes)
- Rain Jacket

Optional Items:
- Bible
- Journal
- Sunglasses

Please ensure every item is marked/labeled with your child's name so it is not lost or stolen by accident.

Pick up/Drop Off

Pick up and drop off for campers and staff will be at central locations both in Prince George and Quesnel.
More detailed info will be emailed to the child's parent/guardian closer to camp.

Mids Day Camp - Registration

This year's Theme

Mids Day CAmp (2021) - Registration form

Basic Info

Policy & Procedures

Parent/Guardian Permission

Everything money...

What to Bring

Pick up/Drop Off

Location

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