Summer Camp Online Registration 2010

For detailed information please consult the Registration information before filling out this form. 

NOTE: HST is coming. If you would like to save x% then prepay the full amount before April 31, 2010.

To secure your registration, a $50 deposit will be charged to your credit card. The balance owing for the full camp fee will be charged to your credit card on June 1, 2010.

 (* Required)
 		  
Camper Session
Session *
Oasis Day Camp T-shirt Size
   
Camper Information
First name * 
Last Name * 
Mailing Address * 
Mailing Address 2
City * 
Province/State *
Postal Code * 
Country
Telephone * 
Camper E-mail *
Gender *
Birthdate *
as of December 31, 2010 (MM/DD/YY)
Age *
Health Card Number *
Church Name
Cabin Mate Requests
Great effort is made to honour mutual requests for cabin mates of similar age/grade. Check with the other family before making the request; we do not give out information regarding campers.
   
Parent/Guardian Information
Camper lives with *
Father Name  
Father Phone
Father Cell  
Father business Phone
Father Email
Mother Name
Mother Phone
Mother Business Phone
Mother Cell
Mother Email
Guardian Name
Guardian Phone
Guardian Cell
Guardian Email
   
Camper Medical Information
Severe Allergies *
Regular Medication *
Physical, emotional or behavioural problems *
If you answered “yes” to any of these situations, please write a full explanation so appropriate preparations can be made.
   
Emergency Contact
Name * 
Relationship of Camper *
Phone *
   
Consent
I have read this form thoroughly and to the best of my knowledge the information is correct. I hereby consent to give the camp director, in case of emergency, the right to take my child as warranted, to the facility as warranted, in the best interests of the camper. Before emergency treatment at a hospital is given, every effort will be made to contact the parent/guardian. While every precaution shall be taken to ensure the welfare and protection of the camper, Guelph Bible Conference Centre, its Directors and staff are hereby released from any liability in the event of accident or misfortune that may occur to the camper. I hereby give consent for my child to be transported off the Guelph Bible Conference Centre property for Field Trips and Special Events related to camp activities. I am aware that Guelph Bible Conference Centre may use my child's photo in promotional literature and/or website. To the best of my knowledge, my child is in good health. I will notify the camp by written document if my child is exposed to an infectious disease or there is a change in health during the weeks prior to arriving at camp.
I Agree *
   
Ultimate Junior Varsity Only
Please indicate which electives you would like to participate in.
Basketball - OR -
Choose 2 of the following: (Electives are on a first come first serve basis)
Outdoor Adventures (climbing wall, off-site activities, low ropes initiative)
Swimming Lessons (Red Cross Level 1-10)
         Please indicate which swimming level:
Craft
Guitar Lessons (Beginners) - rental guitars available
         Please check box here if you need a guitar:
   
Assist Others
Would you care to contribute to our sponsorship fund to assist another child or family attend summer camp? If yes, please enter amount!
Yes/No:
Assist Other Amount:
   
Credit Card Information
*
*
*
*
*
($12.00 Recommended) Not for Oasis
*