Summer and Family Camp Registration Forms

PO Box 21032
Spruceland RPO
Prince George BC V2M 7A5
Email: [email protected]
Phone: 250-612-4673
Dates
Camp Session
Ages
Early Bird
Fee
If paid in full by
April 10/15
Squirt 1
Junior 1
Intermediate 1
Intermediate 2
Junior 2
Squirt 2
Family Camp
Family Camp
Family Camp
Family Camp
Family Camp
Family Camp
Junior 3
Teen Camp
Intermediate 3
June 26-28
June 29-July 3
July 5-10
July 12-17
July 19-23
July 27-29
July 31 – Aug 3
Maximum
RV Discount
Aug. 4-8
Aug. 9-15
Aug. 17-22
Intermediate 4
6-9
7-10
10-13
10-13
7-10
6-9
Infant
2-6
7-12
13+
Full Fee
If paid after April
10/15
7-10
13-18
10-13
$120
$240
$350
$350
$240
$120
$0
$100
$150
$180
$600
-$50
$240
$375
$350
$130
$255
$370
$370
$255
$130
$0
$110
$160
$190
$660
-$50
$255
$395
$370
Aug. 24-28
9-13
$325
$345
(morning end)
(morning end)
Wilderness 1-Overload
Wilderness 2 Paintball
Boys
Wilderness 3 Teen OutTrip Excursion
Wilderness 4 Paintball
Boys
Wilderness 5 Junior
Explore
Wilderness 6 Extreme
Teen
Wilderness 7 Out-Trip
Excursion
Wilderness 8 Teen
Paintball
Work Crew 1
June 29 - Jul 3
July 5-10
10-14
11-15
$245
$385
$260
$405
July 12-17
13-18
$305
$325
July 19-23
11-15
$385
$405
July 27-29
8-10
$105
$115
Aug. 4-8
13-18
$310
$325
Aug. 9-15
10-13
$370
$390
Aug. 17-22
13-18
$385
$405
June 26-Jul 17
Work Crew 2
July 19-Aug. 8
Work Crew 3
Aug. 9-29
Completed
Gr 9-12
Completed
Gr 9-12
Completed
Gr 9-12
$380
$360
$350
REGISTRATION FORM 2015
Camper’s Name: ___________________________________________
Gender ____M _____F
Birthday: (M) ___________ (D) __________ (Y) ___________ Age/Grade (as of Dec. 31, 2015): _____________
Address: __________________________________________ City: ___________________________________
Postal Code: ____________________ Prov: __________
CareCard: ____________________
___Food Allergy __Special Diet __Vegetarian
Please Specify
__________________________________
Church Affiliation: ________________________________
Mother’s Name: _____________________________ Father’s Name: _________________________________
(Mom) Home: ( ) ______________ Work: ( ) __________________ Cell: ( ) ___________________________
(Dad) Home: ( ) _______________ Work: ( ) __________________ Cell: ( ) ___________________________
I would like to be in the same cabin as: _______________________(One friend request only & not more than 1 year apart)
Email: ________________________________ Parent/Guardian Signature ____________________________________
Camp Name and Date_______________________________________
Payment -
Cheque Enclosed __________
VISA
Camp Fee: _______________
MasterCard
Visa/MC #: __________________________________ Expiry Date________
Name on Card________________________________ Signature of Cardholder ________________________________